Virtual Event
Overview
Sepsis: Does the Clinical Criteria Support the Medical Coding?
April Insco, Ph.d., RHIA, CHDA, CPHI, CCS
Rebecca Reynolds, RHIA, CPHS
This presentation will present empirical data on medical coding and sepsis. The presentation will include study data to identify if there are any discrepancies with coded data and the clinical data in the medical records that supports the diagnosis of sepsis. To assess the accuracy of medical coding of sepsis, the researcher designed a data abstraction tool which includes key clinical indicators and other pertinent clinical information. This data abstraction tool was used to abstract data from the medical records in the study sample. The researcher will determine if there are cases that are not properly coded based on Sepsis 2 criteria as sepsis and the number of sepsis cases reported is unrepresented of the total population of patients with sepsis. Identifying these issues will help providers to improve documentation to support sepsis when it is clinically present. Identifying these issues will help medical coders to identify the need to clarify any conflicting documentation in the medical record. Identifying these issues will help researchers to recognize there are limitations in data sets. In future studies, the data abstraction tool could be utilized to evaluate more medical records and include other geographical regions on the United States.
1.0 – Data Structure, Content and Information Governance; Clinical Foundations
Course Info
Published Date
May 2023
Total CEs
1.0
Domain(s)
Clinical Foundations
Data Structure, Content and Information Governance
Pricing
NMHIMA/AHIMA Member
$45
Non-Member
$55
Student/Emeritus
$35
Speakers
Additional Information
AHIMA
This educational offering has been approved for continuing education credit for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA).
AAPC
CEUs are accepted from programs sponsored by AHIMA national offices and the state or regional AHIMA branches. One hour of instruction is worth one CEU. A certificate of attendance or completion is necessary to show participation.
ACDIS
AHIMA CEUs that are CDI-related are accepted.
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Course Content
Course Includes
- 4 Lessons
- Course Certificate
