Inpatient Coding: What Every Clinician and Hospital Administrator Should Know Tuesday, March 15, 2016 - Friday, March 15, 2019    CME Provider: American Board of Quality Assurance and Utilization Review Physicians › Deborah Naser 6640 Congress Street New Port Richey, Florida (FL) 34653 United States   Toll Free: 800.998.6030 Phone: 727.569.0190 Fax: 727.569.0195   Visit the CME Provider Webpage ›   Description: The Recovery Audit Contractor demonstration program found significant errors in Medicare beneficiary payments; most were over payments from inpatient hospital providers and almost half of the improper payments were improperly coded. While these statistics have changed over the years since then, improper coding of inpatient claims remains an important area for improvement in today’s health care facilities. While providers worked on improving documentation, along came CMS' ICD-10 implementation for claims after October 2015. Updated coding will deliver greater detail and have the potential to provide better data for evaluating and improving the quality of patient care. Increasing the detail and better depicting severity may clarify the connection between a provider’s performance and the patient’s condition. Complete, accurate, and up-to-date procedure codes will improve data on the outcomes, effectiveness, and costs of new medical technology and ensure fair reimbursement policies. However, it is not easy. The process of properly preparing a claim for inpatient services brings together the work of a wide spectrum of professionals. Clinicians, including physicians, nurses, respiratory therapists, wound care specialists, nutritionists, etc., have the vital responsibility of accurately and completely documenting the patient’s clinical condition as well as the care provided. The role of clinical documentation specialists is to aid clinicians in their documentation. The duty of translating this documentation to ICD-10 codes falls to coders. In order to make the process as error-free as possible, it is important for each participant to understand the role of the other participants. In addition, administrators must have a grasp on the entire process since it is their responsibility to create an atmosphere in which the process can work efficiently. At the conclusion of the online course, participants will be able to: *Utilize knowledge of coding principals to improve documentation in the medical record. *Improve communication between clinicians and HIM personnel related to documentation and coding. *Discuss the history of the DRG system and the important part that proper coding plays in correct reimbursement. This course is intended for Physicians of all specialties, Nurses, and Other Health Care Professionals with appropriate CME credit and nursing contact hours offered for each profession. The American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ABQAURP designates this online enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity. ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1.0 contact hours through the Florida Board of Nursing, Provider # 50-94. This program is approved for Category 2 credit by the American Osteopathic Association.   Visit the CME Course Webpage ›     Instructors: Members of the CME Committee, Planners, and Faculty have disclosed to ABQAURP any relevant financial relationships. No relevant financial relationships or conflicts of interest exist in regard to the content of this activity. Timothy J. Garrett, MD, MBA, CHCQM, CIC     CME Credit: Physicians:  1.0 Hours Physician Assistants:  1.0 Hours Nurses:  1.0 Hours Self Assessment Module (SAM):  Yes Specialty Audience: Allergy / Immunology    Anesthesiology    Dermatology    Emergency Medicine    Family Medicine    Genetics    Internal Medicine    Medical Ethics    Neurology    Obstetrics / Gynecology    Ophthalmology    Otolaryngology    Pathology    Pediatrics    Practice Management    Preventative Medicine    Psychiatry    Quality Assurance    Radiation Therapy    Radiology    Risk Management    Surgery     RADLIST Course #15447