• Challenges in documenting spinal surgery, Part 1

  • Oct 31 2024
  • Length: 10 mins
  • Podcast

Challenges in documenting spinal surgery, Part 1

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  • Summary

  • 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.

    Moderator: 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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