2023 Practice Enhancement Through Clinically Correct Coding

PHYSICIAN ADVISOR CORE Track

Physician Advisor Core Track:

Specific to the unique roles of the Physician Advisor, this curriculum provides base knowledge on physician advisor roles and the medical necessity determinations key to success in this space.  Optimal for onboarding or yearly training updates.

  • Be able to define a “Physician Advisor” and what types of physicians can fit this role
  • Know how PAs can support of case management with respect to resource utilization and quality
  • State how PAs can support CDI, medical necessity, and denials management
  • 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
  • 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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