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DRG Clinical Validation: Necessary or Optional


 

The official 2017 Coding and Reporting Guidelines are creating one of the biggest frustrations for hospital audit and denial teams in recent memory. Payers are rapidly downgrading DRGs due to a lack of clinical evidence even though the documentation by clinicians is sufficient for a coder to code the diagnoses correctly. Ronald Hirsch, MD will provide valuable insight as a physician and as a nationally recognized physician advisor on how to arrive at a compliant solution for one of the most insidious attacks this year on DRG clinical validation.

Price: $229.00

Product Code: R120116


  

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Description Experience
 

Like the treaded cyberattack of botnets, payers are rapidly downgrading DRGs due to a lack of clinical evidence even though the documentation by clinicians is sufficient for a coder to code the diagnoses correctly. This auditing onslaught is the result of the providers and payers interpreting the official 2017 Coding and Reporting Guidelines. The issue is creating one of the biggest frustrations for hospital audit and denial teams in recent memory.

The good news: amid the fury and consternation of many providers, Ronald Hirsch, MD, has been preparing for his upcoming and crucially important webcast on this nationwide auditing epidemic. You will benefit from hearing his straightforward analysis of this epic controversy. And you and your team including your physician advisors will gain valuable insight from his perspective as a physician and as a nationally physician advisor on how to arrive at a compliant solution for one of the most insidious attacks this year on DRG clinical validation.

Learning Objectives
This is a must-attend webcast that will provide a compliant solution for the ongoing epidemic of DRG clinical validation denials. During this important webcast Dr. Hirsch will...

  • Review the latest coding guidelines
  • Understand how DRG audits are performed
  • Discuss common DRG downgrades
  • Recommend practical solutions to ensure accurate DRG coding