Diagnostic coding has a unique set of challenges in the outpatient setting. Short stays mean limited documentation and coding rules differ from the inpatient setting. Add in varying types of outpatient accounts (same-day surgery, ED, and ancillary services) and the complexities of meeting medical necessity while compliantly coding and national guidelines for screening exams, and the result is often confusion. This session will go back to the grassroots of outpatient diagnostic coding and address the funky nuances that make this “simple” area of coding not-so-simple after all.
- Compare/contrast reason for visit and first-listed diagnoses
- Review coding guidelines applicable to the outpatient setting
- Differentiate between aftercare and follow-up
- Identify what to code when the patient presents without a diagnosis or condition
- Recognize steps to take when payer guidelines conflict with official coding guidelines
Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS Trainer
Kristi is a senior consultant with more than 20 years of industry experience and is the author of a delightfully funny blog dedicated to the profession of coding. Kristi has an extensive background in coding education and consulting and is a national speaker on topics related to ICD-10 and CPT coding as well as code-based reimbursement. She has designed and developed training programs for inpatient and outpatient hospital-based coding including vascular interventional radiology, interventional cardiology, orthopedics and obstetrics.
Kristi has served the Colorado Health Information Management Association (CHIMA) as board Director, co-chair of the Data Quality Committee, and co-chair for the ICD-10 Task Force. She is also a past president of the Northern Colorado Health Information Management Association (NCHIMA). Kristi devotes extra time to mentoring current and future coders through her Coder Coach blog and is the proud recipient of the 2011 AHIMA Triumph Award for Mentoring. She has also received awards from CHIMA for Distinguished Member (2018) and Outstanding Volunteer (2013) and from AHIMA for Roundtable Achievement in Coding Excellence (RACE).
CEUs for this webinar will expire on April 21, 2023. The webinar recording will be available until April 21, 2024.
This webinar has been approved for 1 continuing education unit for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 1 continuing education hour. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.