Data Structure, Content and Information Governance (Coding)

This webinar will provide an overview of the new Patient-Driven Payment Model (PDPM) that goes into effect for Long-Term Care Facilities (SNFs) on 10/1/2019.

Apply the numerous coding updates and revisions, Identify the deleted codes and determine what to use instead, Recognize potential documentation needs, and Understand code change rationale.

Interventional Radiology & Vascular Radiology overview Hierarchical Condition Category (HCC) Coding tips Going Inside Revenue Integrity

We will be covering coding cardiovascular disease and procedures, both inpatient and outpatient.

For CDI & Coding Specialists

Coding Roundtable - Maintaining Balance: Professional Coding of mental health and behavioral Health scenarios and Assessment and Diagnosis of Mental Health: Walking Through the Process

Our roundtable will cover issues in inpatient and outpatient obstetrics coding, presented by renowned coding expert, educator, and consultant Jana Mihaljevic.

Modifier Madness – A history of modifiers and a discussion on the guidelines for appropriate use of common modifiers, including 25, 57, 59 and the new X modifiers.

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 lunch and learn webinar will present case studies for complex spinal procedures and apply coding guidelines and Coding Clinic advice to arrive at the correct ICD-10-PCS codes.

Review of 2020 ICD-10-CM and PCS changes.

Discover the top opportunities for improving inpatient coding accuracy on secondary diagnoses. This presentation reveals one health system’s findings from internal audits, and gives strategies for improving coding quality.

Coding Lunch & Learn Webinar: Pelvic Floor Dysfunction and Its Role in Pelvic Organ Prolapse and Urinary Incontinence

Discover insights on the future of coding and challenges ahead. This presentation will reveal answers to tough questions about the coding profession from industry experts.

Over the past decade, IR coding expert Stacie L. Buck has noted that on average, providers of interventional radiology services have only a 60% coding accuracy rate!

This seminar will provide HIM professionals with an understanding of the ins and outs of billing including bill types 111, 121, and 131.

Are coding denials by insurers such as Humana, Aetna, Blue Cross now taking over your time or the time of your denials management staff?

This timely webinar will provide an overview of the most significant CPT Code changes effective for dates of service on or after January 1, 2020 as well as any notable changes to guidelines or the Appendices.

Get the latest information on the 2019 CPT code updates for interventional radiology procedures including fine needle aspiration biopsies, PICCs, and midline catheters.

This seminar will provide HIM professionals with alternative and non-traditional approaches to developing their career.

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.

Behavioral Health and Substance Abuse Coding Best Practices

This presentation will focus on the intricacies of inpatient rehabilitation facility coding. The differences between IRF prospective payment and inpatient hospital prospective payment.

This Coding Roundtable will include a brief review of what we as HIM perceive Sepsis is and how it should coded and what to look for when coding

Join us as we discuss some areas in procedural coding where common errors have been identified.

On October 1, 2019 CMS shook up the skilled nursing world when they changed the payment methodology from the Resource Utilization Group, Version IV(RUG-IV) to the Patient Driven Payment Model (PDPM). This model places more emphasis on the characteristics of the resident and not the volume of therapy provided.

We no longer can divide healthcare organizations and physicians and payer – we are all entwined. See what you can do about HCCs in your organization.

This presentation will explain the purpose of a query and when you should query the provider.

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.

The goal of the “Aging Care Continuum” is to coordinate and facilitate care to meet the patient’s highest independence while allowing the patient to age with dignity and to age in place so much as possible.

Test your knowledge and gain helpful tips to outpatient surgery CPT coding. This presentation will cover modifiers, add-on codes, mutually exclusive procedures, and highlight important CCI guidelines.

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 webinar provides an overview of what Long-Term Post-Acute Care looks like, how patients’ move through the care continuum generally focused on care for aging and elderly patients, and how HIM supports the Aging Care Continuum.

1) Understand HCCs and the importance across all care settings, 2) Understand documentation and coding guidelines as it relates to HCCs 3) Learn suggested steps on developing an HCC program

Briefly summarize the course including how it relates to the business operations and/or the care of residents in the facility.

In this webinar, we take an in-depth look at the latest guidelines and changes for ICD-10-PCS.

This Ed'Venture is a quick quizlet for skill-building for ICD-10-CM and PCS for hospital inpatient coding.

Understand the need and the appropriate billing for patients with Fibroid Tumors. We will review both traditional, holistic, and surgical options for patients, and how those are to be coded and billed.

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.

Recognize the 394 changes in CPT for 2020, Understand the rationale behind each change, Apply knowledge learned in day to day practice, and Demonstrate the role Clinical Documentation improvement plays in the coding process.

This session will explore the types of telehealth currently used across the Veterans Health Administration and its effect on outcomes. Keys to effective coding will be discussed.

