2022 Practice Enhancement Through Clinically Correct Coding – Hospital Track

$300.00

2022 Practice Enhancement Through Clinically Correct Coding – Hospital Track Included Modules (12)

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12.5 CME Credits

Session #9:         0.5

Advance Care Planning:  Helping Our Patients Transition

  • State why family physicians should engage their patients in discussions relating to end-of-life care.
  • Know the specific documents used for end-of-life decision making in health care
  • Be able to perform, document, and correctly bill for Advance Care Planning services

Session #10:      1.0

Compliant Use of the Nurse Practitioners (NPs) and Physician Assistants (PAs) in 2022

  • Define the various Advanced Practice Professionals (APPs) commonly seen in primary care
  • Differentiate between “split/shared” and “incident to” services and how APPs can be an integral part this type of care delivery given the 2022 CMS updates
  • Know the appropriate billing and understand the correct documentation needed to be compliant in overseeing APP care delivery

Session #11:      0.50

Social Determinants of Health (SDoH):  Uncovering a Key Player in Healthcare Outcomes

  • State several health impacts associated with SDoH.
  • Know the key SDoH risk factors and why regular screening for such is important in healthcare
  • Understand the codes associated with SDoH risk factors and the importance of correct coding for these conditions

 Session #12:      1.0

Know How Hierarchical Condition Categories (HCCs) and Diagnosis Related Groups (DRGs) Shape Clinical Documentation Improvement in 2022:

  • Be able to explain optimal clinical documentation, redocumentation, “risk” scores and the economics associated with excellence in this area
  • Know clinical conditions in the outpatient office practice that are a focus of opportunity with regards to Hierarchical Condition Categories (HCCs)
  • State several Diagnosis Related Groups (DRGs) and how clinical documentation assists in capturing the correct picture of a patient’s disease state in the hospital setting

Session #13:      1.0

The Why and How to Develop Documentation, Coding and Billing Compliance in Primary Care

  • Outline reasons why a compliance plan related to coding and billing is important in primary care
  • Know the key focus areas of compliance audits in 2022
  • Understand the process of assessment and performance improvement through encounter audits to aid in success of a primary care compliance plan

Session #14:      0.50

The Preoperative Assessment:  Step 1 in Effective Care Transitions

  • Understand the roles primary care plays in the surgical patient’s care
  • Know areas of focus for preoperative assessment of the older adult
  • State the importance of a coordinated transition care management (TCM) interaction post-operatively and strategies in delivery

Session #15:      1.0

The Many Hats of the Physician Advisor in 2022

  • Be able to define a “Physician Advisor” and why primary care physicians with hospital experience ideally fit this role
  • Explain the roles performed in support of case management with respect to resource utilization and quality
  • Know how the physician advisor can support CDI, medical necessity, and denials management processes for healthcare systems

Session #17:      1.0

The Business of Medicine:  Foundational Information Not Taught in Residency

  • Know the global history of the Medicare program and understand the parts (A, B, C, and D) that make it up
  • Define and understand the 2022 changes to relative value units (RVUs) and the conversion factor
  • Know the out-of-pocket costs associated with the Medicare Beneficiary in 2022 and how shared savings and cost of care play into payments
  • Know the basic components of coding and the concept of documentation integrity and its application to how we get paid

Session #18:      0.5

Dousing the Flames of Burnout in 2022

  • Know the prevalence and progression of burnout in the medical professional community and the effects of the COVID pandemic
  • List the clinical manifestations of burnout and triggers that lead to this clinical state
  • Discuss strategies to deploy to help reduce personal and occupational stress

Session #19:      1.0

Leadership Challenges for Today’s Physician

  • Know reasons behind having physicians as leaders.
  • Understand essential elements needed for effective physician leadership.
  • Be able to outline practical applications of physician leadership skills across the scope of healthcare needs.

Session #20:      1.0

Population Health Management:  Understanding Quality, Incentives, and Value

  • Define “Population Health Management”
  • Discuss how quality is aligned across the healthcare spectrum
  • State how incentives, penalties and value are defined in healthcare

Session #21:      1.0

The 2022 Basic Evaluation and Management Guidelines for the Hospital Setting

  • State differences in the 2021 Evaluation and Management Guidelines in the office and the hospital facility
  • Know the concepts that make up the History, Exam, and Medical Decision-Making Key Components of the Hospital E&M Guidelines
  • State ways to practically apply the three Key Components in clinical practice examples

Session #22:      1.5

The Two Midnight Rule and Medical Necessity in the Hospital Setting

  • Define the “Two Midnight Rule” clinically and correct applications given the 2022 “Inpatient Only List” changes
  • State pearls associated with documentation of medical necessity of key conditions in the hospital setting to include heart failure, myocardial infarction, pulmonary conditions, stroke, and sepsis

Session #23:      1.0

Compliant Time-based Coding and Documentation in the Hospital Setting

  • Define the documentation needed for time-based services in the hospital setting
  • Explain 2022 revised critical care services policy and how to document, code and bill for these services
  • Explain 2022 revised split and shared services policy and how to document, code and bill for these services
  • Know how to document discharge care in the inpatient site of service

Total CME:                       12.5