Clinical Documentation Tips for High-Risk Diagnosis
Session 3: Acute Kidney Injury, Chronic Kidney Disease and Pneumonia
Created by Dr. Keith Stokes
- Last updated 8/20/2024
- English
Clinical Documentation Tips for High-Risk Diagnosis - Session 3
Introduction:
What you'll learn
- Understand the critical importance of accurate documentation for high-risk diagnoses such as acute kidney injury (AKI), chronic kidney disease (CKD), and pneumonia.
- Identify and differentiate between various types of AKI and CKD, and ensure proper classification and staging for effective treatment and coding.
- Recognize key documentation requirements for linking CKD with related conditions like hypertension and diabetes.
- Learn to document pneumonia diagnoses thoroughly, including cases without conclusive imaging, while addressing potential complications and their impact on patient care.
- Improve clinical decision-making documentation to reduce audit risks and enhance the accuracy of medical records for coding and billing purposes.
- ...and so much more!
Features:
Self-paced learning: Access the course anytime, allowing flexibility to fit your schedule.
Expert instruction: Learn directly from Dr. Keith Stokes, a leading authority in clinical documentation and high-risk diagnoses.
Real-world examples: Gain insights through practical case studies that enhance your understanding of complex medical documentation.
Who is This Course For?
This course is designed for healthcare professionals, including physicians, clinical documentation specialists, coders, and healthcare administrators, who are involved in patient care and medical record documentation. It is particularly beneficial for those looking to improve their understanding of high-risk diagnoses, enhance documentation accuracy, and ensure compliance with coding and billing standards.
Description
The course “Clinical Documentation Tips for High-Risk Diagnosis” by Dr. Keith Stokes is designed to enhance clinicians’ ability to accurately document complex medical conditions. Focusing on high-risk diagnoses such as acute kidney injury (AKI), chronic kidney disease (CKD), and pneumonia, the course highlights the importance of precise documentation in ensuring correct diagnosis, coding, and treatment planning. Through an in-depth exploration of these conditions, the course helps providers improve the quality of their documentation, ensuring that patient records accurately reflect the severity of illness, aid in effective care, and reduce the risk of insurance denials.
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
