November 13, 2020
Live Session – November 13th
Denise French, MS, RHIA, FAHIMA – PHIMA President
|Social Determinants of Health, Documentation
Maggie Foley, PhD, RHIA, CCS
CEU: 1.0 – Informatics, Analytics, and Data Use
Innovative HIM and Leadership in a Pandemic World
Facilitator: Branda McCowan, RN, MSN, CDIP
1. What changes regarding staffing, if any, have you encountered due to the COVID-19 pandemic?
CEU: 1.5 – Organizational Management and
|Financial Implications to Providers of CMS’s Proposed 2021 Fee Schedule
Maria C. Hayduk, Associate Principal, ECG
Angie S. Collins, Manager, ECG
On January 2021, the industry is expecting that Medicare’s Physician Fee Schedule (MPFS) will undergo a major revision to the relative value units (RVUs) for office/outpatient evaluation & management (E&M) CPT codes. RVUs for E&M outpatient visits will increase and providers will no longer include history and exam in their determination of which E&M CPT code to use. Instead they will be expected to rely only medical decision making or time required to select the appropriate E&M code. In conjunction with this expected change, the Medicare payment conversion factor payment for RVU and ASA units will be lowered to balance the Medicare budget. This presentation will focus on the potential financial implications to medical groups of the proposed 2021 CMS fee schedule, including the impact to medical group revenue, provider compensation and industry benchmarks.
CEU: 1.0 – Revenue Cycle Management
Diversity, respect, and inclusion of every patient we care for is paramount to the success of an organization. This presentation will explore the topic of sexual orientation and gender identity from a patient experience perspective as well as the data implications throughout the revenue cycle. The data collected for this patient population can present challenges to various HIM functional areas.
CEU: 1.0 – Informatics, Analytics, and Data Use
During the COVID-19 pandemic, the use of telehealth to support contactless patient care has skyrocketed. Though telemedicine has always been a long-term priority in healthcare, the pandemic forced it front and center. However, telehealth poses unique challenges in ensuring patient-safety and privacy of health information. And many hospitals have not yet developed standard policies and procedures to regulate telehealth within their organizations.
It is HIM’s responsibility to build and maintain a plethora of new policies for telehealth services. This session empowers HIM executives to create and update a universal standard for policies and procedures in telehealth. Speakers provide guidance to develop best practices to address specific topics in telehealth including, but not limited to documentation, the physician-patient relationship, maintenance, retention, release, and the privacy of telehealth records.
CEU: 1.0 – Clinical Foundations
Margaret M. (Maggie) Foley, PhD, RHIA, CCS
AHIMA ICD-10-CM/PCS Approved Trainer
Dr. Foley received her B.S. in Health Information Management in 1984, an MBA in Health Administration in 1994 and a PhD in Public Health in 2005 all from Temple University. Her current fulltime position is as an Associate Professor in the HIM Division at Temple University. Maggie has over 30 years experience in various aspects of health information management and education. She has held the position of Director of HIM for a large acute care teaching hospital and a psychiatric facility. Maggie has also had experience as a consultant for inpatient reimbursement and coding strategies. Dr. Foley has also held various leadership positions in health information professional organizations at the national, state and local levels.
Branda McCowan, RN, MSN, CDIP
Branda started her nursing career in 1985 after graduating from Geisinger School of Nursing in Danville, PA. She has practiced in many areas of nursing including: Med/Surg, ICU, PACU, GI lab, Cardiac Rehab, Supply Chain and currently CDI. She achieved her BSN in 2015 from Pennsylvania College of Technology in Williamsport, PA. Branda worked in Clinical Documentation since 2011 and obtained her CDIP certification in 2013. She accepted a manager position in 2017 and conquered her long-term goal of MSN in February 2019 from Grand Canyon University. She is currently a member of ACDIS, which she currently holds a co-lead position for the Central PA chapter, and AHIMA.
Sherine Koshy, MHA, RHIA, CCS, Penn Medicine
Sherine Koshy, MHA, RHIA, CCS, is the Corporate Director of Health Information Management at Penn Medicine. Sherine provides enterprise-wide leadership and strategic direction for all activities related to HIM.