The focus of the webinar will be ICD-10-CM and PDPM.

This is a series of quarterly discussions on the AHA Coding Clinic publication. Here we will give you the questions and answers for each quarter and discuss any associated disease process or procedures.

This is a series of quarterly discussions on the AHA Coding Clinic publication. Here we will give you the questions and answers for each quarter and discuss any associated disease process or procedures.

This is a series of quarterly discussions on the AHA Coding Clinic publication. Here we will give you the questions and answers for each quarter and discuss any associated disease process or procedures.

This training will include the major revisions and additions to the CPT code set and guidelines for CY 2019. We will also discuss the impact of the new E&M rule on coding.

This training will include the major revisions and additions to the ICD-10-CM classification and guidelines for FY 2019.

This training will include the major revisions and additions to the ICD-10-PCS classification and guidelines for FY 2019, including 13 NTAPs.

Review the fundamentals of hospice coding.

Review top ten areas where hospices have errors in coding.

Terminology and documentation needed by the Medical Directors & NPP to code effectively

In-depth commentary on selected coding advice and clarifications from AHA Coding Clinic for ICD-10-CM and ICD-10-PCS for Q3 2019

The Facility Inpatient Coding Skills Assessment is designed to measure competency in ICD-10-CM and ICD-10-PCS coding of inpatient services.

ICD-10-CM for Pediatrics offers correct coding advice in manageable chunks with interesting and interactive instruction from Gail I. Smith, a nationally recognized industry expert.

Injection and Infusion Coding for Facilities explains I&I coding in a step-by-step process to ensure accurate coding of services provided in Oncology Units, Infusion Units, and Emergency Rooms.

Coding Workshop

Obstetric Coding

Home Health

Colonoscopy Diagnosis and Procedure Coding

It has been found that almost 100% of the prior authorization levels given by the Medicare Advantage Plans do not match the PDPM score calculated by the facility MDS. In many cases the difference is $200-$500 per day in reimbursement. NaviHealth is the approved vendor who authorizes SNF stays for Humana and Security Health Plan. In this session we will discuss the request for recalculation process and the financial ramifications.

SNF PDPM has been in effect for over 2 months, we have learned many lessons as well as identified coding practices which result in reduced reimbursement to the SNF. In this session, we will use case studies to review the impact of diagnosis coding on reimbursement.

Medicare reimbursement for nonphysician (“NPP”) and ancillary services may be captured at different percentages of the physician fee schedule (“PFS”) rate.

What is in store for us with the coding update?

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 presentation highlights changes in coding/reimbursement opportunities and a review of ongoing primary care focused reimbursement methodologies.

This is a series of quarterly discussions on the AHA Coding Clinic publication. Here we will give you the questions and answers for each quarter and discuss any associated disease process or procedures.

The session will cover ICD-10-PCS guidelines related to coding spinal fusions, and will provide an overview of spinal anatomy and required procedure documentation

Are you ready for AMA CPT 2020 update? If not join us for a lunch and learn to learn about the new CPT updates. 2020 will see 394 code changes, including 248 new codes, 71 deleted codes, and 75 revisions.

This presentation will cover ICD-10-CM Official Guidelines for Coding and Reporting, related AHA Coding Clinic advice, and several case examples.

This presentation will outline and discuss the key differentiating elements between inpatient and outpatient CDI.

Through this presentation the participant will understand provider perspectives in documenting in electronic health records (EHR’s).

This presentation will cover the uniqueness of documentation and coding interpretation & how claim data impacts revenue streams and patient care & services.

The importance of coding the symptoms of stroke and disease comorbidities, The importance of NIHSS score and Coma Score, and Diagnosis help for coding site of the stroke.

Classification Overview, ICD-10-CM Guideline Update, New ICD-10-CM Codes, and more

This presentation will address the Medicare payment changes in skilled nursing facilities effective 10/1/19.

FY19 ICD-10-CM/PCS Updates

The Big Picture, MS-DRG Changes, DRG OR Designation Shifts, CC/MCC Designation Shifts, and more

Hierarchical Condition Categories (HCC)

Coastal Region Virtual Coding Roundtable

This webinar will give you the tools needed to correctly assign CPT codes and to understand the OPPS rules impacting reimbursement.

An introduction to LTAC coding and an overview of how LTAC coding differs from inpatient acute care coding.

Discuss the CPT codes and the coding rules regarding Infusion and Injection coding for hospital services. Review what modifiers are required and when they would be necessary.

This presentation will inspire HIM department leaders to analyze data from a variety of sources to generate information and knowledge.

Discusses the analytical basis for developing a Population Health based solution to moderating healthcare costs and optimizing outcomes for a given population or sub-population.

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.