• Challenges in Documenting Spinal Surgery, Part 2

  • Nov 7 2024
  • Length: 12 mins
  • Podcast

Challenges in Documenting Spinal Surgery, Part 2

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  • Summary

  • 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: modernpracticepodcast@vizientinc.com

    Rachel Mack’s email: rachel.mack@vizientinc.com

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