Now you will know how to accurately report signs and symptoms with a confirmed diagnosis if the signs or symptoms are integral to the diagnosis. Case in point: the patient is experiencing chest pain and the diagnosis is unstable angina. Would the chest pain be reported, since it is considered integral to the unstable angina? When would you use a symptom code? And how do you extrapolate codes from the physician's documentation correctly?
These and other serious questions will be thoroughly vetted during this important ICD10monitor webcast —an essential webcast since coders are responsible for understanding pathophysiology to determine if the signs and symptoms may be separately reported or if they are integral to a definitive diagnosis determined at the end of the encounter.
You will learn how to query your provider to get the information you need to report your codes compliantly, while keeping in mind the reimbursement rules. You will also learn about incidental diagnoses such as a current smoker, or the patient whose health is impacted by the long-term use of a medication. And you will learn if you are mandated to report all the diagnoses listed in the physician's documentation.
This webcast will have all of the answers for you. Join us to get clarity, and to feel confident in your ICD-10-CM cardiology coding and reporting.
Why This is Relevant:
The Center for Medicare & Medicaid Services (CMS) uses a Hierarchical Condition Category (HCC) risk adjustment model to calculate risk scores. The HCC model ranks diagnoses into categories that represent conditions with similar cost patterns. Higher categories represent higher predicted healthcare costs, resulting in higher risk scores. Long-term conditions such as chronic heart failure (CHF), "risk adjust," or fall within an HCC. Coders are tasked with accurate coding for ICD-10-CM and HCC's, but also performing post audits which is one reason why good coders are in great demand not only for physician practices and hospitals, but for health plans today. Correct diagnosis coding is always important, but it is crucial for accurate risk adjustment (RA) which, again drives the most appropriate reimbursement for physicians. This is big for medical coders.
From this exclusive ICD10monitor webcast by Terry Fletcher, you will…
- Know when to code sign or symptoms vs. definitive diagnosis
- Learn how and when to use combination codes for cardiology reporting
- Discover how coding supplemental diagnoses can paint a total health picture of the patient
- Understand the dangers in "suspected condition" coding versus supported diagnoses
- Learn how to pull codes out of the provider documentation even when it is tough to find