Nursing and Physician Documentation in the ED: How to Bridge the Gap for Facility and Professional Coding

What does coding for Emergency Department services require?

Well, if you want to capture both professional and facility charges...
Documentation of key elements of the visit:

 
Reason for the visit/Nature of Presenting           Serial vital signs
Problem                                                         Patient response to treatments
History                                                           Surgical op notes
Physical examination                                      Disposition and referrals
Medical decision making                                 medical necessity
Timed services

Join coding expertCaral Edelberg, CPC, CMPA, CAC, CCS-P, CHC for this 1-hour audio conference where she will walk you the benefits of improved documentation by all ED clinical staff and how they can work together to provide a total picture of the ED course and medical necessity.

Caral will also provide you with templates for documentation of timed services, observation services, a listing of elements of medical decision making and how each provider shares in the responsibility for documenting each component.

Don't miss out:

• Key elements of the ED visit and how each provider benefits from improved documentation
• The inter-relationship between facility and professional services 
• How documentation impacts revenue – a coding and documentation perspective
• Common ED presenting problems and how each member of the clinical staff can improve documentation to establish medical necessity and benefit revenue
• Timed services (critical care, observation, infusions and injections, conscious sedation) and their unique documentation requirements for ED physicians and nurses
• Where auditors look for information to support medical necessityand why documentation by physicians and nurses need to support elements of medical necessity

 Who should attend? Emergency department physicians, nurses, non-physician practitioners, ED administrators, documentation specialists, compliance officers, coding professionals.

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