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Blain Hospital Presented By: Brittany Blain. What is Coding Compliance? Process of ensuring the coding of patient diagnoses and procedures complies with.

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Presentation on theme: "Blain Hospital Presented By: Brittany Blain. What is Coding Compliance? Process of ensuring the coding of patient diagnoses and procedures complies with."— Presentation transcript:

1 Blain Hospital Presented By: Brittany Blain

2 What is Coding Compliance? Process of ensuring the coding of patient diagnoses and procedures complies with coding rules and guidelines. Essentially coding checks and balances

3 Why do we need it? Stopping healthcare fraud and abuse Unintentional is still fraud, check before you sign off. Office of Inspector General (OIG) Compliance programs designed to help protect facilities Provide structure to policies, finances and procedures

4 Why do we need it? Top 5 Target Areas: Complex vs. Simple Pneumonia Medical Back Problems Stroke vs. Transient Ischemic Attack One Day stays for Medical DRGs Chest Pain One Day Stays

5 Optimization The tools you need at your fingertips - Diagnosis Related Groups (DRGs) - Software programs - Alerts - Prompts - Automated Assistance Most importantly double check your work or ask a compliance officer

6 Code of Conduct - Misuse can lead to disciplinary action - Utilize hotline for questions without fear of retribution - Understand acknowledgement before you sign

7 Thank you!

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