2023 Practice Enhancement Through Clinically Correct Coding

Hospital Core Track

Hospital Core Track:

Ideal for providers embarking on hospital based medical care as well as GME-level providers in preparation for clinical core rotations.

  • Know the quality metrics tied to value-based care
  • Understand the conditions tied to the readmission reduction program
  • Know the conditions linked to the hospital acquired infections measure
  • Explain the 2023 documentation and billing rules for time-based coding and Medical Decision-Making components in the hospital setting
  • Describe split/shared billing in the hospital facility setting
  • Understand how to use prolonged services in the hospital setting
  • Define the Diagnosis Related Group (DRG) concept
  • Know how DRGs impact the Case Mix Index (CMI) and how these economically impact a hospital facility
  • State top Diagnosis Related Groups (DRGs) and how to best document to capture the optimal clinical picture
  • Define the “Two Midnight Rule” and the inpatient vs observation determination
  • State the importance of “D-Day” documentation with respect to patient status
  • Understand what the “Inpatient Only List” is and a management option for correct use
  • State documentation pearls associated with documentation of medical necessity of key cardiac conditions in the hospital setting to include:
    • Chest Pain/ Myocardial Infarction
    • Heart Failure
    • Atrial Fibrillation
  • State documentation pearls associated with documentation of medical necessity of key respiratory conditions in the hospital setting to include:
    • COPD
    • Pneumonia
  • State documentation pearls associated with documentation of medical necessity of key neurological conditions in the hospital setting to include:
    • Encephalopathy
    • TIA
    • Stroke
  • State documentation pearls associated with documentation of medical necessity of key infectious conditions in the hospital setting to include:
    • Sepsis
    • Cellulitis
    • Urinary Tract Infections
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Price:

$25000

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Approx. 4 hours to complete

There are 8 Sessions in this track.

Full access

Until December 31st, 2023.

Certificate of completion

Available for download upon successful completion of each session.

The AAFP has reviewed Practice Enhancement Through Clinically Correct Coding and deemed it acceptable for Prescribed credit. Term of Approval is from 01/01/2023 to 12/31/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Each Session has been assigned 0.5 CEU credits, for a total of 20 CEUs.

Note: You will receive a downloadable Certificate of Completion upon finishing each session

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