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Get the full video in the CCO Club at https://www.cco.us/club/. Get an inside look at real-world clinical documentation in this episode as we review physician notes for a patient with multiple neurological conditions. We'll break down two separate patient encounters from different providers, analyzing the medical history, physical exam findings, impression, and more. You'll learn how to identify pertinent positives and negatives, watch out for unclear or missing documentation, and spot opportunities to improve physician documentation. We'll compare how clinical documentation is used for pro-fee coding versus risk adjustment coding, noting key differences in how codes are selected based on the coding purpose. Expect to come away with a deeper understanding of how to abstract accurate diagnoses from physician notes across specialties. Whether you're a new medical coder looking to sharpen your documentation analysis skills or a seasoned pro seeking examples and tips, this episode will enhance your ability to translate clinical jargon into codes!
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Get the full video in the CCO Club at https://www.cco.us/club/. Get an inside look at real-world clinical documentation in this episode as we review physician notes for a patient with multiple neurological conditions. We'll break down two separate patient encounters from different providers, analyzing the medical history, physical exam findings, impression, and more. You'll learn how to identify pertinent positives and negatives, watch out for unclear or missing documentation, and spot opportunities to improve physician documentation. We'll compare how clinical documentation is used for pro-fee coding versus risk adjustment coding, noting key differences in how codes are selected based on the coding purpose. Expect to come away with a deeper understanding of how to abstract accurate diagnoses from physician notes across specialties. Whether you're a new medical coder looking to sharpen your documentation analysis skills or a seasoned pro seeking examples and tips, this episode will enhance your ability to translate clinical jargon into codes!
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