HIPAA Hot Topics and Current Trends

February 8, 2018
12:00 PM – 1:00 PM ET

This timely presentation delivers an update of the most important healthcare privacy and security rule / guidance regulatory changes, including but not limited to, HIPAA. The session also covers some evolving best practices that address these rule changes. The presentation is intended to impart a large volume of information about the rapidly changing regulatory privacy and security environment in a relatively short time frame with comprehensive slide content usable by attendees after the presentation as they adopt and train others on these subjects. Mr. McLendon is well known for condensing and simplifying the complex presentation content into easily learnable points with his signature delivery style.

Topics such as; patient’s right of access and how attorneys are using newly clarified guidance to their advantage, along with new information about the OCR phase 2 audit program will be highlighted, but not dominate the presentation. Other topics such as January’s SAMHSA final rule, the Cures Act, the Federal Trade Commission’s actions and various security issues such as mobile devices, phishing and ransomware are constantly being revised by Mr. McLendon and may be discussed.

The slides themselves will be selected from a larger master set Mr. McLendon maintains to reflect the timing and audience of the presentation. This master set of slides constantly undergoes updates as the rules and guidance changes. Any really ‘HOT’ topics that arise after handout submission, as is typical within the fast changing nature of healthcare privacy and security, will be covered with new slides that are also discussed with an updated slide deck for these additions to be offered to the attendees after the session. For example, OCR has several rules including penalty splitting and Accounting of Disclosures that might drop at any time, if they are released prior to the seminar they will be addressed within its content.

Mr. McLendon works with many successful privacy and security professionals, including attorneys, on the topics of healthcare regulatory privacy and security which allows him rapid access to the deluge of information that is now typical, as new pressures on privacy and security compliance is being applied in an ever increasing manner as increasingly records become electronic and health information exchange expands.

Speaker: Kelly McLendon, RHIA, CHPS


Privacy and Security Webinar Series

The LHIMA Privacy and Security Webinar Series is designed to answer the latest privacy and security questions in the HIM industry. The series is sponsored by MRO, and Privacy expert Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB, Vice President of Privacy, Compliance and HIM Policy for MRO will be the presenter for our five pre-recorded webinars and will host the final live webinar to answer your follow up questions. The first webinar is now available (1.5 CEU) and the next two webinars (2 CEUs) will be available by December 15, 2017. The final two webinars will be available by January 12, 2018, and our final roundtable webinar will be held on January 31, 2018 at 12:00 PM CT.

Speaker: Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB

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2018 CPT Update

December 20, 2017
12:00 PM – 1:30 PM ET

This year CPT did not have the volume of changes that we have seen in the past, however the CPT Editorial Board continued on the path of bundling more procedures.

We will review the following changes and their impact on reimbursement.

  • New modifiers for 2018
  • New Sections for Cognitive, Psychiatric Collaborative Care and Behavior Health
  • New Codes with deletions
  • Guideline changes in the E&M section concerning observation

Speaker: Mary Gregory, RHIT, CCS, CDIP, CCS-P, CPC-I

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Coastal Region Virtual Education

December 7, 2017
12:00 PM – 2:00 PM ET

12:00 – 1:00 PM – Internal and External Auditing – Assessing and Identifying Educational Opportunities

CEU: 1.0 – Clinical Data Management

Presenters: Marcy Blitch, RHIA, CCS, CIC and Christine Lewis, MHA, RHIA, CCS, CCS-P

1:00 – 2:00 PM – The Technology Cannonball in the Information Governance Pool: Technologies You Need to Know About

CEU: 1.0 – Technology

IT Departments are deploying new technologies at a rapid pace. A couple of these are Vendor Neutral Archive and Enterprise Content Management systems. Both of these technologies will affect the HIM IG plans, this presentation will teach the basics of these two platforms.

Presenter: Seth Johnson, MBA, RHIA

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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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