In her current role, she is responsible for all HIM functions at the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Chester County Hospital, and Penn Medicine Princeton Health. Operational oversight includes: Inpatient and Outpatient Coding, HIM Operations, EMPI, Central Fee Abstraction and CDI.
Sherine has experience with integrating HIM across the enterprise and served as the HIM Operational Lead for Penn Medicine’s Epic Go Live.
Sherine was also instrumental in ICD-10 preparation for Penn as well as the planning and execution of the Penn Medicine Coding Academy. This Academy is responsible for hiring, training, and employing over 40 inpatient coders.
Tammy Lander, RHIA, CCS, UPMC
Tammy has a Bachelor of Science degree in Health Information Management from the University of Pittsburgh. She has worked for the University of Pittsburgh Medical Center (UPMC) for 29 years serving in a various positions within the Health Information Management and Coding Departments. Her current role is oversight of the Clinical Documentation Improvement Program and Inpatient Coding HAC/PSI teams. Tammy was a key member of the team that implemented the Clinical Documentation Improvement Program at UPMC starting in 2013. Since that time the CDI program has grown from 5 hospitals with 8 CDI Specialists to 23 hospitals with a team of 47 CDI Specialists and Managers.
Suzanne Layne, MLD, RHIT, Mainline
Suzanne Layne is the Corporate Director of Health Information Management Services for Main Line Health, a multi-entity health system in suburban Philadelphia. She has held several director positions in California and Pennsylvania during her 30 year HIM career. Suzanne is an integral participant in enterprise revenue cycle solutions and data integrity management. Suzanne has successfully installed multiple EMR systems and lead the consolidation of 5 hospital’s HIM services into a centralized location. Suzanne is an RHIT with a Bachelor of Science degree in CIS: Technical Management, and holds a Masters in Leadership Development from Penn State.
Mary Ann P. Leonard, RHIA, CRM, RAC-CT, Health Information Professionals
Mary Ann P. Leonard, RHIA, RAC-CT owner and operator of Health Information Professionals, a health information management consulting company. Health Information Professionals holds contracts for HIM consulting services with over 100 facilities in Pennsylvania, Delaware and Maryland. A graduate of Temple University’s Health Information Management program, Mary Ann has worked as a Medical Records Consultant in long term care for over 3 decades. She has conducted educational programs on various medical records related topics and conducts the medical record portion of the Nursing Home Administration program for several NHA programs in Pennsylvania. She has presented on a number of HIM related topics for the Pennsylvania Health Information Management Association, the New Jersey Health Information Management Association, the Long Term Care Spring Conference sponsored by the American Health Information Management Association and various other professional associations. Mary Ann is also active in the Pennsylvania Health Information Management Association and the American Health Information Management Association by holding various positions and membership in the Long Term Care Practice/Continuity of Care Council. She is an AHIMA Approved ICD-10-CM trainer. She is a founding and charter member of the Pennsylvania Association of Nurse Assessment Coordinators.
Maria C. Hayduk, Associate Principal, ECG
Maria has extensive experience in medical practice development and operations, organizational performance improvement, physician compensation planning and academic medicine. Maria oversees ECG Management Consultants Provider Analytics practice, including the production of ECG’s national physician compensation surveys and ECG’s medical group cost and infrastructure survey. Maria directs a staff that designs quantitative and qualitative studies, and she oversees secondary analyses which provide ECG’s clients with the most up to date and relevant market trends and industry insights necessary for implementation of provider organization strategies.
Angie S. Collins, Manager, ECG
Angie is a Manager with ECG and is responsible for conducting and expanding ECG’s annual Physician and APP Compensation Surveys which include data from nearly 50,000 providers practicing across the U.S. Angie’s expertise has been instrumental in expanding ECG’s surveys, which are now recognized as the most comprehensive source of provider performance benchmarks in the market.
Joanne B. Glusman, MSW, LSW
Joanne Glusman is a social worker with over 30 years of experience in health care. Joanne holds several positions. At Bryn Mawr Hospital, she is a member of the Palliative Care Team. She is faculty at the hospital’s Family Practice Residency Program and teaches physician assistant students, as faculty, at Jefferson University (formerly Philadelphia University PA Program). She is also Faculty, for Main Line Health’s DR&I Initiative. Joanne teaches providers to communicate more effectively, and has expertise in sexual health history taking, creating welcoming medical environments to the LGBTQ communities, advance care planning, crisis intervention, and delivering bad news. She lectures extensively on screening for intimate partner violence, as well. She provides k-12 systems, and other community organizations with LGBTQ education. She was part of the team which created and then launched the health system’s, LGBTQ Inclusive Care Initiative.
