Starting on:
Oct 22, 2026
Ending on:
Oct 22, 2026
Moderator(s):
Hospital Boardroom
Max Credits:
3 Points
Provider:
SILOAM HOSPITAL
Claim Points
Oct 22, 2026
Ending on:
Oct 22, 2026
Moderator(s):
Dr.
JOSEPH OKWARO
RMO
Venue: RMO
Hospital Boardroom
Max Credits:
3 Points
Provider:
SILOAM HOSPITAL
Claim Points
Clinical Documentation and Medical Claims Management
Starting on:
Oct 22, 2026
Oct 22, 2026
Ending on:
Oct 22, 2026
Oct 22, 2026
Venue:
Hospital Boardroom
Hospital Boardroom
Description
This topic focuses on the importance of accurate, complete, and timely clinical documentation in supporting effective medical claims management. It covers the proper recording of patient diagnoses, investigations, procedures, treatment plans, and outcomes, and how these records support accurate claims submission, validation, reimbursement, and compliance with healthcare payer requirements, including SHA.
Objectives
Understand the importance of accurate and complete clinical documentation in medical claims management.
Identify essential clinical records required to support medical claims.
Improve the alignment of diagnoses, investigations, procedures, treatment provided, and billed services.
Identify common documentation errors that lead to claim rejections, delays, under-claiming, or over-claiming.
Apply appropriate procedures for clinical review, claims validation, and correction of documentation gaps.
Promote collaboration between clinicians, health records, billing, and claims management teams to improve claims accuracy and reimbursement.
Presenters
-
Dr.
Harriet Mwira
MEDICAL OFFICER CLAIMS
KERICHO COUNTY SHA