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Gain a clearer understanding of acute and post-procedural respiratory failure from both the clinical validation and coding perspectives, along with tried-and-true strategies for preventing and appealing payer denials.
$149.00
What constitutes respiratory failure? Even physicians can’t agree on clinical definitions to support a respiratory failure diagnosis. This leaves hospitals vulnerable to inconsistent coding and documentation — and susceptible to payer denials. In fact, denials of respiratory failure claims are increasing, and payers often cite lack of clinical validation as the reason. Given the significant revenue at stake, you need a proven approach to preventing and appealing denials.
You’ll gain a decided advantage with the help of this special ICD10monitor webcast. Our presenters, Dr. Robert Stein and Andrea Mathias, will walk you through the basics of respiratory failure, from both the coding and clinical validation perspectives. Once empowered with this foundational knowledge, you’ll be ready to dive into specific strategies, tactics and tools for effectively preventing and appealing respiratory failure denials.
Improper coding of respiratory failure cases presents significant immediate and downstream risks, from major shifts in DRG payments, to the heightened risk of denials by various payers. Proactively protecting payments depends on coders who are familiar with the clinical aspects of respiratory failure and grounded in coding guidelines and code sequencing. When denials happen, as they inevitably will, you’ll need proven strategies to successfully appeal those determinations.
Coders, HIM professionals, clinical documentation integrity (CDI) specialists, revenue integrity staff, denials management staff, quality staff and physician advisors.
Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available.
Dr. Stein is Medical Director at Enjoin. Possessing more than 25 years in active practice, he’s board-certified in internal medicine with subspecialties in critical care and pulmonary disease. Dr. Stein is an original member and is currently medical director of the EICU physician team, providing telemedicine clinical support for BayCare Health System. He has provided numerous educational sessions for clients and physicians, focusing on several challenging clinical coding and documentation issues. Dr. Stein also has presented at industry conferences, including AHIMA and ACDIS, and he’s written articles for HCPro publications, Briefings on Coding Compliance and HIM Briefings.
Andrea is a Senior Clinical Coding Analyst at Enjoin. She has been an HIM professional for more than 20 years, with a focus on revenue cycle management, consulting and CDI. She possesses a comprehensive knowledge of MS-DRG complex clinical denials and appeals, with an extensive understanding of clinical documentation improvement and revenue integrity best practices.
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This program has the prior approval of AAPC for 1 continuing education hour. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. |
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This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. |
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