Clinical Data Management (Coding)

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

Attendees will be able to use their Inpatient CDI knowledge and broaden scope to understand Outpatient Clinic CDI.

For CDI & Coding Specialists

Round One - Biochemical Recurrence of Prostate Cancer and Rising PSA Round Two - Highlights of the ICD-10-CM/PCS 2018 Changes

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

To finish out the year we will be covering Mastocytosis: Allergies Behaving Badly, Pancytopenia: When Nothing Means Everything, 4th quarter Coding Clinic, and The ABCs of RBCs: Anemia and other Blood Dyscrasias

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.

Cover to cover review of significant 2019 CPT code additions, deletions, and revisions

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.

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.

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

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?

Our Coding Roundtable will discuss the significant changes to CPT for 2019 that will become effective January 1, 2019.

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

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.

Just in Time: FY 2019 ICD-10-CM/PCS and IPPS Changes

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

2019 ICD-10-CM/PCS Updates Webinar

In this presentation, we cover the basics of HCC coding accuracy. This includes the methodology rules for the CMS-HCC model, the categories, and the diagnosis coding specificity that drives the reimbursement.

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.

We will discuss the basics of DRG methodology and our role as coders. We will include some of the updates for FY 2019 in this training.

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.

Your success as a coder will depend on the level of commitment that you make to achieve your pinnacle. Here are some tips to help you along the way, including critical thinking skills, becoming a student of medicine and the classification, and other things I’ve learned from my mentors over the years.

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

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.

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

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

The Query Process – What you need to know! and 2018 ICD-10 CM/PCS and CPT Updates

This is a 10 question quiz on OB/GYN and CCI Bundling Edits.

Read the article, “Coding Diabetes: Time to Look at the Coding Guidelines Again”, do the 5 “test yourself” questions, and get a free 0.5 CEU gift from your IdHIMA Board.

Include the applications and analysis of quality and clinical resources appropriate to the clinical setting. Includes database management and coding compliance using CPT codes.

1st session Management Domain offering: HIM: Leaders, Leadership, Management and YOU! 2nd session Clinical Data Management Domain: ICD-10 Wordsearch and Crossword puzzle

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.

A full session of OB/GYN learning (physician based info) to include: - Unlocking the Secrets of the Medicare Fee Schedule - 2017 coding education forum - Medical Necessity - Queries

Recognize the 335 changes in CPT for 2019, understand the rationale behind each change, and apply knowledge learned in day to day practice.

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.

This presentation provides an overview of how HCCs are used in physician payment systems.

Sepsis 3 criteria for coding and CDI, and current pediatric and neonatal sepsis criteria.

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 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

Coding Workshop

• Learn how to view the ICD-10 Coordination & Maintenance (C&M) Committee public forum on ICD-10-CM & ICD-10-PCS code updates online • Become knowledgeable of the coding proposals which are requested and presented and take action and comment on the coding proposals

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.

Review CPT changes and regulatory highlights for 2018

What is in store for us with the coding update? How about 400+ICD-10-CM codes,143 revised codes and 51 deleted codes for ICD-10-CM.

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.

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.

Learn about the Medicare Risk Adjustment model.

Breast Reconstruction Coding - Participants will need to have code books available: 2017 CPT, ICD-10-CM/PCS

The course will explore key areas of operating an effective and efficient clinical documentation program, key areas of focus, and proving return on investment from a quality and revenue perspective.

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

Behavioral health codes cover psychoses, organic brain conditions, nonpsychotic mental disorders, personality disorders, intellectual disabilities, and substance use, abuse, and dependence.

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.

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

FY19 ICD-10-CM/PCS Updates

FY19 IPPS Update

Hierarchical Condition Categories (HCC)

Coastal Region Virtual Coding Roundtable

Internal and External Auditing and The Technology Cannonball in the IG Pool

Review of Official Guidance, Resources, and practices to ensure compliant coding.

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 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.

We will define revenue cycle management, discuss major functions of revenue cycle management, highlight the importance of revenue cycle management.

Join us for an informational presentation geared towards collections and denials professionals to learn proven strategies for protecting revenue and minimizing cost to collect.

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.