CDI and Coding of Heart Failure | Webinar
Heart failure coding is challenging because there are multiple classification systems, and getting the type and acuity right can swing both CC/MCC status and HCC risk adjustment significantly. Coders and CDI staff often see documentation that labels a patient as having “heart failure” without the clinical specificity needed to support accurate diagnosis coding. This webinar will discuss the gap between clinical documentation and coding requirements with a goal of decreasing audit risk and submitting claims with accurate, defensible diagnosis codes.
Learning Objectives:
By the end of this session, participants will be able to:
- Differentiate the heart failure classification systems and its CC/MCC and HCC impact.
- Apply the clinical criteria that validate acute (decompensated) heart failure to distinguish a codeable acute exacerbation from documentation that only reflects a chronic or unsupported diagnosis.
- Identify high-yield query and audit opportunities in HF charts so the diagnosis can be appropriately queried for or challenged.
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PLEASE NOTE
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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.