Inadequate documentation can lead to higher readmission rates, longer lengths of stay, failure in appropriate post-discharge follow-up, increased costs and medication errors. All of these highlights the importance of clinical documentation to facilitate an accurate representation of healthcare provided through complete and precise reporting of diagnoses, and procedures.
Join us in this live interactive course to promote better patient care and outcomes, and enhance clinical service planning and delivery.
By the end of the course, you should be able to:
• Identify clinical coding, the importance and impact.
• Recognize the clinical coding standards
• Illustrate how to code a chart.
• Recognize the common coding guidelines/terms and review.
• Realize what is Clinical documentation improvements
• Discuss the components of quality documentation.
• Discuss the medical record requirements.
• Highlight the stages of CDI.
• Recognize the role of a CDI specialist.
• Identify specific issues encountered in clinical documentation and coding of specific specialties.
FREE
Free