FHIMA | Let’s Talk Coding: 2023 Hot Topics

9:00 am – 9:05 am
Announcements & Introduction

9:05 am – 10:00 am
Dispelling Spinal Fusion PCS Coding Confusion
Wendy M. Gorrie, RHIT, CCS, CPC, CIC

Visual learning including surgical documentation examples, spinal anatomy review, spinal fusion device exploration, bone graft comparison, which procedures are coded separately, incorporation of official guidelines, and code assignment practice followed by Q&A.

1.0 – Clinical Foundations

10:00 am – 11:00 am
The Complicated Nature of Complications
Daniel Rowden, CCDS, CDIP, CCS, CPC, COC, CPCO, CPMA, CIC

This presentation will be discussing Complications of Care Coding guidelines, Coding Accuracy impact, Hospital-Acquired Condition, and AHRQ Patient Safety Indicators.

1.0 – Evolving Topics

11:00 am – 11:15 am
Break

11:15 am – 12:15 pm
Modifier Mix-Up: Are Discontinued Procedures Feeling Like a Juggling Act?
Jackie Craver, RHIA, CCS, CCS-P

There’s a time and a place for discounts! How are you applying CPT code modifiers for discontinued procedures? This session will take an in-depth look at using modifiers 52, 53, 73, and 74 for professional fee and OPPS reimbursements. These modifiers, that seem so simple to use, come with a lot of guidelines and rules. Payments are affected based on selecting the correct modifier when a procedures is reduced, unsuccessful, or discontinued. Often times coders struggle with applying the correct modifier based on what took place in or out of the OR room. Join me for this session so that you are not leaving money in the payors pocket!

1.0 – Data Structure, Content, and Information Governance

12:15 pm – 12:45 pm
Lunch Break

12:45 pm – 1:45 pm
Clinical Documentation and Coding
Edna I. Betances-Harold, CDIP, CCDS, CCS

Introduction of what CDI is and how we work with coding.

1.0 – Data Structure, Content, and Information Governance

1:45 pm – 2:45 pm
Understanding the Complexities of Inpatient Rehabilitation Coding and Auditing
John Barrilleaux, MME, RHIA

This presentation will review the complexities and unique aspects of IRF coding with an emphasis on impairment group selection and etiologic diagnosis assignment. The presentation will also review strategies for auditing the IRF record that can be used by acute inpatient and outpatient auditors that also have IRF responsibilities.

1.0 – Data Structure, Content, and Information Governance

2:45 pm – 3:00 pm
Break

3:00 pm – 4:00 pm
Chargemaster Fundamentals
Phillip Duong, MS, RHIA, CCA

Chargemaster captures the cost of all services/items provided at the hospital. Having an accurate Charge Description Master (CDM) is the backbone of revenue flowing for hospitals. They are crucial for reimbursement, public reporting, and compliance. In this session, we will discuss the Chargemaster Fundamental: What is a CDM, Process for creating CDM, and how a chargemaster plays a significant role in the healthcare organization. We will review the best practices for maintaining a CDM.

1.0 – Organizational Management and Leadership