Clinical Data Management (Coding)
This presentation will give an overview of the different types of vascular access devices, pertinent anatomy, and documentation requirements and offer tips and tricks for accurate coding in both coding systems.
This presentation shares insights as to how every physician’s office or outpatient facility can improve the efficiency and effectiveness of their reimbursement process – with coding and billing techniques that will ensure legal and ethical billing and optimize reimbursement.
This seminar will introduce coding professionals to the “World of HCC Coding”. Information will be dispersed regarding the CMS Risk Adjustment Program, including but not limited to guidelines, categories, documentation needs, and a high level explanation of the program.
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.
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.
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.
This is an article from the AHIMA bok that has some wonderful information for long term care coders, and how to apply the guidelines for ICD-10cm correctly. In addition to the LTC guidelines, there is hands on 25 quiz after the article to work on skill building.
Advanced Care Planning is a commonly performed service, but one that is often lacking compliant documentation. Learn how to properly capture Advanced Care Planning services and other time based evaluation and management visits.
This webinar will focus on the latest RAC rules and guidelines to help you navigate the regulatory process. Information will include “who’s who” with 3rd party reviews, complex record requests, audit types, denial rates and the latest RAC target areas including Part B claims. Our speaker will walk you through the process of reviewing, documenting and understanding the appeal process
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.
This presentation will briefly cover aspects of the denial letter and determining how and what should be appealed. We will point out ways to best determine if the appeal should be a diagnosis/clinical validation versus a coding appeal.
The presenters will lay out the pros and cons of cloud computing, go into hidden costs involved with securing a cloud environment, and discuss some of the pitfalls from a regulatory and legal landscape and things that can be done to evade those issues.
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.