From RUGs to PDPM: The Changing Alphabet of Medicare Skilled Nursing Prospective Payment in Long Term Care

This presentation will address the Medicare payment changes in skilled nursing facilities effective 10/1/19. The current system focuses on the resources required to manage the care of the resident. The new system will utilize ICD-10-CM coding from the Principal Diagnosis to determine part of the payment case mix index as well as base the case mix on the resident’s clinical and social characteristics. The reason for the change will also be addressed. The participants will have an opportunity to walk through the case mix calculation to become more familiar with the complexities of the new system.

Speaker: Mary Ann P. Leonard, RHIA, RAC-CT

42 CFR Part 2

This intermediate level session covers changes to 42 CFR Part 2 from both March of 2017 and January 2018. These changes have an impact on the privacy and security of both federally funded programs and those entities possessing substance user disorder records. Specifically addressing processing release of information requests, confidentiality statement, accounting of disclosures, authorization requirements, and access to PHI for research purposes.

Moving from Denials Management to Denials Prevention

October 26, 2018
12:00 PM – 1:00 PM CT

Moving from Denials Management to Denials Prevention

  • How to define standard categories for denials and write-offs.
  • Discuss consistent reporting based on these categories.
  • Identify key stakeholders to meet consistently to reduce denials and write-offs.

Speaker: Tracey A. Tomak, RHIA, PMP

Denials Management

October 19, 2018
12:00 PM – 1:00 PM CT

The presentation will cover UHC and Anthem ED Denials, the PEPPER report and denials management strategies.

Speaker: Jeannie Ruch, RHIA, CPC, CSM

The Data Driven Organization

July 27, 2018
12:00 PM – 1:00 PM CT

An Healthcare professional shares direct experience with providing direction for how to transitions to a data – driven healthcare organization.

The Objectives/ Goals of this Live Webinar are as follows :

  1. Understanding the Current State
  2. Data Driven Organizations
  3. Systems
  4. Teams
  5. Culture
  6. Key Takeaways

Speaker: Erin Mastagni – ECG Management Consultants

Is Offshore Coding Really Saving You Money?

June 28, 2018
2:00 PM – 3:00 PM CT

Since 2013, the trend of using offshore vendors for coding, transcription and billing services has accelerated as healthcare providers look for ways to trim expenses. This trend increased sharply in 2014 and 2015 due to the looming financial threat of ICD-10. Today, with continued pressure on administrative expenses, offshoring is still an attractive option due to the lower upfront costs and fees. While these upfront costs are easy to compare to in-house or domestic based solutions, very little analysis is available on the overall impact on costs and revenue cycle for providers.

This presentation will present the results of a two year study across six large Covered Entities that compares the actual costs and benefits of utilizing offshore coding services versus domestic coding resources.

Speaker: Bill Wagner, Co-founder, Chief Operations Officer