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Community-Acquired Pneumonia: Apply Updated Clinical Guidelines to Prevent Denials

Community-Acquired Pneumonia: Apply Updated Clinical Guidelines to Prevent Denials webcast image

  • ✓ Earn CEUs
  • 1.0 AAPC
  • 1.0 AHIMA

Equip your team with the latest clinical guidelines to prevent adverse third-party determinations and to consistently capture the full appropriate payment for CAP cases.

Price: $129.00

Product Code: AI111220

Webcast Format*:

Description Biography Continuing Education

Do you live in the baffling world of ICD-10-CM coding for community-acquired pneumonia (CAP)? Frankly, nobody should be surprised at the high level of confusion — or the large number of miscoded cases. CAP comes in several distinct forms, including gram-negative bacterial, staphylococcal and aspiration (not to be confused with aspiration pneumonitis). Yet documentation rarely specifies the pneumonia type or etiology, compelling coders and CDI specialists to query physicians for clinical validation.

During this ICD10monitor webcast, Dr. William Haik will walk you through updated evidence-based clinical guidelines for CAP and how to use these guidelines to create relevant, succinct physician queries.

Why This is Relevant:

Many hospitals are experiencing costly denials of claims that don't comply with the latest clinical guidelines for CAP. Exacerbating the situation, third-party auditors are zeroing in on DRGs and hierarchical condition categories (HCCs) that lack clinical validation. With the help of this ICD10monitor webcast, you'll be better able to consistently capture the appropriate reimbursement for CAP cases and avoid adverse determinations. The content in this webcast can also serve as a reference for physicians, enhancing their ability to recognize and document the various forms of pneumonia.

Learning Objectives:

  • Understand the signs and symptoms of community-acquired pneumonia
  • Identify the risk factors for the various types of CAP, including:
    • Gram-negative
    • Staphylococcal
    • Aspiration
  • Know the differences between aspiration pneumonia and aspiration pneumonitis
  • Understand appropriate treatments for the aforementioned pneumonias
  • Gain the skills to compose effective, succinct physician queries

Who Should Attend:

This webcast will be most relevant to HIM managers and directors, inpatient coders, clinical documentation integrity (CDI) specialists, and medical staff.

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