This presentation will discuss types of wounds, management techniques and documentation requirements. Be specific in your code reporting to avoid medical necessity denials.
- Does your documentation adequately reflect medical conditions and/or types of wounds that require management?
- Have you clearly indicated any debridement technique, complete description of the type of wound, dressing applied, and correct size?
- Have you selected the correct service code for the wound management?
- Correctly appended modifiers if applicable?
- Documented and correctly reported use of any skin substitutes?
- Ongoing treatment plans?
- Are you prepared for payer scrutiny of your reporting?
You will learn: Documentation elements to support medical necessity. Many wounds are very difficult to manage, involve extended time and interventions to achieve a satisfactory outcome. Ensure correct POA indicators on your inpatient claims. Wound stage progression during inpatient admission will likely be considered preventable. Understand the need for specific wound descriptions, identify origin of wounds and clearly document the presenting site, severity, depth and planned management. Regardless of the claims data, your comprehensive documentation is required to meet the medical necessity of your services. Don’t risk your revenue. Don’t allow weak and vague documentation to result in denials, need for appeals and potential payer review.
Who should attend:
- Primary care and wound care providers
- Billers and coders
- Finance and revenue cycle staff
- Education and legal professionals
- Physical and occupational therapists
Presenter's Bio: Dorothy D. Steed, CCS, CDIP, COC, CPCO, CPUM, CPUR, CPHM, CPMA, ACS-OP, CCS-P, RCC, RMC, CEMC, CPC-I, CFPC, PCS, FCS, CPAR
Dorothy Steed is an Independent Healthcare Consultant and Educator in Atlanta. She has served as Medicare specialist and a physician audit supervisor for hospital systems with 42 years of experience in healthcare.
Register at: https://attendee.gotowebinar.com/register/6649026487004676865