Respiratory Failure: The Ins and Outs of Diagnosis Documentation, Coding, and Clinical Validation - On-Demand

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Respiratory Failure: The Ins and Outs of Diagnosis Documentation, Coding, and Clinical Validation - On-Demand

Product Code: YZHHA041018D

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Respiratory Failure: The Ins and Outs of Diagnosis Documentation, Coding, and Clinical Validation - On-Demand

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Loyal Listener Library

Available ON-DEMAND

Presented on:
Tuesday, April 10, 2018

Presented by:
Richard Pinson, MD, FACP, CCS
Cynthia Tang, RHIA, CCS

Level of Program:
Intermediate

Sponsored by:
ACDIS

Why is it so difficult to get the diagnosis of respiratory failure to match the clinical indicators in the medical record? If patients are suffering from respiratory distress, why does their severity of illness often fail to reflect the care they require? What can your CDI program do to help reduce respiratory failure denials and ensure that the diagnosis can be clinically validated?

Join Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS, principals of Pinson & Tang LLC and the acclaimed authors of the CDI Pocket Guide and the Outpatient CDI Pocket Guide: Focusing on HCCs, for an in-depth look at one of the CDI profession’s most problematic diagnostic challenges. You’ll walk away with the tools necessary to create more effective and compliant queries, prevent or fight claim denials, and help address your physician education needs.

At the conclusion of this program, participants will be able to: 

  • Identify the essential elements of acute hypoxic and hypercapnic respiratory failure
  • Explain blood gas measurements and degrees of hypoxemia
  • Apply the P/F ratio to diagnose hypoxemic respiratory failure
  • Discuss the factors that distinguish an acute exacerbation of chronic respiratory failure
  • Identify and address the clinical and quality implications of coding postoperative respiratory failure and pulmonary insufficiency
  • Understand when and how to appeal auditor denials
  • Identify the clinical validation considerations for respiratory failure and the role of coding and CDI professionals


Who Should Listen? 

  • CDI specialists, managers, and directors
  • HIM managers and directors
  • Inpatient coders
  • Physician advisors


Agenda 

  • Diagnostic criteria
    • The essential elements of respiratory failure
    • Blood gas measurements (ABG and pulse oximetry)
    • P/F ratio
    • Hypoxic and hypercapnic respiratory failure
    • Chronic vs. acute vs. acute-on-chronic
    • Treatment and management of respiratory failure
  • Respiratory failure and quality metrics
    • Patient Safety Indicators (PSI 90) and their impact on pay-for-performance programs
    • Coding and clinical validation of postprocedural respiratory failure
    • Pulmonary insufficiency
  • Claim denials for respiratory failure
    • Auditor denials of respiratory failure as a secondary diagnosis
    • Appealing auditor denials
    • Coding Clinic and respiratory failure diagnostic criteria
    • Clinical validation implications and the role of the CDI professional
  • Live Q&A


Tools 

  • Sample queries


Continuing Education 

Association of Clinical Documentation Improvement Specialists (ACDIS/CCDS)
(Live + On Demand) - This program has been approved for 2 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS). (Ability to claim CEU’s for this webinar expires on: 04/09/2019)

American Health Information Management Association (AHIMA)
(Live + On Demand) - This program has been approved for 2.0 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). (Ability to claim credits for this webinar expires on: 04/09/2019)


Meet the Speaker

Richard Pinson, MD, FACP, CCS

Richard Pinson, MD, FACP, CCS, is a physician, educator, and healthcare consultant. He practiced internal medicine and emergency medicine for 25 years, and has trained thousands of physicians and other healthcare professionals nationwide. He is the co-author of the best-selling authoritative CDI Pocket Guide, Outpatient CDI Pocket Guide: Focusing on HCCs, and the CDI for the Clinician® micro-learning training for physicians. He also writes the monthly Coding Corner column for the American College of Physicians’ ACP Hospitalist magazine.

Cynthia Tang, RHIA, CCS

Cynthia Tang, RHIA, CCS, is a health information management, coding, and CDI consultant. Tang has over 25 years of consulting experience in providing assessment, implementation, and training services for more than 250 healthcare facilities. She is the co-author of the best-selling authoritative CDI Pocket Guide, Outpatient CDI Pocket Guide: Focusing on HCCs, and the CDI for the Clinician® micro-learning training for physicians.


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
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. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version is now 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 $299 value! 

PLEASE NOTE 
Participation in the webinar is just $299 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.