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Orthopedics & Musculoskeletal System - Clinical Documentation Improvement

Course Details

The Orthopedics & Musculoskeletal course is a guide to understand the importance of clinical documentation specificity & diagnostic terms and the impact on the patient Quality of care, It will helps in understanding the common documentation & Coding issues, Assess the coding and diagnostic perspectives when identifying high quality clinical documentation in specific conditions/Disease(s), Common ICD-10-CM & Common CPT coding overviews in light of the official Coding guidelines along with Case studies. 

Learning Objectives

By the end of this module, you should be able to:

  1. Understand importance of Clinical Documentation improvement and the Diagnosis Specificity impact on the Patient Quality care
  2. Differentiate between Clinical Vs Diagnostic Terms
  3. Understand the ICD-10-CM Coding overview & guidelines
  4. Assess the coding and diagnostic perspectives when identifying high quality clinical documentation in the following conditions:
    1. Amputation status
    2. Back Pain
    3. Blood Loss anemia
    4. Bursitis
    5. Compression Fractures
    6. Disc Disorders
    7. Hungry Bone Syndrome
    8. Intraoperative and Postprocedural complications
    9. Joint Replacement status
    10. Kyphosis & Lordosis
    11. Myelopathy
    12. Musculoskeletal System Complications
    13. Neoplasms
    14. Osteoporosis
    15. Osteomyelitis
    16. Osteoarthritis
    17. Pathological Fractures
    18. Radiculopathy
    19. Rhabdomyolysis
    20. Reaction to Medication
    21. Stress Fractures
    22. Sprains, Strains & Dislocations
    23. Systemic Lupus Erythematosus (SLE)
    24. Spondylosis
    25. Spinal stenosis
    26. Traumatic Fractures 
    27. Wegener’s Granulomatosis
  5. Be familiar with Common Musculoskeletal  Procedures & Coding guidelines
  6. Understand ICD-10-CM Documentation Requirements for the Procedures
  7. Know the Common severity drivers
  8. Assess the Case studies


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