Documentation for Accurate Coding and Billing
Overview:
Learn specific examples how to document for services and procedures accurately and effectively. With the coming implementation of ICD-10, proper documentation will be more important than ever. This sixty-minute Webinar will provide a wealth of information concerning documentation for a wide variety of procedures and environments.
Why should you attend: This is most important for providers and mid-level clinical professionals. Also, it is appropriate for auditors and coders responsible for translating the medical record to accurate codes.
Areas Covered in the Session:
- Basic
- What to avoid
- Acronyms and abbreviation rules and guidelines
- Organizational tips
- Illustrations
- Bilateral indications (especially for ICD-10)
- Documenting lesions
- Skin Grafting
- Burns
- Changes in the medical record
- Establishing policy concerning bad outcomes
- Referrals
- Counseling and Coordination of care
- Medical vs financial information
- SOAP and SNOCAMP
- History
- Exam
- Medical Decision Making
- Surgical procedures
- Documenting for complicated procedures.
- Surgical operative report checklist
- Radiological services
- Pathology / Lab
- Coding and Documentation Audit Checklist
- Examples and scenarios
- Compliance Plan
Who Will Benefit:
- Providers
- Mid - Levels
- Coders
- Coding Manager
- ICD-10 Implementation Team
Speaker Profile
Jeffrey Restuccio is the principal owner of Ritecode.com, a healthcare consulting company specializing in online training, live seminars, webinars, chart audits, and specialty consulting. Jeff is certified as both a CPC and a CPC-H from the Academy of Professional Coders (AAPC).
Jeff is an experienced educator and conducts training courses on CPT and ICD-9 coding and billing, auditing and compliance and has taught hundreds of live coding and billing seminars nationwide. He has audited over 10,000 medical records
Jeff teaches specialty seminars on topic such as carrier-specific rules, medical decision making, auditing, compliance plans and winning appeals. His clients include Hospital Corporation of America, Hospital Management Association, St Jude Children's hospital, the VA, DOD. and hundreds of small practices.
Jeff is an experienced educator and conducts training courses on CPT and ICD-9 coding and billing, auditing and compliance and has taught hundreds of live coding and billing seminars nationwide. He has audited over 10,000 medical records
Jeff teaches specialty seminars on topic such as carrier-specific rules, medical decision making, auditing, compliance plans and winning appeals. His clients include Hospital Corporation of America, Hospital Management Association, St Jude Children's hospital, the VA, DOD. and hundreds of small practices.