Clinical Documentation Improvement: Increasing Revenue While Reducing Third Party Denials and Appeals

Recorded Webinar | Silvia Ortiz | From: Dec 18, 2020 - To: Dec 31, 2020

Training Options & Pricing

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Recording
⊖   ⊕$229  
DVD
⊖   ⊕$249  
Recording + DVD
⊖   ⊕$389  
Transcript (Pdf)
⊖   ⊕$229  
Recording & Transcript (Pdf)
⊖   ⊕$379  
DVD & Transcript (Pdf)
⊖   ⊕$389  


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  • Understand the coding/DRG appeals workflow process.
  • Understand the difference between DRG/coding validation and clinical validation.
  • Understand evidence-based clinical practice guidelines and how third-party payers are using them to generate coding and/or DRG changes.
  • Understand the coding guidelines for COVID-19 testing, diagnosis, and treatment. 
  • Describe the basic content of appeal letters and timely submission requirements. 
  • Develop internal tracking mechanisms to identify coding/DRG change denials and appeals.
  • Discuss sample issues/cases involving coding/DRG changes due to clinical validation and/or documentation issues. 
  • Discuss Clinical Documentation Improvement program interventions to improve the accuracy of recorded diagnoses and improve the accuracy and timeliness of reimbursement.

Silvia Ortiz

Silvia Ortiz, MSHSA, RHIT, CPMSM
Senior HIM Consultant/Coding QA Auditor
Code & Comply Specialists