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
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:
Who should attend? Emergency department physicians, nurses, non-physician practitioners, ED administrators, documentation specialists, compliance officers, coding professionals.
- Caral Edelberg
Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, leads the overall growth and operational delivery of Edelberg + Associates’ in coding, compliance and education. Caral is a well-regarded author, lecturer and industry expert in healthcare revenue cycle management, coding and compliance. Caral maintains a long list of certifications and affiliations which include: dual coding certifications from the American Health Information Management Association (AHIMA) and the American Academy of Professional...
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