IPPS FY2018 Final Rule and ICD-10 Code Updates

September 14, 2017
12:00 PM – 1:00 PM ET

Overview

Whose turn was it to watch the ICD-10 Cooperating Parties?

Time flies when you are having fun so believe it or not, Fiscal Year 2018 is just around the corner! FY2018 brings interesting changes to ICD-10-CM, ICD-10-PCS and the Inpatient Prospective Payment System.

This webinar summarizes the upcoming changes to the code sets and highlights the final FY18 changes to the IPPS.

As a teaser, ICD-10-CM contains over 350 new codes, almost 150 deleted codes and more than 250 revised codes. Surprisingly, a few of the revisions were not included in the proposed changes but were added to the final release for FY18.

Then there is ICD-10-PCS. PCS contains over 3500 new codes; over 1800 revised codes and almost 650 deleted codes.  There are also some new and revised PCS definitions and guidelines.

Speaker: Brandy Ziesemer, MA, RHIA, CCS, ICD-10-CM/PCS Trainer

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Physician Based OB/GYN Ed’Venture

Online Education Course

A full session of OB/GYN learning (physician based info) to include

  • Unlocking the Secrets of the Medicare Fee Schedule
  • 2017 coding education forum
  • Medical Necessity
  • Queries

This is 1 complete session worth 5 CEU’s all in PDF format, and will include a 25 Q&A that must be completed to receive the full 5 CEUs.

All 5 CEu’s will apply to Clinical Data Management

Presenter: Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP

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The Impact of Clinical Validation Denials and ICD-10 Coding Changes on Revenue Integrity

The health care industry is currently undergoing monumental changes in the U.S. Transition from utilization-based to outcomes-based payment structures has resulted in declining net revenue for many healthcare organizations. Aggressive predictive analytics and extrapolation techniques are aimed at recouping money. In addition to traditional Medicare’s RA coding audits, the RAs, Medicare Advantage, Medicaid and multiple third party payers are ramping up clinical validation audits. Coding and clinical documentation quality directly affects organizational financial performance.

Today, coders and clinical documentation specialists must understand multiple payment methodologies, including Hierarchical Condition Categories (HCCs), APR-DRGs and MS-DRGs. Each of these reimbursement models focus on disease burden. In order to reflect the level of care being provided, coders must to have a deep understanding of disease processes, surgical procedures and coding changes so that ICD-10-CM/PCS codes are applied accurately.

Coding compliance should be considered a top priority to protect net revenue on a continual basis. Benchmarking, monitoring, and continual coder education are crucial steps healthcare organizations can take to protect the bottom line. This presentation is designed to ensure that attendees are prepared to successfully mitigate predatory recoupment activities by all payers by identifying changes in coding and clinical documentation requirements.

Speaker: Lynette Thom, BS, RHIT, CCS, CDIP

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Data Analytics Webinar Series

Summary

A three-part webinar series will offer members an opportunity to learn how to analyze healthcare data using MS Excel and the open-source data analytics software platform, R. The webinar will include tutorials on how to carry out basic and advanced analytical techniques including data acquisition, data summaries, data preparation, and data visualization. Each webinar is live and will run 1-hr in length and will be recorded for playback up to 90 days after the live event.

Purpose

Offer the webinar participants hands-on experience analyzing healthcare data with readily available software.

Outline

Part 1: Exploring Basic R Programming

August 17, 2017 at 12 PM ET
CEU – 1.0 Technology

Objectives:

  • An introduction to the R programming language
  • Creating R objects
  • Preparing imported data for analysis
  • Creating data summaries

Part 2: Exploring Data Visualization in the R Programming Environment

August 24, 2017 at 12 PM ET
CEU – 1.0 Technology

Objectives:

  • Creating common data plots such as histograms, bar plots, line plots, box plots, and dot plots, among others
  • Creating an interactive display
  • Publishing graphs for dashboards

Part 3: Exploring Data Mining Approaches in the R Programming Environment

August 31, 2017 at 12 PM ET
CE – 1.0 Technology

Objectives:

  • Data mining concepts and principles
  • Preparing data for data mining
  • Creating predictive data models
  • Testing and deploying data models

Speaker: David Marc

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THIMA 2017 Annual Meeting Revisited

Emerging Technology for Data Analytics and HIM’s Role

Recorded: March 9, 2017

Betty Dunagan, RHIA
Industry Manager, Health Record Solutions
Lexmark

1 CEU – Technology


Solving the Patient Matching Dilemma: Will the real John Doe please stand up?

Recorded: March 8, 2017

Karen Proffitt MHIIM, RHIA, CHP
VP Identity Enterprise Solutions
Just Associates, Inc.

1 CEU – Performance Improvement


What’s Scrum got to do with IT, got to do with IT

Recorded: March 8, 2017

Seth Johnson, MBA, RHIA
Executive Consultant
Lexmark

1 CEU – Management Development


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Revenue Cycle Management: Best Practice Tips

August 24, 2017
12:00 PM – 1:00 PM CT

*An HIM professional shares direct experience with HIM centralization, challenges that hinder progress, lessons learned, and strategies for ensuring a successful transition.
*Unbilled accounts reflect what processes are going right and which are not. Centralized versus decentralized coding departments?
*The impact of billing operations has a critical impact on financial performance. Revenue cycle encompasses all the many steps from when a patient first makes an appointment to the time there is no longer a balance on that person’s account. Coding directly impacts discharged not final billed, on-hold accounts due to external causes, and claims edits.
*Are you escalating issues and letting the C-suite know what you are doing for free?

Speaker: Jennifer Stone, RHIA, Coding Manager

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