AAHIM | 2020 Coding Symposium

Don’t miss this year’s outstanding presentations!!
- 2020 Clinical Update: Community-Acquired Pneumonia
- 2021 ICD-10-CM/PCS Updates
- Coding, CDI and the Revenue Cycle
- Evaluation and Management Changes 2021
- Getting Heart Smart
- Keys to Capturing and Validating 2020 CC/MCCs
- National Correct Coding Initiative (NCCI) Overview
- The Superheroes of Health Care

Overview:

National Correct Coding Initiative (NCCI) Overview
Karen Northcutt, BS, RN, COC

Objectives:

  • Know what the initiative means and the reasons behind the NCCI
  • Know the basic rationale for specific NCCI targeted areas
  • Know the correct modifiers to use when faced with a procedure to procedure code pair edit
  • Understand the differences between CCI, MUE and frequency edits
  • Understand whose responsibility it is within the organization for application of modifiers

1 CEU – Data Structure, Content and Information Governance


Coding, CDI and the Revenue Cycle
Leah Ainsworth, RHIT, CDIP, CCS

  • Develop an understanding of the Revenue Cycle
  • Classify the multiple levels of the Revenue Cycle
  • Evaluate the importance of Coding and CDI to the Revenue Cycle
  • Consider a few changes in Coding and CDI and their collaboration as it relates to Reimbursement, Quality and ultimately the Revenue Cycle

1 CEU – Revenue Cycle Management


2021 ICD-10-CM/PCS Updates
Amy Pritchett, BSHA, CCS, CPMA, CPC-I, CPC, CDEO, CANPC, CASCC, CEDC, CRC, CMRS, CMPM, CDMP, C-AHI, APPROVED ICD-10-CM/PCS TRAINER

  • Review and discuss upcoming changes to ICD-10-CM Tabular, Alphabetic Index and Official Coding Guidelines
  • Review and discuss upcoming changes to ICD-10-PCS Tabular, Alphabetic Index and Official Coding Guidelines
  • Discussion Q/A period

1 CEU – Data Structure, Content and Information Governance


Evaluation and Management Changes 2021
Tammie Lunceford, CMPE, CPC

Outpatient new and established office visits have been coded using history, exam and medical decision-making for more than 25 years. In 2021, the guidelines will change. Learn the new guidelines documentation changes and workflow changes.

1 CEU – Data Structure, Content and Information Governance


The Superheroes of Health Care
Kerry Flowers, MS

Returning sick patients back to health truly requires a team effort in today’s complex health care environment. By accurately determining crucial information that helps both the patient and the health care entity to which they belong, coders play a critical role on the team. Some might say they are SUPERHEROES!

1 CEU – Organizational Management and Leadership


Keys to Capturing and Validating 2020 CC/MCCs
William E. Haik, MD, FCCP, CDIP

When to report and how to recognize a comorbidity or complication can challenge the savviest coding professional which can lead to under reporting of the severity of the patient’s illness resulting in reduced hospital reimbursement or an inaccurate risk adjustment adversely impacting quality metrics. On the other hand, over reporting can lead to compliance problems. During the 1 hour presentation, William Haik M.D., F.C.C.P, CDIP, will cover the “General Rule” for reporting Other (Additional) diagnoses as well as the UHDDS Data set with applicable AHA Coding Clinic references. Additionally, Dr. Haik will provide a detailed clinical explanation or update clinical topics such as:

  • Acuity of DVT
  • Hypertensive crisis/emergency/urgency
  • Types of Heart Failure
  • Acute Tubular necrosis
  • Functional Quadriplegia
  • Acute Respiratory distress syndrome
  • Malnutrition
  • MI definition

1.0 CE – Data Structure, Content, and Information Governance


2020 Clinical Update: Community-Acquired Pneumonia
William E. Haik, MD, FCCP, CDIP

During the next hour, Dr. Haik will provide the updated clinical definition of Community-Acquired Pneumonia that impact the clinical indicators for Gram-Negative Bacterial Pneumonia and Staph Pneumonia. Clinical indicators for Aspiration Pneumonia will also be discussed.

1.0 CE – Clinical Foundations


Getting Heart Smart
Jeff Gordon, RN, MSN, CCS, COC

Are we really as heart-smart as we should be? Just how much do we really know about cardiovascular health? “Getting Heart Smart”, deals with many of the factors and statistics associated with coronary artery disease. Having had a heart attack July 2019, the presenter will share his own personal experiences of how he was able to become more heart smart after surviving a 99% widow maker coronary artery blockage.

