Health and Pharmaceutical Administration

Managing Medical Coding Systems and Billing Documentation

Develop the judgement and the documentation needed to run medical coding and billing documentation properly.

  • 5training days
  • 4modules
  • 8sessions
  • 32topics
View packages and pricesCourse outline
Managing Medical Coding Systems and Billing Documentation
5days

About the programme

Course Overview

Clinical staff will work around a process for medical coding and billing documentation that obstructs care, and they will be right to. Variation in billing documentation between shifts and sites is where avoidable harm lives. The difficulty is not agreeing that this strand of health and pharmaceutical services matters — it is deciding what to stop doing to make room for it. Benchmarking exercises repeatedly place medical coding and billing documentation among the areas with the widest performance spread. They leave able to brief senior management on this aspect of health and pharmaceutical services in terms that support a decision. Participants leave with a method for billing documentation, not a set of opinions about it. It is written for people who have to make medical coding and billing documentation work with the resources they already have. Each session closes with a decision the participant must justify about billing documentation in their own setting. The final module sets out how progress on the practice within health and pharmaceutical services will be evidenced six months later.

Expected Learning Outcomes

  • Compare the organisation's handling of medical coding and billing documentation with recognised practice, and close the material gaps.

  • Build the quality indicators for billing documentation that reflect patient outcome, not activity.

  • Design escalation for clinical deterioration detected through medical coding and billing documentation.

  • Prepare the documented evidence accreditation assessors expect on billing documentation.

  • Establish escalation routes for medical coding and billing documentation that work outside normal hours.

  • Document decisions about billing documentation in a form that remains useful after the people change.

  • Design a process for medical coding and billing documentation that clinical staff can follow without obstructing care.

Who Should Attend

  • Newly appointed managers taking on medical coding and billing documentation for the first time.

  • Regulatory affairs specialists handling billing documentation.

  • Clinical department heads responsible for medical coding and billing documentation.

  • Supply chain and biomedical staff supporting billing documentation.

  • Consultants and advisers supporting clients on medical coding and billing documentation.

  • Medical directors overseeing clinical governance of billing documentation.

Course Modules

Open any module to see its sessions and topics.

01

Medical coding and billing documentation: confidentiality, consent and ethics

2 sessions · 8 points

Session 1Consent, confidentiality and ethics in medical coding and billing documentation

  • Rank the weaknesses in medical coding and billing documentation by consequence rather than by ease of fixing.
  • Apply structured root cause analysis to the last adverse event involving billing documentation.
  • Reduce unwarranted variation in medical coding and billing documentation between shifts and sites.
  • Confirm competence and continuing development for staff delivering billing documentation.

Session 2The cost of billing documentation and how to present it

  • Set the review interval for medical coding and billing documentation and who attends.
  • Check that consent processes within billing documentation are genuinely informed.
  • Cost medical coding and billing documentation per episode and identify avoidable waste.
  • Map the clinical workflow for billing documentation as it is actually performed.
02

Billing documentation: clinical process design and workflow

2 sessions · 8 points

Session 1Investigating an adverse event involving billing documentation

  • Select quality indicators for medical coding and billing documentation that measure outcome rather than activity.
  • Remove steps in billing documentation that add effort without adding assurance.
  • Set out how exceptions to medical coding and billing documentation are requested and approved.
  • Establish who is informed, consulted and accountable in billing documentation.

Session 2The decisions in billing documentation that cannot be delegated

  • Establish the boundary of medical coding and billing documentation and record what sits outside it.
  • Measure patient experience of billing documentation and feed it back to the team.
  • Prepare the summary of medical coding and billing documentation that senior management will read.
  • Decide what will be stopped to create capacity for billing documentation.
03

Billing documentation: medication and treatment safety

2 sessions · 8 points

Session 1Auditing billing documentation at the bedside, not in the binder

  • Build medication safety checks into medical coding and billing documentation at the point of highest risk.
  • Confirm licensing and regulatory requirements applying to billing documentation are met.
  • Close the loop: confirm changes to medical coding and billing documentation improved the indicator they targeted.
  • Match staffing levels on billing documentation to measured demand across the week.

Session 2Designing medical coding and billing documentation so it helps rather than obstructs care

  • Plan continuity of medical coding and billing documentation during surge and outbreak conditions.
  • Agree the smallest change to billing documentation that would be visibly useful.
  • Confirm that those complying with medical coding and billing documentation understand why it exists.
  • Define escalation criteria for deterioration detected through billing documentation.
04

Billing documentation: staffing, capacity and demand

2 sessions · 8 points

Session 1The hard cases in billing documentation and how to reason about them

  • Collect evidence on the present handling of medical coding and billing documentation before proposing changes.
  • Write down the assumptions underpinning the approach to billing documentation.
  • Anticipate the objections medical coding and billing documentation will raise and prepare the answers.
  • Reduce the variation in how billing documentation is carried out between teams.

Session 2Infection risk created by billing documentation

  • Confirm the incident reporting route for medical coding and billing documentation is quick and non-punitive.
  • Prepare the response for the most likely failure in billing documentation.
  • Build the competence framework that supports medical coding and billing documentation.
  • Confirm patient data handled within billing documentation meets confidentiality obligations.

Choose the package that suits you

Silver Package

At least 3 people

USD1,250
  • Workshop or Program Participation
  • Airport Transfers
  • Customized Badge
  • Expert Mentorship (Private Sessions)
  • Supervision & Secretarial Services
  • Accredited Certificate of Participation
  • Complete Training Kit
  • Coffee Break
  • Closing Ceremony

Gold Package

At least 3 people

USD1,850
  • 5-night stay in a 5-star hotel
  • Workshop or Program Participation
  • Airport Transfers
  • Customized Badge
  • Expert Mentorship (Private Sessions)
  • Supervision & Secretarial Services
  • Accredited Certificate of Participation
  • Complete Training Kit
  • Coffee Break
  • Closing Ceremony

Complete your registration

We will contact you within one business day to confirm.

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