Online Training Course

Prod ID: 538
Bridging the Gap Between Clinical Documentation and Coding

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

CEUs

3

Length

172 min

Price

$239.00


There can be serious consequences with copy/paste and cloning health information in medical records. How effective are you at querying providers to extract complete and correct information from the documentation? 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?

Clinical Documentation Improvement (CDI) programs promote clear, concise, complete, accurate, and compliant documentation. In this course you will gain strategies for maintaining effective communication and positive professional interaction between clinicians and coders. Learn how to effectively query providers to extract complete/correct information from the documentation and establish guidelines for documenting and coding of medical records to their greatest level of specificity.

Highlights:

  • Review clinical documentation requirements for ICD-10-CM
  • Identify problems with clinical 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
  • 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

Jan Hailey

MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M

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.

This is an intermediate-level course that will help medical coders and auditors work with providers to gather and assess the information needed in documentation to support appropriate code assignments. Consultants, compliance officers, and office managers may also benefit.
The course content assumes knowledge of outpatient coding and reimbursement. Access to a current ICD-10-CM code set manual 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."

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