Clinical Data Management (Coding)

Applications and analysis of quality and clinical resources appropriate to the clinical setting to include database management, and coding compliance using CPT, ICD-9-CM, or other specialized coding systems within the prospective or payment system to ensure quality and cost effectiveness of the services rendered (for example, data integrity, quality of documentation, and clinical efficiency).

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

Learn More and Register

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

Learn More and Register

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

Learn More and Register

Coding: Respiratory Failure, Renal Failure, and Congestive Heart Failure

November 10, 2017
12:00 PM – 1:00 PM CT

Respiratory Failure is high on the list of RACs and the OIG, due to documentation concerns and the need for clinical indicators and treatment, as is Acute Renal Failure which has been replaced with the new term, Acute Kidney Injury. Congestive Heart Failure is another diagnosis high on the list of RACs and OIG. The Acuity in CHF is important for physicians to document, as it will be reflected through different codes, and can affect DRG’s/reimbursement. This presentation will cover documentation elements needed to establish appropriate severity and DRGs. Applications and scenarios for reporting the new codes, as well as reimbursement potentials, from a Centers for Medicare and Medicaid Services perspective, will be addressed.

Speaker: Stacy Hardin, RHIT, CCS, AHIMA Approved ICD 10 CM/PCS Trainer

Learn More and Register

PCS Vascular (Arteriovenous Anastomosis, Dialysis Circuit, and Lower Extremity Revascularization)

October 20, 2017
12:00 -1:00 PM CT

This presentation will include arterial and venous procedures, specifically arteriovenous anastomosis creation, dialysis circuit interventions, and lower extremity revascularization. We will also cover the new 2017 dialysis circuit intervention codes: 36901-36909. Applications and scenarios for reporting the new codes, as well as reimbursement potentials, from a Centers for Medicare and Medicaid Services perspective, will be addressed.

Speaker: Stacy Hardin, RHIT, CCS, AHIMA Approved ICD 10 CM/PCS Trainer

Learn More and Register

Upcoming Meetings

Tue 22

LHIMA Intermediate ICD-10-PCS Coding Workshop

August 22 9:30 AM - 6:00 PM EDT
Thu 24

SCHIMA Data Analytics Webinar Series

August 24 12:00 PM - 1:00 PM EDT
Thu 24

NCHIMA Data Analytics Webinar Series

August 24 12:00 PM - 1:00 PM EDT
Thu 24

GHIMA Data Analytics Webinar Series

August 24 12:00 PM - 1:00 PM EDT