OASIS and the Narrative: Ensure Clinicians Document for ICD-10 - On-Demand
Presented on: October 15, 2015
Presented by: Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer
Now that ICD-10 is in effect, it’s imperative that clinicians document appropriately both on the OASIS and in their clinical narratives to allow for accurate and complete coding. Without proper documentation, incorrect or insufficient codes will be assigned. In this 90-minute program, coding expert Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer, discusses common issues in clinician documentation and how these mistakes can affect overall reimbursement. By reviewing specific case examples, Usher describes ways the documentation and codes can be improved.
At the conclusion of this program, participants will be able to:
- Identify common documentation issues that lead to inaccurate coding
- Identify three strategies to effectively educate clinicians on supportive documentation
- Discuss four Test Your Knowledge cases to determine the level of specificity and laterality required to assign the correct code
1. Know your current state of documentation
a. Is there specificity in:
ii. The clinical narrative?
b. Common problems:
2. Review documentation for:Consistency
a. Correct laterality
b. Ease of use: Can coders easily find required documentation?
c. Strategies to educate clinicians
3. Case studies: Right and wrong documentation
4. Q&A (not live)
Who should participate?
- Homecare administrators and directors
- Clinical educators and managers
- Staff educators
- Homecare nurses
- Case managers
- Billing and coding managers and staff
Meet the Speaker
Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-Approved ICD-10-CM Trainer, is president of JLU Health Record Systems in Pembroke, Massachusetts. Usher has more than 27 years’ experience as a consultant and is a nationally recognized expert in the field of ICD-9 & ICD-10-CM coding and health information management (HIM). She has taught ICD coding in home health for 17 years and has educated more than 15,000 people nationwide. Usher is a past president of the Massachusetts Health Information Management Association. Under her leadership, Massachusetts received four national awards from AHIMA in continuing education programs, support for accredited HIM education, legislative advocacy, and electronic communications.
Usher is one of the Beacon Institute’s experts for our Ask-the-Expert membership benefits. She also provides a monthly ICD-10 coding column for our Homecare DIRECTION newsletter and speaks during many of Beacon Health’s successful webcast series. She has contributed to numerous national publications and is the author of HCPro’s ICD-9 Coding for Home Health: A Guide to Medical Necessity and Payment, ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment, and ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation.
Webinar system requirements and program materials:
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Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
COULDN'T LISTEN LIVE?
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value!
Participation in this webinar is just $199 per site. All materials must be retrieved from the Internet.
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