On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spinal surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike.

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:

[00:41] Rise in spinal surgeries

[01:23] Coding challenges and parameters

[01:53] Predicaments for coding and CDI specialists

[07:22] Common DRGs for spinal surgeries – the need to use the “magic words”

Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

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

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