Respiratory Failure is high on the list of RACs and the OIG, due to documentation concerns and the need for clinical indicators and treatment, as is Acute Renal Failure which has been replaced with the new term, Acute Kidney Injury. Congestive Heart Failure is another diagnosis high on the list of RACs and OIG. The Acuity in CHF is important for physicians to document, as it will be reflected through different codes, and can affect DRG’s/reimbursement. 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.
November 10, 2017
1.0 CEU – Clinical Data Management
Stacy Hardin, RHIT, CCS, AHIMA Approved ICD 10 CM/PCS Trainer
Director of Coding Services for Reimbursement Management Consultants, Inc.
Stacy joined RMC in 2006, and is RMC’s Director of Coding Services. In this role Stacy oversees all coding services performed and is ultimately responsible for the quality of services provided by RMC staff. Additionally Stacy is on the RMC review team and performs coding quality reviews for RMC clients and internal staff. Stacy has over 20 years’ experience in the Health Information Management field and has held various positions of Coder, Coding Compliance Coordinator and HIM Director. Stacy is multi-talented with inpatient and outpatient skills and a wonderful educator and trainer. Stacy was a vital part of development and implementation RMC’s ICD-10 training program and participates in ongoing teaching of staff and clients. Stacy enjoys conducting audits, researching coding issues, and providing education to coders. Stacy is an RHIT, CCS and an AHIMA approved ICD-10-CM/PCS Trainer with experience in coding and auditing of ICD-10-CM and PCS. Additionally, Stacy is an active member of AHIMA and TxHIMA.