Diaries of a Professional Fee Coding Compliance Auditor

In a textbook environment, everything comes through easy and perfect for professional fee reimbursement – but that is not the real-world experience! Over the past decade, health information professionals have seen many changes to the documentation and coding world. With the implementation of electronic medical records, there have been many compliance risks in professional fee coding and reimbursement.

This presentation will provide an in-depth look at the most common issues seen during compliance audits for professional fee reimbursement and provide helpful tips in identifying those risks and how to avoid them. Documentation issues, templates, cloned notes, modifier usage, physician’s as the coding professional, nonphysician practitioner issues (incident to/split shared guidelines), teaching physician guidelines, critical care, and more will be explored.

Speaker: Jacquelyn Craver, RHIA, CCS, CCS-P

HIM and the Golden Wave: Non-Traditional Roles for HIM Professionals

10,000 people are turning 65 years of age everyday in the United States – this “swell” is being called the Golden Wave. Independent living, assisted living, memory care communities and in-home care services are already in high demand in California, and many seniors turn to placement or referral specialists for guidance, advocacy and information. But what are these professionals doing with the protected health information? Are they HIPAA compliant, or even knowledgeable of privacy rules? What are the credentials of these professionals as they secure, share and and hopefully shred medical records? The answers may be shocking.

Credentialed HIM professionals are critically needed at various points in the care continuum in order to appropriately, accurately and legally release information to ensure continuity of care. However, there is a lack of barrier to entry as a “placement agent” into the placement industry, thus allowing anyone to secure and handle medical records obtained from geriatric patients.

The presenter will discuss the Golden Wave and how her role as a registered health information administrator (RHIA) and as the owner and operator of CarePatrol, a senior placement company, have collided. She will discuss her education, credentials and experience in the geriatric and health information space. The differences between a referral agency and a placement specialist will be examined, and encounters as a placement specialist and RHIA will be shared, including interactions with the medical community, primarily hospitals and skilled nursing facilities, on behalf of clients.

Speaker: Kie Copenhaver, RHIA, CSA, RCFE

Telehealth Tell-All Webinar: Optimizing Opportunities in the Setting of CV-19

The purpose of this webinar is to help health care organizations navigate through the latest telemedicine guidance in the setting of the COVID-19 pandemic. Those at the front lines of health care service delivery don’t have time to sort through all of the latest information and need just-right and just-in-time information to strategize on whether and how they will implement enhanced telemedicine services to keep patients and others safe and optimize revenue capture. Note that this webinar will be heavily weighted towards the primary care setting.

Speaker: Trudy Bearden, PA-C, MPAS

The Future of Work: Prepare Yourself

April 9th, 2020
12:00 PM – 1:00 PM MT

Prepare yourself. The nature of work is changing for almost everyone, including HIM. Attendees will learn about many of the technical and other forces shaping workplace and workforce changes, one view of how HIM will be impacted, knowledge and skills to prepare for the future, and ways in which to prepare.

Speaker: Susan H. Fenton, PhD, RHIA, CPHI, FAHIMA

Spring 2020 SCHIMA Midlands/Upstate Region Webinar Series

Thursday, April 23, 2020
10:00 AM – 1:00 PM ET

Conflict Resolution
Eston Rodgers, RHIA

Living in a Price Transparent World
Kyle Sherseth, CHFP

Do you Know your Patient’s Social Determinants?
Tiffany Ortiz, RHIT, CCS, CCS-P

Friday, April 24, 2020
11:00 AM – 1:00 PM ET

The Value of a Complete Quality Auditing Program
Angela J. Knight

SCHIMA Coding Roundtable
Nancy Lindberg, RHIT, CCS

The Aging Care Continuum and HIM

We all know healthcare is a continuum, yet most people don’t realize there are different pathways to maximum health depending on the age, ability, and overall health status of the patient. This presentation focuses on one of the most misunderstood continuums, that of the care provided to aging, disabled, and terminal patients. This continuum contains Skilled Nursing (SNFs), Assisted Living (ALFs), Long-Term Care (LTC), and Hospice facilities and services, often mislabeled as End of Life Care.

As the number of patients moving through this continuum continues to grow, the need for Health Information Management Professionals will eventually outstrip the pool of educated, credentialed HIMs within the industry. This presentation will outline the different levels of care, what HIM looks like in these environments, why this industry is one of the most rewarding for an HIM professional, and why you should consider bringing your skills to a career within it.

The webinar will:
– Explain Continuum services
– Illustrate patient movement through the Continuum
– Provide an example of HIM in the Continuum
– Discuss industry HIM struggles and impending changes
– Engage HIMs from all areas of Health Care to support Continuity of Care

Speaker: Kelly Cooper