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).

CY 2018 OPPS, CPT and HCPCS Updates

December 7, 2017
12:00 PM – 1:00 PM ET

Get ready for the New Year by learning about the most significant CPT 2018 changes and any major impacts of these changes on the OPPS.

There are 172 new codes; 60 revised codes and 82 deleted codes. There is also clarification on some of the guidance such as reporting initial observation care and reporting prolonged services.

Rumors about changing E&M coding guidelines to focus more on medical decision making and time rather than the current 1995/1997 guidelines are true but premature. After hints starting in 1999 from CMS that the 1995/1997 Guidelines create a burden to physicians and auditors alike, CMS is moving toward a several-year rollout of revising the Guidelines but for 2018, there are no changes to the current rules.

This webinar will provide an opportunity to learn about the updates and the impact of the updates on documentation, coding and the OPPS for 2018.

Speaker: Brandy Ziesemer, MA, RHIA, CCS, ICD-10-CM/PCS Trainer

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Outpatient CDI – You Don’t Know What You Don’t Know

December 6, 2017
12:00 PM – 1:00 PM PT

Outpatient clinical documentation improvement initiatives are gaining interest with providers as healthcare delivery models are transforming away from Fee-for-Service to Fee-for-Value and more third- party payers are incorporating some measure of risk adjustment through HCCs into the scheme of reimbursement. An effective outpatient CDI program embraces the vision, goals and objectives of improving the quality of clinical documentation that accurately reflects and reports the communication of actual care provided. Communication of patient care tells the true story of patient beginning in the physician’s office at every patient encounter, particularly considering the fact most of services performed in the hospital based setting are driven by documentation and physician orders generated in the physician’s office. Outpatient CDI is predicated upon enhancing and furthering clear, concise, consistent and complete documentation that answers and addresses the what, where, how, why, what for, what am I thinking, where, and what am I going to do when I get there conceptual thought process as an integral part of physician clinical judgment, medical decision making and analytical problem-solving skills. Simply put, outpatient CDI is not predicated upon strict diagnosis capture; instead it is predicated and founded on principles of best practice standards of clinical documentation supporting the communication of patient care extending from physician office encounter to physician order, service delivery, charging, coding, billing and the use of the diagnostic workup and treatment in the physician’s management of the patient.

By attending this webinar, attendees will learn first-hand common misconceptions and misunderstandings of what outpatient CDI represents and what constitutes the fundamentals of outpatient CDI goals and objectives, driving the development and implementation of meaningful programs that achieve meaningful sustainable improvement in real documentation beyond diagnosis capture. Material covered will outline, define and provide detailed direction on how best to organize, plan, develop, solicit administration and medical staff buy-in, roll out and measure success of an outpatient CDI program. This webinar will provide an encompassing roadmap to develop and implement an effective outpatient CDI program, closely aligning and integrating with the revenue cycle while facilitating alleviation of avoidable medical necessity denials and enhancing of patient satisfaction.

Speaker: Glenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCS, C-CDAM

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CHPS Exam Prep Online Workshop

Start Date: November 27, 2017
End Date: December 27, 2017

The CHPS credentialed professional is an expert in protecting the confidentiality, privacy, and security of patient health information from development and implementation to ongoing management and training of the workforce. The CHPS professional has the background and experience to understand and apply all federal and state regulations to ensure compliance across various types of healthcare organizations.

This course has four (4) modules, covering information for each of the 4 domains of the exam. Each module consists of a PowerPoint presentation + a CEU quiz. There is an ongoing discussion forum for you to ask any questions you may have, ask for clarifications, confirmations, or explanations for any of the content. The professional who will be your facilitator will provide answers for you within 48 hours.

The workshop will be open for 4 weeks and is accessible 24/7. These online workshops are designed to provide individuals in their FINAL stages of preparing to take the exam with the knowledge needed to better prepare for the examinations. These workshops are also designed to strengthen and reinforce competencies for ALL sections of the exam!

