On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures.

Host:

Guest:

Show Notes:

[00:31] Query opportunities and low-hanging fruit

[01:53] Blood loss and the whole clinical picture in querying

[02:50] Using that “magic word” can make a difference – coding to an MCC

[03:43] Other query opportunities

[10:36] When the documentation is wrong

[12:44] Reconciliation and feedback needed

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Mack’s email: [email protected]

Subscribe Today!