Moving from Denials Management to Denials Prevention

Outpatient Clinical Documentation Improvement: the Next Frontier in the Battle to Prevent Denials

This presentation will include arterial and venous procedures, specifically arteriovenous anastomosis creation, dialysis circuit interventions, and lower extremity revascularization. We will also cover the new 2017 dialysis circuit intervention codes: 36901-36909. Applications and scenarios for reporting the new codes, as well as reimbursement potentials, from a Centers for Medicare and Medicaid Services perspective, will be addressed.

This presentation will cover documentation elements needed to establish appropriate severity and DRGs. Applications and scenarios for reporting the new codes, as well as reimbursement potentials, from a Centers for Medicare and Medicaid Services perspective, will be addressed.

An HIM professional shares direct experience with HIM centralization, challenges that hinder progress, lessons learned, and strategies for ensuring a successful transition.

A Healthcare professional shares direct experience with providing direction for how to transitions to a data – driven healthcare organization.