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Staying Compliant and Avoid Common Coding Errors

By - VICTORIA M. HERNANDEZ, RHIA, CDIP, CCS, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer

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Overview:

Our Official Coding and Reporting Guidelines are updated every year, and AHA Coding Clinic is published every quarter. It is fundamental to know and understand every guideline and convention although many expressed challenges in finding adamant time to thoroughly review the latest updates and coding guidance.

Along with the requirements of meeting productivity and quality standards, coding and CDI professionals face day-to-day complex challenges in the advanced areas of the official coding guidelines, conventions, and references like the AHA Coding Clinic. It is imperative to stay abreast of these updates, otherwise documentation issues and coding errors may result in denials and noncompliance.

Complete documentation and quality coding impacts hospital and physician profiling data, trends, scorecards, outcomes, reimbursement, and consumer resources. Quality coding and auditing of medical records are essential to ensuring your facility’s overall accuracy and compliance with regulatory directives. Together, we will review the common coding errors involving CCs and MCCs, review coding guidelines, coding clinic references, and identify best practices of complete quality documentation and applicable clinical indicators.

This presentation will provide an overview of challenging coding guidelines and references to assist in those situations where coding errors may be prevented. It is designed to promote accurate coding, compliant queries, and quality clinical documentation.

Program Objectives:

  • The goals and objectives of this webinar are to:
  • Review challenging coding guidelines and references applicable to coding, CDI and auditing
  • Review case examples involving CCs and MCCs in coding and auditing
  • Identify common CCs and MCCs reported and associated errors
  • Enhance knowledge on AHIMA’s guidelines for achieving a compliant query process
  • Identify best practices on coding and auditing to ensure alignment with regulatory updates
  • Review sample audit cases involving denials
  • Learn how to accurately distinguish future audit targets and focus

Program Agenda and Highlights:

  • Introduction
  • Disclaimer
  • Overview of Challenging Coding Guidelines
  • Importance of Compliant Documentation
  • Case Scenario Coding Practice
  • Summary

TARGET AUDIENCE:

HIM Coding Directors, Managers, Supervisors; Hospital Coding Staff; Clinical Documentation Improvement Management and Staff; Reimbursement Specialists; Coding Compliance Management and Staff; Auditors and Educators

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Speaker Detail

VICTORIA M. HERNANDEZ, RHIA, CDIP, CCS, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer

Victoria is a Registered Health Information Administrator (RHIA), a Clinical Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), a Certified Coding Specialist Physician-Based (CCS-P) and an AHIMA-Approved ICD-10-CM/PCS Trainer with over 28 years of experience in the healthcare field. In her professional role, Victoria is the Founder of a coding, auditing and CDI company called Integrity Coding Solutions. Prior to starting her company, she was the Regional Director of Coding Audit and Education for a California-based integrated healthcare delivery system covering 21 facilities with 160+ coders and CDI staff. She specialized in providing the following: initial and on-going coding, audit and CDI education, specialty-specific training, department presentations and one-on-one feedback to coding, CDI staff, physicians, local, regional, and national leadership.

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