Audit Results & Documentation Re-Education

Duration: 30 minutes

Target Audience: Medical Records, Billing, and Coding Employees

Course Overview: The specificity requirements of ICD-10 will give providers an opportunity to more accurately report the severity and complexity of patients' conditions. Ensuring your documentation is specific and supports the ICD-10 codes is critical to ensure proper reimbursement and is important in the event of an audit.

Training Includes:

• Specificity of Documentation
• Supportive Documentation
• Importance of Principle Diagnosis
• Inclusion of Significate Co-Morbidities
• Medical Decision Elements
• History of Present Illness (HPI)
• Purpose of Review of Systems (ROS)
• Time-Based Visits Documentation Checklist
• Coding Rules