Complex Trauma Cases: Complete Guide to Coding and Reimbursement

Course Description:

Coding complex injuries and life-threatening events resulting from trauma can be overwhelming for coders. This webinar will cover methods of triaging injuries and events from the time the Trauma patient enters through the ED doors until the patient is admitted or sent to the operating room. Sequelae of trauma resulting in prolonged hospitalization, planned returns to the operating room and additional medical care will be discussed. Emergency room providers and trauma surgeons each have a unique role to play in the care of these complex patients and the coding for them needs to be fully captured as the patient’s condition evolves. The role of the intensivist is an additional layer of care and coordination that should not be overlooked. Please join us for an hour of fast paced, informative and interactive discussion of these cases and best coding practices.

Learning Objectives:

Learn to identify the correct principal or primary ICD-10-CM diagnosis code for each provider and injury
Learn how to track the evolution of the patient’s condition and capture appropriate diagnoses
Identify how to avoid overlap in charging and coding between providers
Review best documentation practices for capturing charges and patient acuity in the trauma setting
Address charge capture for bedside diagnostic and therapeutic procedures, and strategies for identifying missed documentation and coding opportunities
Review how to determine billable from bundled services
Learn how to apply modifiers where applicable
Learn when to query for clarification of events in the chaos encountered for patients presenting with multiple injuries

Areas Covered in the Session:

Different parts of the trauma assessment
ABCs of Trauma resuscitation
Fractures, lacerations, burns and blunt trauma
Navigating a Code Blue
Laboratory and radiologic data and clinical ramifications of findings
Bedside Procedures performed to stabilize, repair and treat injuries
Medical comorbid conditions and their impact on the trauma victim
Critical Care and bundled procedures
Documentation needed to capture care, diagnoses, acuity and procedures
One patient many providers, who’s on first?
Trauma patient conditions evolve or devolve, making sure the correct documentation and diagnoses are assigned in the era of cloned notes
Modifiers complete the story when they are applied correctly
Queries save the day when there is too much going on to initially correctly capture the clinical picture needed to support coding
Live Q&A session

Suggested Attendees:

Healthcare Executives and Administrators
Physicians
Nurses
Inpatient Coders
ED Coders
ICU/Intensivist
Hospitalist Coders
Trauma Surgery Coders
General surgery Coders
Orthopedic Coders
Neurosurgery Coders
Plastics Coders
Inpatient Coders
Billers
Medical Officers
Practice Managers
Revenue Cycle Team
Inpatient and Outpatient Hospitals

About the Presenter:

Nancy Reading, RN, BS, CPC, CPC-I, CPC-P, has spent 45 years in Health care as a Nurse and Coder. She has worked in the Professional, Hospital Outpatient and Inpatient Hospital settings. Her career includes having her own consulting business, working for large University Medical Centers, Medicaid, and as a Medicare specialist for the country’s largest private third party payer. She is a 2-time past AAPC Local Chapter president, Past National Advisory Board member and she previously worked for AAPC as VP of Education. Nancy is currently a DRG Auditor for CERIS.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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