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Creating Coding Policies in Risk Adjustment

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Presenter Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I
Broadcast Date 6/12/2019
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
1 CEU
A
Coding Billing Management
Creating Coding Policies in Risk Adjustment Webinar

Learn more about this event

Sometimes, coders find that there is no answer in the Guidelines, coding conventions, or AHA's Coding Clinic for ICD-10-CM that answers a question regarding diagnosis coding, and the provider cannot be queried. This session provides practical advice on how to identify when an organization should create a coding policy, how it should be researched, how it should be communicated, and when it should be updated or retired. For example, how should coders abstract ambiguous documentation or confusing acronyms? What is the coder responsibility when the provider uses the words "history of" to identify what is likely a current condition? Identifying, developing and managing internal coding policies consumes resources. How does an organization know when it is worth it? This session won't provide all the answers, but it will provide a roadmap so that organizations can develop answers pertinent to their focus.

Why is this topic important?
This topic is important because coders are often at a loss when the answer isn't readily available through normal citations, and they don't know how to research on their own, or what sources should be believed while researching.

Who would benefit from this topic?
Coders, managers, and quality assurance staff will benefit form this session. While it is geared toward risk adjustment coders, the principles here apply to developing coding policy in any coding environment.

What information or new skills will the attendee take away from this webinar?
Attendees will learn how to prioritize, research, write, train for, maintain, and retire internal coding policies in this session.

Why is the presenter the expert on this topic?
Sheri is the Author of Risk Adjustment Documentation and Coding, published by the AMA. This book has a chapter specific to internal coding policy development.

Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I

About The Author

Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I

Sheri Poe Bernard, CPC, COC, CPC-I, CCS-P, has developed education, training, and referential medical coding and reimbursement products for 20 years. She is the author of the AMA's 2015 publication, Netter's Atlas of Surgical Anatomy for CPT Coding. She previously was vice president of clinical coding content at AAPC. Prior to joining AAPC as an employee, she served on its National Advisory Board for eight years and on the executive team of that board for four years. For 15 years she created clinical coding products at Optum360 (Ingenix), where she developed a love for the International Classification of Disease. She is a frequent national speaker on topics involving CPT, ICD-9-CM, ICD-10-CM, and risk adjustment coding.

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