Key Take Away:
This webinar will look at each ofthe healthcare revenue management trifecta – coding, billing and documentation andwill review key areas of weakness and discuss methods to improve the process.
Revenue management continues to be increasingly difficult to manage. No longer are generic coding and weak documentation adequate to receive payment. The ICD-10 reporting flexibility has expired.
In order to maintain sufficient revenue, providers and staff must focus on these clinical documentation specialistkey areas that will make or break your bottom line. If one clinical documentation improvement programis weak, the others will be affected and likely result in claims rejections, increasing requests for medical records and inability to adequately support medical necessity. Continued problems not only delays reimbursement, review of your claims submission patterns and clinical documentation improvement certificationmay fall under scrutiny.
Why Should You Attend:
With the expiration of flexibility in claims reporting, providers will be required to submit codes in detail, avoiding unspecified unless there is no alternative.
Additionally, clinical documentation improvement specialist training must support the codes reported and the required medical necessity. Often, these areas are challengingcdi training for nurses.
Areas Covered In This Webinar:
Why generic coding will lead to problems
Does your claim pass payer processing system edits?
Do you know how to reduce claims rejections?
Importance of diagnosis code specificity
Determining the medical necessity of service codes
Coding for co-morbidities and why it is important
Problematic documentation. Is medical necessity supported?
Who Will Benefit:
Coding & Billing Staff
Medical Records Staff
Revenue Cycle Staff
Clinical Documentation Specialists
Dorothy D. Steed
Dorothy D. Steed, CCS, CDIP, COC, CPCO, CPUM, CPUR, CPHM, CPMA, ACS-OP, CCS-P, RCC, RMC, CEMC, CPC-I, CFPC, PCS, FCS, CPARis an Independent Healthcare Consultant and Educator in Atlanta.
She was a Medicare specialist for a large hospital system and a physician audit supervisor for another hospital system, with 39 years of experience in healthcare. Additionally, she is an instructor at a state technical college in Atlanta, provides auditing & training in both facility and physician services, and has been a speaker at several healthcare conferences.
Ms. Steed has written articles for several medical publishers and served as a contributing author for medical billing and coding training material. She writes online courses, and is an AHIMA certified ICD-10 trainer.
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