Major Documentation Challenge For ICD 10 - Avoid The Pitfalls

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Transition to ICD-10: Identify and Avoid Common Audit Mistakes

It is crucial to know how to properly document for ICD-10 ,and to ensure the providers are documenting to the highest level of specificity, so that the most specific diagnosis code can be selected. It also decreases the chances of a negative finding during an audit. Proper documentation also allows for the transfer of information between parties to be much easier with few errors.

This session by Dreama Sloan-Kelly, MD, CCS, will give tips on to document to the highest level of specificity for ICD-10 codes and how to use commonly billed ICD-10 codes to guide the provider on what needs to be documented. Dreama will also guide you to create provider cheat sheets as well as how to audit for pre and post readiness, along with tips on designing templates, as well as common audit pitfalls.

Session highlights:

  • How to appropriately document in the history, physical exam, and assessment/plan to comply with all CMS documentation guidelines.
  • How to design a template that works for the group and also ensures to meet all compliance standards.
  • Pitfalls many face in audits – information not specific enough in regards to laterality, acute vs chronic, type of encournter etc.
  • Communicating to doctors the importance of proper documentation rather than just pointing and clicking
  • The importance of detailed documentation so the coder can choose the most specific ICD-10 code possible

Get answers to your questions in a Q&A segment after the session by the speaker.

Who should attend: All Specialties – Practice Managers, Office Managers, Medical Billers, Medical Coders, MD, DO, NP, PA, Clinical Documentation Improvement Specialists, MR Auditors and Front Desk.

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About Our Speaker

Dreama Sloan-Kelly - Healthcare and Medical Billing Coding Expert

Dreama Sloan-Kelly, MD, CCS has over 14 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine, she has a varied background including clinical, billing, and coding. Dr. Sloan-Kelly is President/CEO of Kelly, Sloan, and Associates, LLC and speaks at various seminars and webinars, imparting her knowledge in an upbeat, matter of fact, manner. Her goal is get the...   More Info
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