Clinical Documentation, 2017 ICD-10 Updates, & HIPAA Compliance Bundle

Clinical Documentation (CDI) course

Strong clinical documentation leads to better patient outcomes and timely reimbursement. It is the foundation of every medical record, so its purpose is to tell the patient’s story. When documentation is vague, ambiguous, or missing, there are gaps in the patient’s information that may be critical to optimal outcomes. CDI introduction courses will help you outline best practices. Historically, clinical documentation has been focused on the hospital records. Many hospitals employ clinical documentation specialists who concurrently review the records and query the provider for unclear evidence of the patient’s status. The physician practice is now included in clinical documentation quality. Prior to this shift, the physician practice protocol was generally reactive rather than proactive. In order to meet timely reimbursement and shift to value-based payment methodologies, it is time to take steps to improve the documentation quality. Healthcare is rapidly changing, so stay in the game by taking a proactive approach to clinical documentation!

In this CDI introduction course, we will review the following areas: 

  • What quality clinical documentation looks like
  • Documentation link to medical necessity
  • How to prevent problematic documentation
  • Logistics for managing improved documentation to avoid common pitfalls
  • An overview of concurrent reviews and physician query

Course Format: This course is administered completely online through MMI’s password-protected learning site. The course is quick, convenient, and self-paced while offering an exceptional learning experience including reading material and practice questions. You will receive the CEU certificate in PDF format upon completion of the final online exam.

  • Estimated Length: 3 Hours
  • Worth: 3 CEUs
  • Pre-Approval: This course meets AAPC guidelines for 3 CEU credits

The 2017 ICD-10 Updates and Overview 

This online course provides detailed, up-to-date overview of the ICD-10-CM coding changes for 2017. The 2017 ICD-10 course is extremely important as these guidelines and updates will affect your practice reimbursement if you are not aware and prepared. The basic course outline is shown below:

Course Outline

  • ICD-10-CM overview
  • General reporting guideline changes for 2017
  • ICD-10-CM updates for 2017

ICD-10-CM Overview: This section of the course goes over the ICD-10 manual and the codes within it. You will get a brief history of the international classification of disease for some background knowledge of the code set. This will help you when you start going over the structural and organizational differences between the ICD-9 and the ICD-10. Lastly, the course will go over how to find the new codes in the ICD-10 book.

General Reporting Guideline Changes for 2017: This section focuses on all of the reporting areas with changes for 2017. These changes are important to understand for the next year because if they are not put into place, your practice is at risk for lower reimbursements.

ICD-10-CM Updates: This section will go over the updates for the ICD-10 code set in 2017. The transition to ICD-10 created a code freeze that has been lifted for 2017. The extended code freeze delayed new codes and changes/revisions that have now been included in the 2017 code books. This program will cover the areas of change by category. It is important that you have the 2017 book to capture this new information that may be pertinent to your claims.

  • Estimated Length: 6 Hours
  • Worth: 6 CEUs
  • Pre-Approval: This course meets AAPC guidelines for 6 CEU credits

 

HIPAA Compliance

HIPAA mandates HIPAA training for those required to comply. All members of the workforce (including employees, volunteers, trainees, and others under the control of the organization) must be trained on HIPAA privacy policies and procedures.

Although there are no formal federal or state standards for HIPAA training, a strong HIPAA training program can help ensure compliance with the requirement.

  • Estimated Length: 3 Hours
  • Worth: 3 CEUs
  • Pre-Approval: This course meets AAPC guidelines for 3 CEU credits

Click to view the entire continuing education course listing through MMI.

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