AZHIMA | Joint Coding Roundtable with AzACDIS – August 2020

We will be covering more on the revenue cycle, HCC reporting, excellence in coding, and career ladders

Based on current events we have decided that the CRT meeting scheduled for August 22, 2020 will be held in an on-demand format, instead of in-person and live.

The presentations will be available in their entirety on an on-demand basis after August 22, 2020.

We are extremely disappointed that we cannot hold this event in-person! Know that we are most concerned about the safety of our members and that of our speakers.

We look forward to seeing everyone in 2021! 

Overview:

HCC Reporting: Lessons Learned from Documentation and Coding Reviews
Betty Stump, MHA, RHIT, CPC, CCS-P, CPMA, CDIP, CCDS, CRC

This session is intended to provide a broad overview of the current process used by UnitedHealthcare to capture critical HCC risk adjustment data for Medicare Advantage members. Session will include a brief overview of the process used by healthplans to report risk adjustment data to CMS and how changes to this process impact physician reporting expectations. The session will present information gleaned from ongoing documentation and coding review efforts that highlight specific barriers and challenges to the HCC reporting process and conclude with discussion of efforts that can be implemented in the provider office to improve HCC reporting processes

Measurable Learning Objectives

  1. Understand the expectations for provider offices for complete and accurate documentation and coding for risk adjustment reporting.
  2. Understand reporting methodologies: RAPS vs. EDS
  3. Understand the process used by UHC to promote accurate and complete documentation and coding for Medicare Advantage (MA) members.
  4. Review identified barriers to HCC capture identified during documentation and coding audits.
  5. Recognize barriers to accurate coding for HCC capture and discuss opportunities to overcome obstacles in the process.

Mid Revenue Cycle’s Role in Revenue Cycle Transformation
Denise M. Johnson, RHIA, MS, CPHQ

The integration of clinical and financial processes and data is critical for sustainable provider organizations. The “critical middle” revenue cycle plays a key role in getting it right the first time and reducing the number of steps to achieve a clean claim.

The key areas that are impacted include Patient Identity, Physician Attribution, Data Quality, Clinical Documentation Integrity and Coding/Edit Management.

This session will address these impact areas in detail. Moreover, the presentation will provide guidance on how to drive change in a process improvement data-driven approach by leveraging lean six sigma methodology.

Objectives:

  • Understand the challenges and opportunities that affect the middle revenue cycle
  • Identify Key Impact Areas to Influence Change
  • Establish an understanding of strategies to transform Key Impact Areas
  • Build key relationships within organizations to integrate financial and clinical data
  • Build a model of continuous process improvement
  • Monitor metrics-driven performance

Benefits of Aligning CDI and In-patient Coding Career Ladders
Jessica Risner BSN, RN
Sydni Johnson, RN, BSN, CCDS

Highlight each rung in the ladders, along with tips on how to write a job description and partner with HR and compensation.

Learning Objective:

  • To share Banner Health’s Career Ladders for CDI/Coding and demonstrate how each ladder supports and complainants the other department.  

Striving For Excellence: A Roadmap to a Standardized CDI Orientation Process
Mary Elizabeth (M.E.) VanGelder, RN, BSN, MEd, CCDS, RHIT
Lee Anne Landon BSN, CCMC, CCDS

At the completion of this educational activity, the learner will be able to:

  • Discuss why a standardized CDI orientation process is necessary
  • Identify the advantages vs. disadvantages of both an internal based orientation and a vendor supplied orientation
  • Define the roadmap for developing a CDI orientation process
  • Articulate the different components of a standardized CDI orientation
  • Identify management and work group role in the orientation process and elaborate on the need for an effective feedback and evaluation process

CEU:

CEU: 4.0 – Data Structure, Content and Information Governance

Speakers:

Betty Stump, MHA, RHIT, CPC, CCS-P, CPMA, CDIP, CCDS, CRC

Ms. Stump is a healthcare HIM/Coding consultant focused on outpatient clinical documentation improvement (CDI) strategies. Betty maintains multiple credentials in coding, clinical documentation improvement and auditing as well as having her Master of Science degree in Healthcare Administration. She currently works as a regional manager overseeing UnitedHealthcare efforts to promote and support risk adjustment reporting for UHC Medicare Advantage members in AZ, CO and NM. Betty’s clinical documentation experience includes physician professional services, risk adjustment/HCC optimization strategies, ambulatory service audit validations and focused provider education on federal and payer documentation expectations. Her background includes auditing and education for clinicians, outpatient record reviews, and assisting health systems in assessing their needs to develop outpatient clinical documentation improvement programs.

