Clinical Documentation Tips for High-Risk Diagnosis
Session 2: Respiratory Failure, Malnutrition and Obesity and Encephalopathy
Created by Dr. Keith Stokes
- Last updated 8/20/2024
- English
Clinical Documentation Tips for High-Risk Diagnosis - Session 2
Introduction:
The “Clinical Documentation Tips for High-Risk Diagnosis” courses offer healthcare professionals essential guidance on accurately documenting complex medical conditions. Led by Dr. Keith Stokes, this series focuses on improving documentation practices for high-risk diagnoses to ensure proper coding, reduce denials, and enhance patient care quality.
What you'll learn
- Understand the critical components of documenting high-risk diagnoses such as respiratory failure, malnutrition, obesity, and encephalopathy.
- Learn how to accurately distinguish between different acuities and types of respiratory failure and encephalopathy.
- Gain insight into using clinical indicators, such as the P/F ratio and Glasgow Coma Scale, to support diagnosis and validate clinical findings.
- Discover the importance of linking diagnoses to treatment plans to improve coding accuracy and avoid clinical validation denials.
- Explore best practices for documenting BMI-related conditions, including the use of GLIM criteria for malnutrition and clinical validation for obesity.
- ...and so much more!
Features:
Flexible Learning: Access the course anytime, anywhere, at your own pace, making it convenient for busy healthcare professionals.
Expert Instruction: Learn from Dr. Keith Stokes, a seasoned expert in clinical documentation, coding, and high-risk diagnosis
Comprehensive Coverage: The course addresses a wide range of high-risk diagnoses, ensuring a well-rounded understanding of key documentation challenges.
Real-World Application: Gain practical insights and strategies that can be immediately applied to improve documentation practices and reduce denials in clinical settings.
Who is This Course For?
This course is designed for healthcare professionals, including physicians, clinical documentation specialists, coding professionals, and healthcare administrators, who are involved in the documentation and coding of high-risk diagnoses. It is particularly valuable for those looking to enhance their documentation accuracy, reduce denials, and improve patient care outcomes in complex medical cases.
Description
The “Clinical Documentation Tips for High-Risk Diagnosis” course series, presented by Dr. Keith Stokes, focuses on providing healthcare professionals with critical insights into the accurate and comprehensive documentation of high-risk diagnoses. This Session highlights the importance of specificity in clinical documentation for complex conditions such as respiratory failure, malnutrition, obesity, and encephalopathy. By addressing common challenges in coding and clinical validation, the course helps clinicians improve their documentation practices to ensure proper coding, avoid denials, and enhance the overall quality of patient care.
Course Content
This Course Includes:
Who Should Enroll?
Our program is ideal for:
- Healthcare Administrators
- Billing and Coding Professionals
- Case Managers
- Clinical Staff involved in patient care management
A total of .5 CEUs will be awarded by the Association for Integrity in Health Care Documentation .
Note: You will receive a downloadable Certificate of Completion from the AIHCD upon successfully completing the session.
We’ve partnered with CMEfy to support busy clinicians in their reflective learning journeys, where meaningful reflections may unlock pathways to continuing education, at no additional charge. Learn more: about.cmefy.com/for-learners
