2021 Documentation Tips to Help Orthopedic Readmissions [IEM]
You can improve accuracy of your hospital’s expected orthopedic readmission rate by ensuring complete capture of comorbidities which may contribute to risk adjustment.
Medicare pay for performance program that reduces payments to hospitals with excess readmissions. Expected readmission rate is based on physician documentation which is often incomplete due to lack of physician education in this area.
In contrast to how clinicians use documentation within the medical recorded, payers’ and governmental agencies’ use documentation within the medical record to ensure resources were utilized appropriately and to evaluate the quality of care provided. This perspective and system to evaluate care through documentation are not taught in medical school and too often are not taught in residency
No commercial support was received for this activity.
Physicians, Fellows, Residents, Physician Assistants, Nurse Practitioners, Pharmacists across the system.
After participating in this activity, the learner should be able to:
- Outline the Hospital Readmissions Reduction Program (HRRP) and why it is important
- Review the definitions of observed vs expected readmissions and how they interrelate
- Identify how you can impact the expected readmission rate through documentation
This activity was planned, reviewed, edited, and approved for use as the curriculum for the Baylor Scott & White Health organization by:
Elizabeth Aguirre, MD, CCDS
Dr. Sunita Varghees
VP System Clinical Documentation Improvement
Baylor Scott & White Health
Disclosure of Relevant Financial Relationships:
*This content is not related to products or business lines of an ACCME-defined commercial interest
**There are no relevant financial relationships with ACCME-defined commercial interests for anyone who was in control of the content of this activity.
Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant information to the ACCME for the purpose of granting ABIM MOC credit.
- 0.25 American Board of Internal Medicine (ABIM) MOC Part 2Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 0.25 AMA PRA Category 1 Credit™The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 0.25 Attendance
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