Payers, both public and private, are moving away from a fee-for-service model toward value based pay. As a result, it is vital that CHCs submit accurate and complete diagnosis and procedure codes. In order to achieve this end, CHC providers need to present detailed documentation of services administered to patients. Current documentation practices do not accurately reflect the comprehensive services CHCs afford to patients.
In order to assist CHCs address this issue CCHN in partnership with TC Training Solutions has developed the following training opportunity.
Vital Clinical Documentation for the CHC Provider
Excellent clinical documentation is the core of effective and safe patient care. Yet coding continues to be one of the most challenging areas for providers and coders. This web-based curriculum offers a step-by-step curriculum during which participants will learn everything they need to know about key components of coding patient history, physical exam and medical decision-making. Using real life clinical examples, participants will see that it's not the quantity of documentation that matters--it's the quality.
Specifically the following topic ares will be addressed:
- Break down of Evaluation and Management documentation and leveling into easy and manageable steps
- Evaltion of the differences between 1995 and 1997 guidelines
- Distinguish between the assessment and plan and why it is a vital portion of the E&M documentation
- Show specialty-specific documentation for E&M in multiple specialties including Family Practice and Internal Medicine
- Four modules dedicated to a specific key element: history, physical examination, and medical decision making, as well as an additional module on how to put together the elements to choose an appropriate E&M code for services rendered