Diagnostic codes are an important and sometimes misunderstood aspect of correct coding. They are a key element in all claims that support medical necessity and by documenting the severity of the condition. Improper ICD-10 diagnostic coding can lead to claim denials and other missed revenue opportunities. It can also make the practice a target for audits and expose it to risk. Attend this session to increase your level of understanding of the importance of diagnosis coding for all specialties and all services.
Learning Objectives • Explain the correlation of medical decision making and diagnosis coding • Identity coding rules for professional fee coding vs facility coding vs risk adjustment • Describe how to find the guidelines for use of ICD-10 codes and understand key regulations
Jaci J Kipreos, CPC,COC,CPMA,CEMC,CPCI Practice Integrity Jaci has been working in the field of medical coding and auditing for 31 years and has been a Certified Professional Coder since 1994 and attained her COC for facility based coding issues in 2005. She is also a Certified Professional Medical Auditor and is certified in the specialty of Evaluation and Management Coding. Kipreos has worked in a variety of practice settings and has particular expertise in coding for family practice, urgent care, OB/GYN, general surgery, Medicare’s Teaching Physician Guidelines, with a particular emphasis on compliance with Evaluation and Management guidelines. Jaci has been with Practice Integrity since 2003 where she leads a group of AAPC Certified Instructors in teaching the Professional Medical Coding Curriculum. She also manages a national client list in monitoring provider documentation and performing audits for physician practices. Jaci also provides a wide range of educational topics to assist clients in the area of chart documentation, Medicare’s Teaching Physician Guidelines, surgical coding, modifier usage and basic coding skills. Jaci is a past president of local chapters of AAPC in both Richmond, Va and Charlottesville, VA. She served as the President for the AAPC National Advisory Board from 2013-2015. She received her B.S. in Finance from Virginia Tech.
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