2026 KHIMA & MoHIMA Joint Annual Meeting
Piece by Piece: Building Better Health Data
Note: If you registered for the in-person KHIMA/MoHIMA Joint Annual Meeting, the following 10 sessions were included with your registration—no additional purchase is necessary.
Overview
As healthcare organizations explore AI-mediated translation within secure patient portals, the implications for information quality and governance remain insufficiently examined. This study evaluates AI-generated translations against human assessments using accuracy and sentence-level error measures, revealing apparent performance parity that is constrained by low interrater reliability and the absence of a stable quality benchmark. Findings reinforce the need for health information professionals to govern AI translation as a probabilistic information risk—rather than a quality improvement—particularly in communications involving patients with limited English proficiency.
Learning Objectives:
- Define core information quality dimensions (accuracy, consistency, reliability, fitness for use) as they apply to patient communication translation.
- Analyze risks introduced by AI-mediated translation relative to traditional human interpreter services and language access obligations.
- Identify governance strategies for health information professionals to manage translation tools while preserving data integrity, accountability, and compliance.
This interactive presentation offers a practical clinical overview of cardiology diagnoses and procedures, along with their corresponding ICD-10-CM and ICD-10-PCS coding. Participants will work through clinical scenarios with multiple answer options, so having paper and a pen available to note your thoughts is encouraged. No coding manuals are required. Note: Current Procedural Terminology (CPT) coding is not covered.
Topics include –
- Coronary artery disease, severe calcified stenosis, atrial fibrillation
- Coronary artery angiography and stent insertion
- Coronary artery lithotripsy
- Cardiac pacemaker insertion
- Physician query opportunity
- Inpatient MS-DRG assignment
Learning Objectives:
- Understand basic clinical concepts of cardiology
- Assign accurate ICD-10-CM and ICD-10-PCS codes to case scenarios
- Identify clinical indicators that support query opportunities for clarification of cardiology diagnoses and procedures
- Describe the impact of code assignment on MS-DRG grouping and hospital reimbursement
Medical record documentation for conditions affecting the hepatobiliary system often presents great opportunity for clarification for CDI and coding professionals. Using real-world concepts, participants will strengthen their foundational understanding of hepatobiliary anatomy as a critical prerequisite for identifying documentation and coding opportunities. Attendees will explore high-impact conditions and complications frequently seen in hepatobiliary and pancreatic cases—such as portal hypertension and downstream complications, biliary-related infections, SIRS associated with pancreatitis, hepatic encephalopathy, and acute and chronic liver failure- with an emphasis on where clarification and compliant query opportunities commonly arise. The session also highlights selected high-severity diagnoses, including hepatorenal syndrome (HRS) and its key clinical indicators and risk factors, reinforcing how accurate documentation supports appropriate code assignment and severity capture. This presentation equips CDI and coding professionals with practical, diagnosis-focused takeaways they can apply immediately in chart review.
Learning Objectives:
- Understand the importance of hepatobiliary and pancreatic anatomy in identifying CDI and coding opportunities.
- Recognize common high-risk conditions and complications including portal hypertension, infections, and pancreatitis-related SIRS, hepatic encephalopathy, and acute and chronic liver failure.
- Identify key clinical indicators and documentation considerations for high-severity diagnoses such as hepatorenal syndrome.
- Apply documentation-focused strategies to support accurate, compliant code and severity capture in hepatobiliary and pancreas cases.
Healthcare systems nationwide face mounting pressure to adapt to value-based payment models like the CMS TEAM APM—often without adequate staffing, data infrastructure, or bandwidth to optimize performance. For resource-constrained organizations, navigating these complexities creates potential risks including missed financial opportunities and operational strain. This presentation will discuss the components of the TEAM model, potential financial impacts, and strategic implementation to ensure successful navigation and preparedness.
Learning Objectives:
- Knowledge of the key reporting factors associated with TEAM
- Describe the Financial Impacts and Tiered Approaches (Bonus and Penalties)
- Understand data and analytics needed for success and how to apply them
- Acknowledge key stake holders whose participation is vital to achieve positive results and the roles each will play within the model
The 2026 AHIMA Patient Naming Framework gives HI professionals clearer, easier to use guidance for collecting and managing patient identity information. It streamlines the 2023 version and adds practical updates that reflect today’s diverse naming conventions. By aligning directly with national interoperability efforts and incorporating new data elements that support multicultural and inclusive naming practices, the Framework helps organizations improve person matching, reduce errors and helps patient information flow accurately wherever care is delivered. The key takeaway: these updates empower you and your organization to improve person matching, strengthen data quality, and support safer, more reliable care.
Learning Objectives:
At the completion of this presentation, you will understand how to:
- Describe the key revisions from the 2023 AHIMA Naming Policy Framework to the 2025 version.
