Now available on CD & On-Demand
Learn how to identify key query opportunities
Sepsis is one of the most challenging inpatient areas for hospital coders, and its the focus of this MedLearn case study webcast. Our presenter will provide a detailed, report-by-report review of the actual medical record for a sepsis patient. By mastering key concepts from this webcast, you will be equipped to select the correct ICD-9-CM codes and MS-DRG assignments for your hospitals sepsis cases ensuring the full, appropriate MS-DRG payment and reducing your risks of noncompliance. Highlights:
- How to interpret and evaluate physician documentation, including key terminology and clinical indicators, for query opportunities
- The most common problem areas, including incomplete, ambiguous, missing, conflicting and illegible documentation
- Identifying physician queries that are compliant (non-leading), contrasting them with queries that are noncompliant (leading) or unnecessary
- Interpreting all pertinent information to arrive at the correct ICD-9-CM codes and MS-DRG assignments
- Examples of how ICD-9-CM codes will migrate to ICD-10-CM and ICD-10-PCS, along with discussion of the more complete documentation required to match the higher level of ICD-10 code specificity
About our presenter
This MedLearn webcast seminar is presented by Carol Spencer, BA, RHIA, CCS, CHDA. A MedLearn senior consultant, Ms. Spencer possesses more than 20 years of experience in health information management, coding, teaching, data quality and operations. She is an accomplished teacher, author, and speaker covering subjects/topics such as MS-DRGs, ICD-9-CM coding, compliance strategies, clinical documentation improvement and RAC-preparedness. Ms. Spencer is the project lead and thought leader for MedLearns RAC Inpatient Data Analytics program.
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