2 CE – Clinical Foundations


Date Published:

September 25, 2020


CEU:

AHIMA CEUs – 9.0
Nursing CEUs – 9.6


Speakers:

Karen Northcutt, BS, RN, COC

Karen M. Northcutt, BSRN, COC is the co – founder and Executive Vice President of Medical Management Plus, Inc. (“MMP, Inc.”), Birmingham, Alabama. MMP, Inc has been in business since 1989 providing healthcare consulting services. Prior to co-founding MMP, Inc., she was a registered nurse with experience in medical / surgical and urgent care nursing. Karen earned her bachelors degree in Nursing at the University of Alabama at Birmingham (UAB) in 1984.

Ms. Northcutt directs all revenue integrity services including charging, billing, clinical composition audits, HCPCS/CPT/ICD-10 coding, Charge Description Master Reviews, medical record documentation audits, UB04 audits and Corporate Compliance consulting projects. Ms. Northcutt has worked primarily with acute care facilities throughout the Southeast ranging in size from 35 to 902 staffed beds and representing not-for-profit, for-profit corporations, major teaching, general and tertiary provider status.

Ms. Northcutt assisted the Alabama Hospital Association in establishing and facilitating the Revenue Integrity Committee (RIC) in 2002. In this capacity Ms. Northcutt assists the Alabama Hospital Association in facilitating the statewide Revenue Integrity Committee in identifying common reimbursement issues and clarification of billing / documentation guidelines with Alabama’s MAC, Palmetto Government Benefit Administrators (GBA), Medicaid of Alabama, Blue Cross Blue Shield of Alabama and select Medicare Advantage Plans. In this capacity as a provider representative, Karen presents issues and facilitates discussion and promotes resolution with representatives of the major payers in the state of Alabama.

Leah Ainsworth, RHIT, CDIP, CCS

Experienced Coding Supervisor with a demonstrated history of working in the hospital & health care industry. Skilled in Healthcare Information Technology (HIT), Electronic Medical Record (EMR), Hospitals, Healthcare Management, and Healthcare. Strong healthcare services professional with a Associate’s degree focused in Health Information/Medical Records Technology/Technician from Hinds Community College.

Amy Pritchett, BSHA, CCS, CPMA, CPC-I, CPC, CDEO, CANPC, CASCC, CEDC, CRC, CMRS, CMPM, CDMP, C-AHI, APPROVED ICD-10-CM/PCS TRAINER

Amy has been a coder for over 25 years with her most recent position being held at Change Healthcare as the facility coding services line manager.

She has many years of experience in several different areas of coding and serves as an interim instructor. Amy has owned and operated her own medical billing and coding company, Gulf Coast HIM Solutions located in Mobile, Alabama. Amy shares her expertise in publications and as a lecturer at conferences such as HEALTHCON and Coding-Con for the Coding Institute. Amy has served as the President, Vice President, Member Development and Education Officer for her local Mobile, Alabama AAPC chapter. She is also serving a consecutive term as the Treasurer of our local SAAHIM chapter.

Tammie Lunceford, CMPE, CPC

Tammie Lunceford serves Warren Averett as a dental and healthcare consultant. She obtained her Bachelor of Science in Health Administration from UAB in 1995. Tammie is a Certified Medical Practice Executive, CMPE, Certified Professional Coder, CPC and registered with the American Society of Pathology as a medical laboratory technician, collectively bringing her clinical and administrative experience to more than 25 years. Tammie was formerly the Director of Primary Care University of Alabama Health Services Foundation and Director of Business Operations Urology Centers of Alabama. She has served in an Administrator or Director role in multiple specialties, with health systems, private practice, and medical management organizations. Tammie serves medical and dental practices by evaluating scheduling, patient flow, operational efficiencies, revenue cycle management, and EMR selection process and planning. In addition, she has experience with the Merit Based Incentive Program. Throughout this past year held workshops for Alabama MGMA State Conferences and regional workshops across Florida and Alabama, including the Medical Association for the State of Alabama.

