On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike.

Host:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Senior Principal, Clinical Operations and Quality

Vizient

Guest:

Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC

Consulting Director, Clinical Documentation Improvement

Vizient

Show Notes:

[00:41] Rise in spinal surgeries

[01:23] Coding challenges and parameters

[01:53] Predicaments for coding and CDI specialists

[07:22] Common DRGs for spinal surgeries – the need to use the “magic words”

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Mack’s email: [email protected]

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