Gain an understanding of practical application of principal diagnosis selection while incorporating justifiable procedures and services.
In this material, we will examine diagnosis versus procedures with regard to determining what should be coded, and how the coder has to identify two main elements: the diagnosis and the procedure. There is much more involved in the coding process than just looking up a term and assigning the code next to that term. We will explain the guidelines as some are complicated and complex. The procedure is “what is done,” and the diagnosis is “why it is done.” We will focus on the why. If a patient has a tonsillectomy because of acute tonsillitis, then the coder recognizes that “what is done” is the tonsillectomy, and “why it is done” refers to tonsillitis. There must be at least one diagnosis for each procedure performed, as payers require proof that services are medically necessary. The diagnosis is usually the determining factor to justify procedures and various services. We will discuss what should be coded and the rules that come into play for coders/billers to follow, and translate the rules and ease the complexity in order to be compliant.
Credit
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Why Lorman?
Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
| Coding Accuracy | |
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| Document, Document and Document Some More | |
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| Guidelines and Instruction | |
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Credit
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Why Lorman?
Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
Live Webinar Registration
AAPC 1.5
- This program has prior approval of AAPC for 1.5 Core A continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- ACHE 1.5
- The American College of Healthcare Executives no longer pre-approves courses or organizations. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.
ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide educational programming in healthcare management. Programs may be sponsored by ACHE, chapters or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.).
- AHIMA 1.5 including Clinical Data Management 1.5
- This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- HFMA 1.5
- This course is approved by HFMA for certification maintenance of continuous educational points and will equal 1.5 points of classroom instruction.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
Who should attend?
This live webinar is designed for coders, medical records professionals, health information directors, billing managers, office managers, health care providers and medical facility administrators.
Credit
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Why Lorman?
Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Rhonda Granja, B.S., CMC, CMA, CPC, CMOM
Rhonda Granja Consulting
- Independent medical consultant and PMI faculty member
- Speaker at the 2013-2015 PMI National Conference
- Speaker at the 2014 AMBA National Conference
- "McVey Seminar" leader
- Panel speaker for "The Coding Leader"
- Panel speaker at "Compliance World"
Credit
More Program Information
Why Lorman?
Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
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