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Discharge Codes: Impact on the Post-Acute Care Transfer Policy - Risks and Rewards

Improper understanding and application of discharge codes may result in reduced hospital reimbursement and represent a compliance risk under the PACT policy. William E. Haik, M.D. has been involved in ICD-9-CM coding and chart documentation for more than 25 years and will explain why the problem exists and how to remedy it.


Runtime: 77 minutes
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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

Defining the Problem

  • PACT Policy Background
  • Description of PACT Policy
  • Calculation of Hospital Payment

Why Does the Problem Exist?

  • Incomplete Understanding of Discharge Codes
  • Lack of Edits for Under Payment in CWF
  • Examples of Discharge Code Errors

How to Solve the Problem

  • Internal Action Plan
  • External Auditors

How to Choose an External Auditor

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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

OnDemand Webinar

This course was last revised on November 3, 2011.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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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

William E. Haik

William E. Haik

DRG Review, Inc.

William E. Haik, M.D., F.C.C.P., DRG Review, Inc.

  • Active pulmonary medical practice for more than 30 years
  • Director of DRG Review, Inc. an inpatient health record review service involved in educating physicians and inpatient coding staffs in health record documentation and coding compliance
  • Former member of AHA’s Editorial Advisory Board and Expert Advisory Panel for ICD-9-CM
  • Participant in the formation of the original CCS exam and the Clinical Documentation Improvement Specialist certification exam
  • Expert consultant for the United States Department of Justice regarding pneumonia coding fraud and abuse
  • Final arbitrator for Medicare Part C MS-DRG modifications
  • National speaker for AHIMA, AHA, HCPro, and various state quality improvement organizations
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Product ID: 387207
Published 2011
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