Kerry Flowers, MS

Kerry is an author, speaker and consultant from Fairhope, AL. Kerry started his career in physical therapy (MSPT ’92) where he was director of rehabilitation for UAB Sports Medicine until 2001. From 2001 – 2005 he worked at Thomas Hospital where he managed Therapy Services and the Wellness Center. When Thomas became a part of Infirmary Health System, Kerry expanded his role to system wide therapy services, then Organizational Development and Customer Service where he served as VP for 6 years. During his time at Infirmary, Kerry and his team were recognized for creating their in-house leadership program which was featured by Emergenetics International as a Leadership Best Practice Award. Their Customer Service Program, DUO which stands for Do Unto Others, won a Bright Idea Award from VHA Southeast. His team started the inaugural iHELP Community Program where Infirmary Health system formally organized its efforts to be a community partner in the greater Mobile area. Since leaving Infirmary, Kerry started Flowers Consulting Group and wrote two books. The Soul of Business is a how to guide for creating and sustaining a high-performance culture in your business. His second book, The Go Fish Project, is a 40-day spiritual journey which encourages small groups of people to unite and impact their surrounding community. Kerry consults with individual leaders to large companies to inspire their leaders to inspire others. He believes that leadership is key to the development of culture—which in turn dictates the health of organization.

William E. Haik, MD, FCCP, CDIP

William E. Haik, M.D., F.A.C.C.P., C.D.I.P., AHIMA Approved ICD-10-CM/PCS Trainer, has practiced medicine in Fort Walton Beach, Florida since 1980. He has received board certification in internal, pulmonary, and critical care medicine. Dr. Haik’s past professional accomplishments include: Chief of Internal Medicine, Director of Respiratory Care Services, Board of Trustees at his local hospital, President of the Okaloosa County Medical Society, and representative of the Government Liaison Committee for the American College of Chest Physicians.

Dr. Haik’s coding background has included AHA’s Editorial Advisory Board and Expert Advisory Panel of Coding Clinic for ICD-9-CM as well as participation in the preparation of the original AHIMA CCS and CDIP examinations. Additionally, he helped develop the Served on a multi-disciplinary committee for the development of the 2010, 2013, and 2019 AHIMA: Guidelines for Achieving a Compliant Query Practice and the 2018 AHIMA: Guidelines for Physician Office Query Practice

Dr. Haik’s clinical documentation background has included serving on the original Board for the Association of Clinical Documentation Improvement Specialist and aided in the preparation of the first certification examination.

Dr. Haik’s compliance background has included working as the final arbitrator for Medicare Part C MS-DRG determinations and as an expert consultant to the United States Department of Justice and presently serves on the Advisory Board of HCPro’s Briefings on Coding Compliance Strategies.

Dr. Haik has conducted educational seminars and national teleconferences regarding physician involvement in DRG management, coding, and other related topics in association with HCFA (CMS), AHA, AHIMA, ACDIS, HCPro, and various state Quality Improvement Organizations (see list of Health Information Presentations).

Since 1988, he has served as the Director of DRG Review, Inc., a physician directed hospital coding consultative service. The goal of DRG Review, Inc. is to educate medical and coding staffs in medical record documentation and coding compliance.

Jeffery Gordon, RN, MSN, CCS, COC

Jeff has worked in healthcare over 40 years, and for the past 15 years has worked at Medical Management Plus in Birmingham, Alabama as the Manager of Outpatient Medical Review. In this position, he is very involved with outpatient Medicare data analysis for the company’s client hospitals, as well as coordination of outpatient compliance and coding proficiency reviews. Prior to coming to MMP, he worked in a variety of roles, including Infection Control, Quality Assurance, Hospital Business Office, Case Management, Infusion Therapy, Central Scheduling, and 10 years as an ICU nurse. He is a graduate of Chamberlain College of Nursing and also Grantham University Graduate School of Nursing. He holds a coding certification from both AHIMA and AAPC.


Pricing:

Member: $135
Non-Member: $135
Student: $50

Group Discount:

If 4 or more registrants from one facility register together, a 25% discount will be automatically applied at checkout.

Group discounts are only available when all registrants are registered at the same time, using the Group Registration option.

Instructions:

In order to access this course, you will need to “Register for this Course“.

Online registration will close on December 31, 2020.

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Access instructions for the course will be provided within 2 business days following receipt of payment. You will have 60 days to access the course after access has been granted.

Once the course is completed, you will have the ability to download the CE certificate.

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Course Includes

  • 9 Lessons
  • Course Certificate