Virulent strains of infectious organisms have adapted to today’s antibiotics. CMS is sending a clear message with increasing reimbursement for those patients with antimicrobial resistance through DRG and add-on payments. With the addition of 18 antimicrobial resistance codes qualifying as CC’s and 2 codes continuing to qualify as MCC’s, the message is being made abundantly clear. These patients require management and services beyond that of patients with antibiotic responsive infections. Through discussion of the current clinical issues, case examples with their coded data, and review of opportunities to query, our expert nurse and HIM professional will guide you through antimicrobial resistance through the lens of clinical documentation integrity and coding. The audience will be able to identify the clinical and coding significance that this complex condition brings to patients and providers.
May 15, 2020
1.0 – Data Structure, Content and Information Governance
Allison Van Doren, RN, BSN, CCDS, CDIP, CRC
Allison is the Vice President of Clinical and Quality Services for Intellis. She has successfully managed interdisciplinary committees focused on improving the quality and delivery of clinical documentation and patient care. Allison has also provided oversight and review for many compliance audits focusing on clinical documentation and risk adjustment. Allison’s clinical nursing experience also includes years as an active member of the Infection Control Committee of a large academic medical center.