- Explain how the Framework aligns with national interoperability initiatives, including HL7®, FHIR®, and the MATCH IT Act
- Identify new data elements and expanded guidance for multicultural and inclusive identity management.
- Apply recommendations for implementing standardized person identification practices within their organizations.
In this session, we will discuss the potential impact of cyber threats on organizational operations, reputation, and compliance with regulatory frameworks. Understanding the role of information governance as a vital component of a comprehensive cybersecurity strategy, participants will gain insights into best practices for mitigating risks and enhancing data resilience.
Learning Objectives:
- Recognize the potential consequences of cyber threats on organizational information assets, including data breaches and compromise.
- Gain insights into how information governance practices, including data redundancy, align with industry-specific regulations and compliance standards.
- Explore real-world case studies to understand successful and unsuccessful instances of information governance and data redundancy implementation in response to cybersecurity events.
In late May 2025, the Centers for Medicare & Medicaid Services (CMS) announced an initiative to combat fraud, waste and abuse in Medicare Advantage (MA) plans. CMS accelerated the completion of outstanding Risk Adjustment Data Validation (RADV) audits and launched a significantly expanded round of new audits in September 2025. These audits are meant to ensure the accuracy and integrity of health plan data, with far-reaching consequences for providers, plans and patients.
While many health information professionals are familiar with the Affordable Care Act (ACA) and MA risk adjustment reviews, RADV audits remain relatively new territory for most. After eight years as a limited program, the current administration aims to complete all remaining RADV audits for payment years 2018–2024 by early 2026. The scope of these audits is expanding dramatically: CMS will increase the number of medical records audited per health plan from 35 to 200, and all MA plans—about 550 nationwide—will be required to participate, up from a previous sample of just 65 plans.
This expanded RADV initiative will disrupt established routines for providers and payers. Join us as we outline the new requirements so you can prepare your teams and ensure compliance with CMS regulations.
Learning Objectives:
- Understand the importance of maintaining accurate records, ensuring all diagnosis data is accurately documented and updated.
- Realize the significance of providing ongoing training on proper documentation practices, releasing appropriate records, and RADV compliance requirements.
- Recognize how to create an action plan to identify RADV audits and notify management when they’re received to maintain compliance with CMS regulations.
Discover how to master the delicate balance between quality and quantity in CDI coverage. This session equips CDI leaders with practical strategies to elevate their programs without sacrificing team well-being. Learn how to drive systemwide CDI excellence across large health systems by leveraging technology and data for operational efficiency and meaningful impact. Join us for an insightful journey toward smarter workflows, compassionate leadership, and sustainable success.
Learning Objectives:
At the completion of this educational activity, participants will be able to:
- Describe the essential elements for establishing a strong foundation to support successful, large-scale CDI operational transformation.
- Identify the key components required to build and sustain a data-driven CDI team.
- Explain the steps for achieving cross-functional CDI workflow and technology optimization to drive quality outcomes across the organization.
- Discuss a multi-departmental collaborative program for reducing surgical add-on/change in procedure denials
- Describe how to implement a multidisciplinary model that leverages role-specific expertise
- Identify executive-level dashboard reporting tools for measuring program success
Are you working 60+ hours per week because of deadlines, expectations and overload? Do you wish you had some tools to manage your time so you could work closer to 35-40 hours and get the same amount of work accomplished? This session will provide ideas for time management using AI tools and strategies.
Topics include prioritization, organization, framing, productivity tools, win/win, cooperation/delegation, and self-renewal.
Learning Objectives:
- Identify common time management challenges faced by health information professionals, including information overload, constant interruptions, and competing deadlines.
- Explain how AI-powered tools can streamline daily workflows, automate repetitive tasks, and improve accuracy in health information management.
- Apply prioritization, organization, and productivity frameworks to optimize work schedules and reduce unnecessary stress.
- Develop strategies for effective delegation, cooperation, and self-renewal to maintain productivity and prevent burnout within health information teams.
- Evaluate and select appropriate digital productivity tools tailored to the unique demands of the health information field.
Connie Renda
Jennifer Mueller
1.0 – Organizational Management and Leadership
Course Info
Published Date
May 2026
Total CEs
10.0
Domain(s)
Data Structure, Content and Information Governance
Clinical Foundations
Evolving Topics
Information Protection: Access, Disclosure, Archival, Privacy and Security
Organizational Management and Leadership
Revenue Cycle Management
Pricing
MoHIMA/KHIMA Member
$200
Non-Member
$300
MoHIMA/KHIMA Member – an AHIMA dues-paying member who has selected Missouri/Kansas 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
Speaker
Name
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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Course Content
Course Includes
- 13 Lessons
- Course Certificate
