Clinical & Coding

Kimberly Charles, CPC, CPCO, CPMA, CEMC

During this presentation, participants learned how to identify the overarching criteria for physician evaluation and management (E/M) services coding. Attendees reviewed guidelines for addressing the chief complaint, medical decision-making...

James S. Kennedy, MD, CCS, CDIP, CCDS

Anyone invested in CDI must be familiar with ICD-10-CM/PCS coding conventions, particularly official advice from the American Hospital Association’s Coding Clinic for ICD-10-CM/PCS. This lecture outlined ICD-10-CM/PCS coding...

Charlene Compher, PhD, RD, LDN, FASPEN, & Richard D. Pinson, MD, FACP, CCS

Attendees heard from one of the co-authors of the new global malnutrition criteria about the impetus behind the most recent consensus statement. Then, they listened as CDI expert Richard Pinson, MD, co...

Cassi L. Birnbaum, MS, RHIA, CPHQ, FAHIMA

Attendees learned how to redesign the coding and documentation enterprise to create a holistic, singular approach to improve HCC risk adjustment coding, enterprise charge capture, quality, and medical necessity edits.

Trey La Charité, MD, FACP, SFHM, CCS, CCDS

Attendees gained an understanding of how medical subspecialists’ documentation affects an institution’s revenue cycle and publicly reported quality data. This presentation reviewed the most common opportunities and reveal techniques to...

Susan Lynne Fantin, MSA, BSN, RN, CCDS, CDIP, & Shawn M. MacPhee, MSN, RN, CCDS, CDIP

This session featured how McLaren Health Care standardized clinical validation into a multidisciplinary team approach, including physicians, quality, coding, clinical documentation, and...

Rhoda Chism, BSN, RN, CCDS, & Laura White, MHA

During this presentation, attendees learned about payer and regulatory governance related to sepsis clinical definitions and code assignment. Take home a blueprint to build or enhance a hospital sepsis pathway and effectively...

Stephanie L. Jensen, BSN, RN, & Melanie Reineke, CCS, CPC

Nebraska Medicine’s concurrent coding process provided inpatient coding and CDI teams the ability to align individual strengths while collaborating on shared goals. Concurrent coding facilitates the opportunity for...

Marietta L. Morhardt, RN, BSN, CPN, CCM, & Pam McCall, BSN, CCM, CPN

This presentation covered the various conditions, syndromes, symptomology, and potential sequelae that involve disorders in the pediatric brain, including with anatomical differences, specifics of genetic...

Richard D. Pinson, MD, FACP, CCS

During this presentation, participants learned how acute tubular necrosis (ATN) represents an elusive and commonly misinterpreted diagnosis. Come and review clinical scenarios and query examples to handle this evolution in ATN’s diagnostic...