Challenges in documenting spinal surgery, Part 1

Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation.

 

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:

[01:26] Around 1.62 million procedures per year

[02:22] Procedures on the increase (2.4 times the level of 15 years ago)

[03:54] The most common spinal diagnoses

[05:15] Often not caught by primary care

[06:20 Less common reasons for spinal surgery

[07:09] Reasons for planned surgeries—often a last resort

[08:45] Risks for avoiding surgery

 

Links | Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

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

 

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