In her spare time, Joanne is president of a non-profit youth group for LGBTQ youth ages 14-22.
Joanne has lectured at several national conferences on the above topics, most recently, at a National Palliative Care conference, on LGBTQ issues at end of life.
Joanne serves at the system level on the Diversity and Inclusion committee, D & I Education Committee, hospital Bioethics Committee, Schwartz Committee, and co-chairs the hospital Diversity & Inclusion Committee as well. She is the facilitator for the hospital Schwartz Rounds, a once a month forum to support hospital employees. She has a Master’s degree in Social Work, from The University of Pennsylvania, and is a Certified Advance Palliative Care Social Worker Practitioner.
Carol Jones, RHIA, CCS
Carol Jones, RHIA, CCS, AHIMA Approved ICD-10-CM/PCS Trainer is a graduate of Temple University with a B.S. in Health Information Management. She is also Epic certified in Coding Revenue Cycle Readiness. For the past 10 years she has served as the Coding Manager at a multi-entity health system in southeastern Pennsylvania. Previously, she held positions there as Per Diem Coder and Coding Supervisor. She has participated in multiple coding and billing system conversions; most recently Epic, often serving as a subject matter expert representing Hospital Coding. Carol has been in the HIM field for over 20 years.
Megan Kody MHA, RHIA, CRCR
Currently serves as the Operations Manager of HIM at Main Line Health in suburban Philadelphia. She obtained her Bachelor of Science in Health Information Management at Temple University and Master’s of Healthcare Administration with concentration of Information Technology from Colorado State University. Megan has over 12 years of management experience with 6 years of Data Integrity Management at two large university organizations in New York and Colorado. She has served as a delegate at AHIMA for the state of Delaware and the president elect for Delaware’s Health Information Management Association until moving back to Pennsylvania.
Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB
In her role as Vice President of Privacy, Compliance and HIM Policy, Bowen ensures new and existing client HIM policies and procedures are to code. Bowen also serves as the company’s Privacy and Compliance Officer (PCO), assuring timely reporting of any disclosure incident. She is also responsible for reviewing legislation to assure industry response and compliance within MRO. Bowen has more than 40 years of experience in Health Information Management (HIM), holding a variety of HIM director and consulting roles. Bowen currently sits on The Sequoia Project Board of Directors and is an active member of the Interoperability Work Group. She is also a member of the American Health Information Management Association (AHIMA). She served as AHIMA President and Board Chair, as a member of the Board of Directors for six years, and of the Council on Certification for three years. Bowen has also served on the AHIMA Foundation Board of Directors, serving as its Board Chair. She has been honored with AHIMA’s Triumph Award in the mentor category; she is also the recipient of the Distinguished Member Award from the Tennessee Health Information Management Association (THIMA). Bowen is an established author and speaker on HIM topics and has taught HIM studies at Chattanooga State and the University of Tennessee Memphis. Bowen holds a Bachelor of Medical Science degree from Emory University in Atlanta, GA with a focus in medical record administration and a Master’s degree in Health Information/ Informatics Management Technology from the College of Saint Scholastic in Duluth, MN.
Angela Rose, MHA, RHIA, CHPS, FAHIMA
As Vice President of Implementation Services for MRO, Rose oversees, and coordinates activities related to successfully onboarding new clients to MRO’s Release of Information (ROI) platform. She has more than 25 years of experience in Health Information Management (HIM), with focused expertise in privacy and security. Prior to joining MRO, she served as Director of HIM Practice Excellence for the American Health Information Management Association (AHIMA). Rose is an active member of the American Health Information Management Association (AHIMA) and currently serves as the Education Co-Chair of the Pennsylvania Health Information Management Association (PHIMA). Rose is an established author and speaker on various HIM topics. She has served as adjunct faculty and various HIM Advisory Boards. She currently serves on the University of Pittsburgh’s and Temple University’s HIM Advisory Boards. She received her Bachelor of Science in HIM from the University of Pittsburgh and Master’s in Health Administration from the University of South Florida.
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