Description:

This seminar will give tips on to document to the highest level of specificity for ICD- 10 codes. How to use commonly billed ICD-10 codes to guide the provider on what needs to documented. Tips will be given on how to create provider cheat sheets as well as how to audit for issues that can be rectified via targeted provider training. It will also give some tips on designing templates, as well as common audit pitfalls.

Why should you Attend?

Knowing how to properly document for ICD-10 is crucial 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 fewer errors. Now that the grace period is no longer in effect as of Oct. 1, 2016, providers must ensure their clinical documentation is as detailed as the ICD-10 diagnosis code billed. Along with this providers must know how to choose the most specific ICD-10 code.

Areas Covered in the Session:

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

Who will benefit:

• All Specialties -Practice Managers,
• Office Managers 
• Medical Billers
• Medical Coders
• MD
• DO
• NP
• PA
• Clinical Documentation Improvement Specialists,
• MR Auditors
• Front Desk