Clinical Documentation Improvement 2016

Topics

• Measurement of lesions, when taken and inclusion of margins
• Significance of abnormal lab results
• Diagnostic testing and medications should be supported in a diagnosis
• Start & stop times & methodology for infusions & discrepancies in billing
• Severity of illness
• Depth of wounds and cause should be clear
• Diagnosis present on admission?

Who should Attend

• Billers
• Coders
• Physicians, mid-level providers
• Revenue cycle
• Claims follow-up
• Nurses
• Managers