Bridging the Gap Between Clinical Documentation and Coding(PMI)

Bridging the Gap Between Clinical Documentation and Coding

All health care providers have a duty to ensure that all claims submitted to federal health care programs are true and accurate. This class will help coders work with providers to assess and gather the information needed in documentation to support appropriate code assignments.

Class Highlights:

• Review clinical documentation requirements for ICD-10-CM
• Identify problems with clinical documentation, such as copy/paste/cloning
• Learn strategies for maintaining effective communication and positive professional interaction between clinicians and coders
• Learn how to query providers to extract complete/correct information from the documentation
• Explanation of 7th character usage, and difference between initial and subsequent
• Learn how to minimize use of unspecified codes.
• Focus on the documentation impact of patient quality care
• Establish guidelines for documenting and coding of medical records to their greatest level of specificity
• Review the scope and steps for an effective compliance plan
• Learn what to do if you have information about fraud or abuse in your organization
• Engage in hands-on practice with documentation examples and writing different forms of queries

See the full course description here.

** $239 and 3 CEU's per session**

Note: For PMI programs, the virtual webinar link will be sent directly from PMI.