PPT-OB Physician Documentation

End User Education Agenda Brief Intro to Physician Documentation PDOC FeaturesBenefits Review list of OB Documents How to Document in PDOC Signing Workflow Resident to Attending Medical Student to Resident to Attending. For Medicare Enrollees. Helping patients succeed at home with home health care is a rewarding aspect of medical practice that promotes independence, keeps families intact, and provides value. The Affordable Care Act has changed the physician home health initial certification requirements for Medicare beneficiaries effective 4/1/2011 to include a face-to-face encounters . General Outpatient Coding Issues. March 2, 2013. Advanced Evaluation and Management. . More than a roll of the dice?. History. Exam. Medical Decision Making. Jaci Johnson, CPC,CPMA,CEMC,CPC-H,CPC-I. Auditing after ICD-10. Background:. I have worked in multiple medical settings from UVA Medical Center to a cancer center. I achieved my RHIA in 2000 and then my . CCS in 2006.. I have worked for Mary Washington Health Care since 2010 and became the Outpatient Coding Compliance Auditor in 2013. . Case . Examples & . Highlights. When Documentation Gets in The Way of the Defense. Presented By: . Joanne . Gulliford Hoban. Morrison . Mahoney, LLP. Case #1 – Emergency Department . Example of documentation in ED by both MD & RN. Certified Clinical Documentation Specialist. Physician CDI Preparation for ICD-10. Clinical Documentation Integrity Program:. “. We do not believe there is anything inappropriate, unethical, or otherwise wrong with hospitals taking full advantage of coding opportunities to maximize Medicare payment that is supported by documentation in the medical record.”. to Provider Engagement . Karen DiMeglio, RN, MS, CPC, CCDS. Director of CDI and Appeals. Lifespan. Jill O’Brien, MD, CHCQM. Medical Director of Case Management. Physician Advisor CDI/Coding. The Miriam Hospital . Advisor & CDI. Laura . Shawhughes. , MD, FHM. October 17, 2018. Learning Objectives. At the conclusion of this activity, participants will be able to: . Describe . the roles and responsibilities of the Physician Advisor . A Physician Perspective. Dr. Susan Kohl. Medical Director CDI. Baylor University Medical Center. Dallas, Texas. Dr. Susan Kohl. After growing up in Austin, Texas, Susan Kohl graduated with honors from the University of Texas at Austin. She graduated from medical school at the University of Texas Southwestern Medical School in 1991, followed by an internal medicine internship at the University of Colorado School of Medicine. She returned to Dallas to complete her internal medicine residency at UT Southwestern. . Emerging CDI Trends in 2015: CDI Survey Findings and Tips to Elevate Physician Engagement John Zelem, MD, FACS, Vice President, Clinical & Regulatory Learning Objectives What are documentation basics for physicians? For Medicare Enrollees. Helping patients succeed at home with home health care is a rewarding aspect of medical practice that promotes independence, keeps families intact, and provides value. The Affordable Care Act has changed the physician home health initial certification requirements for Medicare beneficiaries effective 4/1/2011 to include a face-to-face encounters . August. 2018. Scribing could slow physician burnout and improve efficiency . Solution. Scribing technologies . consistently report an average of . ~50% savings on time spent . on documentation, freeing up . Day, Egusquiza, President. AR Systems, Inc . 1. What does “Integrated CDI’ mean- 2 step?. Patient status /UR. coming together with . traditional CDI/coding . to create a coordinated, cohesive effort to ensure documentation in the medical record to support BOTH inpt status or observation PLUS the most complete diagnosis to support correct coding and ICD -10.. New Physician/ACP Orientation Team. Corporate Compliance. Revised October 2018. Timeline for New Physicians/ACPs. 2016 Baseline* Audit Scores. Baseline score 100%. Baseline score ≤89%. Baseline score 90 - 99%. Physician . Compliance. Emergency Medicine Documentation and Coding . January 15, 2021. Review basic principles of coding and documentation of emergency medicine services. Review resident/fellow supervision and documentation requirements for...