On-Demand Virtual Event
Overview
Chelsea Kemp, MHA, RHIA, CCS, COC, CPC, CPCO, CDEO, CPMA, CRC, CCC, CEDC, CGIC, AAPC Approved Instructor
In this presentation we will review the importance of social determinants of health (SDOH) and producing high quality coding data. We will review ICD-10-CM coding guidelines centered around reporting social determinants of health and review clinical coding examples.
Learning Objectives:
- Review and comprehend the importance of SDOH reporting
- Review and comprehend ICD-10-CM coding guidelines for SDOH
- Review additional guidance on reporting SDOH
- Review clinical coding concepts and examples
1.0 – Data Structure, Content and Information Governance
Cheryl Ericson, RN, MS, BS, CCDS, CDIP, Director of CDI and UM at Brundage Group
Robin Sewell, CDIP, CCDS-O, CCS, CPC, CIC, is a Clinical Coding Analyst with Brundage Group
Payors are increasing employing a new tactic in the denials war, denying the reporting of a diagnosis when attributed to a “non-compliant” query. These types of denials are often classified by payors as clinical validation denials, but often fail to adhere to industry standards associated with the most recent Clinical Validation Practice Brief and Query Practice Brief. Appealing query denials requires expertise in clinical validation and a deep understanding of industry query practice guidance. This session will share both the CDI and coding professional perspectives in performing these types of appeals and how collaboration can contribute to higher overturn rates. We will share examples of different query denial trends with corresponding strategies to refute the denial. We will also discuss query best practices that can minimize these types of denials.
Learning Objectives:
- Examine industry guidance on developing a compliant query.
- Analyze the validity of payor arguments resulting in a query denial.
- Discuss strategies to refute a payor query denial.
- Describe query construction tactics that make a query vulnerable to denial.
1.0 – Data Structure, Content and Information Governance
Tonya L. Skeen, RN, MSN, CCDS, CDIP
This session will revisit the pathophysiology, statistical trending, coding rules, and treatment for patients with human immunodeficiency virus (HIV). Quiz questions and case studies are provided for validation of knowledge. Participants will leave the session equipped with information to optimize their CDI practice with the HIV population.
Learning Objectives:
- Name at least two inclusion terms for ICD-10-Clinical Modification code B20.
- Distinguish between antiretroviral therapies (ART) and preexposure prophylaxis with antiretrovirals (PrEP).
- Describe at least one situation which represents the need to query the medical records of HIV patients.
1.0 – Data Structure, Content and Information Governance
Course Info
Published Date
August 2025
Total CEs
3.0
Domain(s)
Data Structure, Content and Information Governance
Pricing
AzHIMA Member/
ACDIS Member
$30
AHIMA Member (Other CAs)
$45
Non-Member
$60
AHIMA Student Member
$20
AzHIMA Member – an AHIMA dues-paying member who has selected Arizona as their Component Association (CA)
Non-Member – includes AHIMA dues-paying members from other AHIMA Component Associations (CA) as well as AHIMA Credentialed Non-Members
Learn More
Speakers
Additional Information
AHIMA
This educational offering has been approved for continuing education credit for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA).
AAPC
CEUs are accepted from programs sponsored by AHIMA national offices and the state or regional AHIMA branches. One hour of instruction is worth one CEU. A certificate of attendance or completion is necessary to show participation.
ACDIS
AHIMA CEUs that are CDI-related are accepted.
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- For on-demand events, access instructions for the course will be emailed to you within 2 business days following receipt of payment.
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- You must click on the button labeled “Mark Complete” at the bottom of each course page before the CE will appear on the My Certificates page.
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Course Content
Course Includes
- 6 Lessons
- Course Certificate
