ICD-10-CM/PCS and the Effects on Clinical Documentation

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Understand the Effects of ICD-10-CM/PCS on Clinical Documentation and Revenue Cycle Management

Coding is a crucial part of revenue cycle processes. With the implementation of ICD-10-CM and numerous changes to ICD-10-PCS in 2017, it is important that documentation support all aspects of coding. Unspecified codes are no longer applicable in the coding world, and many insurance companies are now denying these codes. Proper documentation is the key to providing your practice or facility with the most reimbursement possible.

In this session, expert speaker Amy Pritchett will provide education surrounding clinical documentation and how this relates to revenue cycle management and the National Correct Coding Initiative. This session will cover documentation regulations and coding guidelines that specifically pertain to documentation improvement. She will also discuss the need for more specific anatomical and laterality documentation.

During this session, you will learn what documentation steps need to be followed to ensure that the record documents what the provider performed during the encounter. You will be able to take the necessary steps to better document patient charts as well as document the hierarchy of coding logic and laterality. Due to the numerous updates in 2017 to ICD-10-CM and ICD-10-PCS, there is a greater need for specificity of coding. Laterality, site anatomy and specified root operations are of key importance to DRG and APC reimbursement calculations. Providing the most complete and accurate coding of site-specific procedures will greatly improve your reimbursement rates and your facility or practice’s performance.

Session Highlights

  • Specificity of diagnosis coding
  • Specificity including laterality and specific anatomical regions
  • Documentation from a provider’s perspective
  • Documentation from a clinical perspective
  • Guidelines for specificity and hierarchy of coding
  • Medical documentation requirements
  • The need for more “pertinent information”
  • ICD-10-CM and PCS Guidelines for Reporting
  • Sepsis clinical documentation: “Was it present on admission”
  • Talking to your physicians about documentation

Session Agenda

  • 2018 coding and reporting guideline changes ICD-10-CM
  • Effect on clinical documentation
  • 2018 updates to PCS
  • How to arrive at a “more specified code” from documentation
  • How to utilize the “official coding guidelines for reporting” and turn them into revenue gold

Who Should Attend

  • Managers and HIM directors
  • Nurses
  • Clinical documentation improvement specialists
  • Facility coding supervisors, leads and coders
  • Revenue cycle managers

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About Our Speaker

Amy Pritchett

Amy Pritchett serves as the Manager of Facility Reimbursement & Coding Services at Altegra Health and brings to the firm over 25 years of experience, specializing in revenue cycle management and HIM operations including RAC auditing, charge master implementation and reviews, inpatient MS-DRG and outpatient OPPS coding compliance auditing, and physician practice coding and auditing. Prior to joining Altegra, Amy was the managing director of HIM and an...   More Info
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