While Clinical Documentation Specialists review medical records for PSIs and HACs, coders focus primarily on coding diagnoses and procedures. By understanding PSIs and HACs, coders can identify documentation improvement opportunities and collaborate with CDI and providers to enhance the quality of care. They can also exclude irrelevant conditions that don’t meet coding guidelines.

In this webcast, we’ll discuss current PSIs, with a focus on trouble spots like foreign bodies left during surgery and postoperative respiratory failure. You’ll gain a greater understanding of PSIs, HACs, and assigning POA status. We’ll highlight key terms to watch for in medical record documentation to ensure proper coding and identify the need for documentation clarification.

Why This is Relevant:

As a coding professional, it’s crucial to have a clear understanding of Patient Safety Indicators (PSIs), Hospital-Acquired Conditions (HACs), and Present on Admission (POA) status guidelines. This knowledge helps in accurate code assignment and avoids inaccurate reporting.

Learning Objectives:

By attending this session, you’ll:

• Gain a better understanding of the important role PSIs play in hospital care quality and safety.
• Learn about foreign material intentionally left during surgery.
• Understand the importance of Present on Admission (POA) status.
• How to identify postoperative respiratory failure.
• Understand the impact and identification of hospital-acquired conditions.

Who Should Attend:

Coders, auditors, CDI’s, Compliance, Providers, Consultants.