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June 20, 2025

DRG Red Flags: A Payor Perspective | Webinar

  • Overview

  • Instructions

  • Webinar Handouts

  • CEU Credit

Overview

DRG Red Flags: A Payor Perspective
Recorded November 21st, 2024

Guest Presenter Dr. Amarin "Ty" Alexander, MD MBA MA, CHCQM-PHYADV, CPC-A, CIC, CRC, CPMA, CDIP, CDEI

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Dr. Amarin Alexander returns in November with another facility-based coding webinar. His August webinar, “IRE Inpatient Determinations: Case Studies” was a huge success with great reviews on our exit survey.  If you weren’t able to attend, you can find it on our webinar page and watch it on demand.

Inpatient coding for DRGs is based on diagnosis coding. Some coding summaries can raise red flags with payers, even before looking at the medical record documentation. This webinar will detail what Present on Admission (POA) conditions invite scrutiny, why a short Length of Stay (LOS) with one Major Complication and Comorbidity (MCC) might raise a red flag and why payers will review malignancy as a secondary diagnosis. This webinar will use case examples and poll questions to illustrate ICD-10-CM concepts.

After the webinar, participants will be able to:

  • Understand what may be perceived as coding errors in a coding summary
  • Analyze coding summaries as they are interpreted by a payor
  • Predict the potential impact of submitted codes on quality metrics

Become a member and register for free (a $159 value!)

Membership includes access to all webinars (live and on-demand), our entire library of coding resources, AND, regular updates on coding changes that affect your practice.

Become a member

Instructions

When you register, you will receive a confirmation email with your unique link to join the webinar. This link is for you only and should not be shared.

Webinar handouts are posted the week of the webinar. We encourage you to print these resources and have them handy for reference during the webinar. Your reminder email will include a link to the resources page.

CAN'T LISTEN LIVE?
No problem. A recording will be available on-demand following the webinar. Access to on-demand webinars is always free for members.

PLEASE NOTE
Webinar access is limited to one connection per registration/membership. Your colleagues and staff can listen in via your speakerphone or computer's audio connection. If you have an individual membership and would like to convert to a membership with more users, you can upgrade here.

Email support@codingintel.com if you have questions.

Webinar Handouts

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CEU Credit

This program has the prior approval of AAPC for 1 continuing education credit. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Participants on the live call will be able to download the CEU certificate at the end of the teaching portion of the webinar. The certificate will also be emailed to attendees following the event.

If you are watching on-demand, AAPC requires a post-test with a score of 70% correct or better to receive the CEU certificate.

Credit expiration date: 11-30-2025

Last revised April 25, 2025 - Betsy Nicoletti
Tags: ICD-10-CM coding

CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

Annual CPT® Changes Webinar

CodingIntel welcomes back Shannon McCall of HCPro for this review of changes that will go into effect January 1st, 2025. Exclusively for members.

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Compliance for Medical Practices

Exclusively for members, this two module concentration includes guidance for developing an audit workplan, and how to locate source citations for common healthcare compliance scenarios.

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IRE Inpatient Determinations: Case Studiesoding for Prolonged Services | Webinar

Exclusively for members, this case-study focused webinar describes important ICD-10-CM Guidelines that establish the rules for these decisions.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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