Denise M. Johnson, RHIA, MS, CPHQ

Denise M. Johnson serves as the Vice President of HIM Integrated Services at nThrive with leadership responsibilities for clinical documentation improvement, case management, and HIM Strategic Sourcing operations. She brings extensive leadership expertise in healthcare operations and consulting. Ms. Johnson has served as a consulting practice director, revenue cycle services for a national EHR company, manager for a national consulting firm, vice president of health information services for a national IT and consulting firm, and vice president of quality and utilization management for a multihospital system. She holds a Master of Science in Health Care Administration from the University of Detroit. Additionally, she is an active RHIA and CPHQ. Ms. Johnson is a member of AHIMA, FHIMA, HFMA and NAHQ. She has presented at speaking engagements on various topics for AHIMA, state and local HIM, and state healthcare financial associations.

Jessica Risner BSN, RN

Jessica Risner BSN, RN is the Director is Clinical Documentation Improvement at Banner Health. With oversight of 18 Acute Care Hospitals, Jessica leads a team of 79 CDI staff in the pursuit of concise documentation that appropriately reflects patient acuity, risk of mortality, and resource utilization. Jessica’s clinical background is in intensive care and interventional radiology. She began working as a CDI in 2017 at Banner Thunderbird Medical Center, Glendale, Az and the field quickly became her passion. She is a charter member of the ACDIS Leadership Council and was published in the May 2020 CDI Leadership Insider for her article featuring courageous CDI innovation.

Prior Speaking Experience: 2019 Banner Health HIMS Retreat, 2019 AHIMA Week Celebrations at Banner Health, 2020 Banner Health HIMS Retreat.

Sydni Johnson, RN, BSN, CCDS

Sydni Johnson, RN, BSN, CCDS began her role as a Clinical Documentation Specialist in 2015 at Banner University Medical Center in Tucson, Arizona. For the past 3 years, Sydni has been one of the CDI educators at Banner Health, which has 18 Acute Care Hospitals and a CDI team of 79. Prior to her work in CDI, she was a Quality Analyst and had the opportunity to collaborate with the CDI department on several projects in that capacity, which piqued her initial interest in CDI. Sydni studies and researches documentation guidelines, requirements and opportunities so that she can serve as a subject matter expert for the Banner Health CDI Team. In 2019 Sydni spoke on a panel at the ACDIS Annual Conference on remote CDI and co-wrote an article that was published in the ACDIS CDI Journal. She obtained her CCDS Certification in 2019. Sydni also obtained an Integrative Health Coaching Certification in 2017. One of Sydni’s joys as a CDI educator is facilitating the professional development and growth of the CDI team members.

Mary Elizabeth (M.E.) VanGelder, RN, BSN, MEd, CCDS, RHIT

Mary Elizabeth (M.E.) VanGelder, RN, BSN, MEd, CCDS, RHIT began her role as a Clinical Documentation Specialist in 2014 while working at Mayo Clinic Hospital in Phoenix, AZ. She became a Clinical Documentation Specialist at HonorHealth, a five hospital network in the greater Phoenix metropolitan area, then was offered the Network Clinical Documentation Educator position for HonorHealth, providing physician and staff education across all facilities in February, 2017. Her experience includes 30 years of nursing experience, with 5+ years working as an RN case manager. She is a member of the HIM Advisory Council for Phoenix College where she has served as an adjunct facility member. She was a founder and a co-chair for the national ACDIS CDI Educator chapter in 2017-2018, and she currently serves as a co-chair for the AzACDIS chapter 2019-2020.

Lee Anne Landon BSN, CCMC, CCDS

Lee Anne Landon BSN, CCMC, CCDS is the Network Manager of the Clinical Documentation Program for the HonorHealth health care system in AZ.  She has over 12 years of experience in CDI.  Previously, Lee Anne has worked in multiple roles and settings, including acute care, case management, and UR for hospitals, insurance companies and the New York state PRO.

Her current CDI program includes all payer reviews, MS &APR DRGs, quality, and denial management. The program has established close collaborative relationships with the coding and quality department along with a working relationship with Case management.

Lee Anne is an active member of her local ACDIs chapter and was a co-chairperson  for 2 years. She has presented at the ACDIS National conference and at the local chapter events. She also served 2 years on the ACDIS Leadership Exchange from 2016-2017.

Pricing:

AzHIMA/AHIMA Members – $30
AzACDIS/ACDIS Member – $30
Non-Members – $35
Student – $10

Instructions:

You will need to “Register for this Course“.

Not Enrolled

Course Includes

  • Course Certificate