Program Description

Payer Denials are at an all-time high for the hospital inpatient diagnosis of "Sepsis," whether as a principal diagnosis or as a secondary diagnosis. The Office of Inspector General (OIG) has announced that they have a concern about the hospital inpatient diagnosis of "Sepsis," which can result in a higher payment than other related diagnoses. Many providers have not changed and/or allowed the different clinical criteria that have now reached greater acceptance, i.e., Sepsis-3. Clinical documentation and ICD-10-CM coding for a sepsis diagnosis can sometimes be difficult and confusing. Attend this session and hear how Medical Coding and Clinical Documentation Integrity professionals should balance all this often conflicting information and ensure accurate and compliant clinical and coded data.

Attendees will:

• Learn the historical path of Sepsis clinical research, criteria and clinical definitions, including “clinical criteria”
• Receive clinical information and facts regarding the diagnosis of Sepsis and Septic shock
• Review key ICD-10-CM Official Guidelines for Coding and Reporting from CMS, NCHS & DHHS
• Enhance knowledge through review of the OIG audit target information and analysis of actual Sepsis payer denials
• Apply critical thinking to the review and analysis of case scenarios
• Obtain a greater understanding of when and how to code the diagnosis of Sepsis and obtain accurate and compliant clinical and coded information

Presenter(s)

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS
Consultant

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, has over 45 years of experience in HIM, coding, CDI and compliance. Gloryanne is a past president and director of CHIA, having been an HI volunteer on local, state and national levels and served on and led many CHIA, AHIMA, ACDIS and HFMA workgroups and committees. Gloryanne served two years on the AHA Coding Clinic editorial advisory board and several assisted in authoring AHIMA/ACDIS Query Practice Briefs. She is a sought-after advisor, mentor, national educator, speaker and author on clinical coding compliance and ethics, reimbursement, CDI, physician querying and medical coding regulations. Over the past six years, she has been an expert witness and consultant for clinical coding, documentation, denials, charging and MS-DRGs. She currently works part-time as an independent HI medical coding and CDI compliance consultant.

Continuing Education
CEUs: 2 | HIIM Domain: Data Structure, Content, and Information Governance

This webinar has been approved for continuing education units (CEUs) to fulfill the continuing education requirements of AHIMA, AAPC, and ACDISfor CDI-related events not to exceed ten units from any single event. CEUs are based on contact hours. Thirty minutes of attendance at an educational program equals .5 CEU. For full details on AHIMA’s CEU qualifications, calculations, and more, view the AHIMA Recertification Website. CEUs may be adjusted based on the actual time of the event.

Live Event Recorded On: June 26, 2024.

Registration Fee

Regular Rates

CHIA Members: $59

Non-Members: $79

All webinars include access to the on-demand version.

For payments by check, use thisalternate registration form.