Documenting and Classifying Myocardial Infarctions for Risk Adjustment

June 21, 2018

This presentation steps through the myocardial infarction process starting from when the patient gets CAD, to when they develop angina, to when they have an infarct.

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Learning outcomes

By the end of this presentation, attendees will know or be able to do or know the following regarding heart failure and pulmonary hypertension:

  • Recall the characteristics, underlying causes, associated conditions and complications
  • Identify and correlate the clinical indicators that must be documented to support the diagnoses
  • Know where to look to find evidence (clinical indicators) and definitive documentation of the diagnoses
  • Recognize the documentation detail needed in the diagnostic statement to assign complete and accurate ICD-10-CM codes
  • Assign accurate ICD-10-CM codes
  • Apply coding and sequencing guidelines for billing and reporting purposes
  • Identify which quality (pay-for-performance) programs include heart failure as a measure

Presenter

Jim Taylor MD, FAAFP, CPC

Dr. Taylor is a family physician and coder who does extensive CDI with clinicians who will look at MI's from every angle. He is a family physician, certified coder and AHIMA approved ICD-10 trainer.  After 10 years in full time private practice, he worked in the Medicare Advantage area for Kaiser Permanente for 15 years for a 1,000 physician-group practice that had 95,000 MA members.  He became a certified EPIC Physician Builder while at Kaiser. He now is the Medical Director for Medicare Risk at Iora Health.  He is well versed in Medicare Advantage and has spoken extensively at AHIMA, AAPC and HCCA conferences as well as authored articles about MA.  To that end, he received the RISE Conference's Martin Block Award for Clinical Excellence and Innovation. He has served as CMO for Colorado Access.  He was on the board of directors for the Colorado Permanente Medical Group and served as the Chair for 2 years.

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