How do your skills measure up?
- How effective are you at querying providers to extract complete and correct information from the documentation in the medical record?
- Do you understand 7th character usage and the difference between initial and subsequent?
- Can you identify all the components necessary in the documentation to code to the highest degree of specificity?
- Have you minimized the use of unspecified codes?
- Are you aware of the risks and potential consequences with copy/paste and cloning records that result in improper reimbursement?
Learn how to communicate effectively with clinical providers and gather the information needed in the documentation to support appropriate code assignments.
Learning objectives
- Review clinical documentation requirements for ICD-10-CM and identify problems with clinical documentation.
- Develop strategies for maintaining effective communication and positive professional interactions between clinicians and coders.
- Understand the documentation impact of patient quality care and importance of establishing guidelines for documenting and coding to the greatest level of specificity.
- Review the scope and steps for an effective compliance plan and know what to do if you have information about fraud or abuse.
- Gain confidence by engaging with documentation examples and practicing writing different forms of physician queries.
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Jan Hailey
MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
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Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
Course content is relevant for medical office professionals responsible for accurate medical coding and billing in an outpatient healthcare setting. This program is designed for coders, auditors, providers, clinical, and practice staff involved in medical coding. Consultants, compliance officers, and office managers may also benefit.
Content assumes basic level knowledge of outpatient coding and reimbursement. Access to a current ICD-10-CM code set manual or resource is required for full participation and completion of included clinical scenario exercises.
Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable course materials for 6 months.
Comments from past participants:
"The instructor did a great job at presenting the content and explained everything clearly."
"Very informative; I learned a lot! Thank you for all the helpful information."
"Excellent program. This was a great training."
Prod ID: 538
