By the end of this module, you should be able to:
- Identify coding and diagnostic elements that should be identified to support high quality clinical documentation and coding
- Understand Intraoperative Puncture or Laceration Clinical Documentation and the Diagnosis Specificity impact on the Patient quality care
- Understand the Clinical Indicators & Coding Overview
- Understand CDI impact on the Severity of illness, Risk of mortality & Reimbursements
- Know, When to Query?
- Know effective documentation and coding: Key steps
- Coding Intraoperative Puncture or Laceration and sequencing case scenarios
- Clinical documentation improvement essential steps
- CDI Approaches
- Clinical Validation