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Jumpstart Your IG Plan Webinar Series

November 16, 2017 – Intro to IG and WellStar Case Study
December 20, 2017 – IG Gap Analysis, How to Get Started
January 10, 2018 – My IG Plan, Samples
February 14, 2018 – 1 IG Implementation Project Success Story and Brainstorming Barriers for a Stalled Project – Large Healthcare System
March 14, 2018 – 1 IG Implementation Project Success Story and Brainstorming Barriers for a Stalled Project – Medium or Small Healthcare System
April 11, 2018 – 1 IG Implementation Project Success Story and Brainstorming Barriers for a Stalled Project – Outpatient Physician Practice, Long Term Care/Rehab or Other Setting

Each webinar will be held at 11 AM – 12 PM, ET and is approved for 1 CEU – Management Development

This webinar series is designed to provide guidance to HIM professionals to jumpstart their IG plan within their organization. The initial webinar will be an overview of basic Information Governance (IG) concepts and a large healthcare system will provide an overview of their current IG plan and progress.

Between webinars, participants will have assigned homework such as performing a gap analysis, development of an IG strategy and identifying IG projects. The webinar series will run for six months and the final five months will give participants the opportunity to share successful IG implementation examples, learn from peers and resolve barriers to current IG strategy issues.

Dependent upon total number of participants and breakdown of participants by size or type of healthcare organization employer, internal groups will be assigned starting with webinar two and at least two participants are expected to provide case studies based on completion of homework assignments between each webinar. Individual or group presentations are acceptable.

Learning Objectives

  • Understand the basics of IG
  • Complete a basic IG gap analysis for your organization
  • Identify 1-3 IG projects to successfully implement at your organization
  • Present your successful IG implementation to your peer group and prepare to present to your organization’s C-Suite
  • Develop a network of HIM professionals to support you as you continue your IG journey

Presenters and Facilitators: Bonnie Cassidy, MPA RHIA, FAHIMA, FHIMSS, Beth Kost Woodrow, MBA, RHIA, and Ralph Morrison, RHIA, CPC

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2018 DRG Changes

Here’s an easy and convenient way to learn the latest DRG changes for FY 2018. This webinar is available any time you are!!

The THIMA Informatics and Analytics Committee developed this coding update which is offered at a very reasonable price. Special thanks to Melissa Koehler, RHIT, CHDA, CDIP, CCS, CCS-P; Kathy Hallock, RHIA, CDIP; Dianne Bobrowski, RHIT; and Lindsay Asmus, RHIT CHDA CCS CCS-P CCDS SSBBP.

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FY 2018 ICD-10 Code Updates

Are you ready for the fiscal year 2018 ICD-10 code updates?  PHIMA is offering and webinar titled, “FY 2018 ICD-10 Code Updates” now available on demand. 
Review and understand the FY 2018 IPPS Updates including:

  1. ICD-10 guideline changes
  2. ICD-10-CM coding changes
  3. ICD-10-PCS coding changes
  4. MS-DRG changes

 
The webinar is divided into 2 parts.  Part one will cover overall guideline changes and ICD-10-CM updates and part two will cover ICD-10-PCS updates. 
ICD-10-CM

  • Approximately 363 new codes
  • 142 deletions
  • More than 250 code revisions
  • Some of the revisions were not in the proposed changes for 2018 and were added to the release for 2018

ICD-10-PCS

  • There were 75,789 codes in 2017.
  • In 2018, the number jumps to 78,705
  • 3,562 new codes
  • 1,821 revised codes
  • 646 deleted codes

 
Our speaker is Kim Felix, RHIA, CCS, AHIMA Approved ICD-10 Trainer.  You may purchase the webinar to use at your facility or with your staff remotely. Can’t make it to a meeting?  This is your answer!
 
This webinar will be worth 1.5 CEUs. 
 
Register now for these important updates! 

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Upcoming Meetings

Sat 04

Alamo Area Quarterly Meeting

November 4 9:00 AM - 1:00 PM EDT
Wed 08

LHIMA Intermediate ICD-10-PCS Coding

November 8 9:00 AM - 5:00 PM EST
Wed 08
Wed 08

eMHIMA Annual Meeting

November 8 5:30 PM - 8:30 PM EST