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).

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

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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

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Hot Topics in Inpatient Coding 2017

July 28, 2017
12:00 PM – 1:00 PM CT

RAC audits include new DRGs for complex review. This presentation will cover CC and MCCs as they relate to: Anemia, Bone Mass Index, Chest Pain, Debridement, Decubitus Ulcers, Respiratory Diagnoses, Sepsis, Altered Mental Status & Encephalopathy, Lysis of adhesions, and Post-acute care transfers. 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

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A Coder’s Response to Recovery Auditors

Understanding the Top 6 Most Expensive Inpatient Diagnoses

June 16, 2017
12:00 PM – 1:00 PM

  • Receive specific guidance for facilities responding to Recover Auditors 2018 statement of work
  • Provides targeted experience with top diagnoses and documentation challenges
  • Learn information regarding regulations and concepts regarding ICD-=10-CM coding and DRG assignment
  • Facilitation staff compliance with the Office Coding Guidelines and AHA’s Coding Clinic instructions

Speaker: Laura Legg, RHIT, CCS, CDIP

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Coding Roundtable: HCC’s and Coders’ Impact

May 27, 2017
9:00 AM – 10:00 AM ET

HCC Quality Indicators

  • What are they and why are they important to coders?
  • CMS website listing of groups
  • What is the coders impact on reimbursement
  • Where to find the AHRQ Quality Indicators Toolkit
  • Understanding Core Measures

Speaker: Victoria Weinert, RHIT, CCS

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Upcoming Meetings

Wed 26

ORANJ Educational Meeting

July 26 8:00 AM - 1:45 PM EDT
Thu 27

MTHIMA Meeting

July 27 12:00 PM - 2:00 PM EDT
Fri 28

HAHIMA Hot Topics in Inpatient Coding 2017

July 28 1:00 PM - 2:00 PM EDT
Aug 03

SCHIMA Annual Meeting

August 3 - August 4
Aug 03

INSPN Quarterly Meeting

August 3 8:00 AM - 2:00 PM EDT