Do you have questions?
Check out our Frequently Asked Questions page!
This is an interactive action-packed webinar like never before- so buckle up! We will start with the idea of an audit and move through the sample, to audit the charts, creating the spreadsheet, writing the report, and finally delivering the results.
During this session, we will review the definition of “Medical Necessity” as it relates to Medicare, Medicaid, and Commercial insurance carriers. The objective of this course is to “relearn” the meaning of medical necessity and how working with physicians promotes greater insight.
Does vascular coding intimidate you? Whether you’re new or have some experience with Interventional Radiology this presentation will have something for you. We will go over the information needed for proper code selection from the procedural section (10000-69999) and the radiology section (70000 range). By the end of this hour, you should be able to tackle selective catheterization, diagnostic studies, and revascularization of lower extremities. You’ll learn the differences in coding for both the arterial and venous system. As a bonus, some of the tips you learn will help you with coding in other vascular areas!
CAHIMA presents our Spring 2021 Webinar On Demand Series, featuring 1) Addressing Person-Related Characteristics that Hinder Progress with Theresa L. Jones, EdS, MsEd, RHIA and 2) Bridging the Gap Between Coding and Clinical Documentation Improvement with Annaleah Bridges, MS, MBCA, RHIA, CCS, CCS-P, CCSS.
Understand common denial rationale
Recognize when to appeal with clinical criteria, coding criteria, or both
Discover successful strategies to compose winning appeals when the acute respiratory failure diagnosis is denied, even though you got it right
Understand the coding rules concerning BMI, obesity, and morbid obesity
Learn who to involve on the front end, and how to do it, to make your medical record as “bullet proof” as possible
Discover successful strategies to compose winning appeals when the BMI and associated diagnosis are denied, even though you got it right.
How do you explain when all the money invested in CDI, Physician Advisors, Coding, Billing, Case Managers doesn't show a real improvement in denials, appeals and write offs? Many programs and tools being offered to hospitals today either fail to deliver as promised or fail to deliver solutions that work for very long. At least part of the reason for this has to do with what is expected of them, even before they are purchased and implemented.
Discussion regarding the challenges facing Telemedicine Revenue Cycle Management such as the CMS regulations governing the structure and reimbursement of telemedicine visits and challenges for coding and clinical documentation.
MdHIMA's March 2021 Quarterly Meeting features: 1) How to Stop Mid-Revenue Cycle Leakage; 2) Proactive & Reactive: How a Large National Health System Relied on Mobile Technology Before the Pandemic to Streamline and Simplify Query Workflow; 3) MDHIMA Quarterly Business Meeting; 4) Utilization and Interpretation of Interactive Audit Management Dashboards, Detailed Scorecards and Benchmark Metrics; 5) Leveraging Computer-Assisted Coding for CDI, Coding & Quality; 6) Best Practices When Implementing Computer-Assisted Coding; 7) AI and CAPD: An Overview of the Technology and Proposed Benefits
Malnutrition remains a target for both clinical and coding validation. This webinar will present current coding guidelines and clinical indicators for malnutrition. The difference between coding and clinical denials for malnutrition will be explained as well as the different appeal strategies. This webinar also covers coding and clinical validation considerations and appeal strategies for congestive heart failure denials.
Presenters at this session will discuss spinal fusion coding, which continues to be an area that many struggle with due to the complexity of coding these procedures and their confusing documentation. An understanding of spinal anatomy, physiology, medical terminology, and surgical descriptions included in operative reports is required to achieve correct coding assignment for spinal fusions. We will review both ICD-10-PCS and CPT spinal fusion codes.
Learning objectives include: 1) Understand common denial rationale; 2) Recognize the differences between coding and clinical denials for AKI/ATN and pneumonia and 3) Discover successful strategies to compose winning appeals when the AKI/ATN or pneumonia diagnosis is denied, even though you got it right.
With medical decision making (MDM) as the key element for the new E/M services guidelines, documenting the medical necessity is more important than ever. This session will walk through the key revisions to the E/M guidelines and discuss ways in which basic documentation principles will ensure that the medical record documentation paints a complete picture of the services rendered, and support the medical necessity of code selection for each level.
Topics include: 1) Covid-19 Virus: Myths & Truths; 2) 21st Century Cures Act: Information Blocking & HIPAA; 3) Record Organization and Document Delivery; 4) Telehealth Auditing; and 5) Major Changes for Physician OP E&M Services in January 2021! What is the impact?
Topics include: 1)HIM to Diversity & Inclusion; 2) Artificial Intelligence in HIM and the Impact on Roles and Responsibilities of HIM Professionals; 3) Telehealth Guidelines During COVID-19; 4) 2021 E/M Changes; 5) Information Blocking and HIPAA: Road to Compliance; 6) HIM Workforce Training: Developing an Engaged Team; 7) Diversity of CDI Professionals is Vital to the Evolution of CDI; 8) FY2021 IPPS and How it Impacts Quality; and 9) Security – Rethinking Cyber-Security for the Post-Pandemic Workplace
Whether by the U.S. Congress or the Mississippi Legislature, there are many rules and regulations in place clearly defining the working relationship between Mississippi healthcare providers and health insurers. But one aspect of the relationship that is unregulated is the issue of what constitutes medically necessary care for purposes of health insurance reimbursement.
This webinar will describe the CDS role in managing clinical validation denials. Identifying and implementing generally accepted clinical guidelines in documentation and in appeals will be presented. Clinical scenario case studies will be presented to provide real life examples of successful clinical validation appeal arguments.
Acute blood loss anemia remains a target for both clinical and coding validation. This webinar will present current coding guidelines and clinical indicators for acute blood loss anemia. The difference between coding and clinical denials for malnutrition will be explained as well as the different appeal strategies.
Learn the differences between inpatient hospital and inpatient rehab facility coding and documentation. How you determine your Principal diagnosis, secondary diagnoses, episode of care, and procedures codes are not the same as for an inpatient hospitalization. Learn what an IRF-PAI is, what it represents, how to complete one, correctly; and the impact this can have on your revenue.
Attendees will learn about the current state of patient identity/matching and will come away with some core strategies to minimize challenges. Additionally, the benefits and challenges of implementing a Universal Patient Identifier (UPI) will be explored and the current state of national efforts regarding this initiative will be discussed along with how other countries have managed this model.
The Patient Drive Payment Model has changed the game for reimbursement in the Skilled Nursing arena. This presentation will discuss how reimbursement in a SNF works, how PDPM works, and how SNFs are adapting to this new payment geography.
With the challenges during the COVID-19 pandemic, hear from experts in the industry on how they managed through the challenges within revenue cycle and health information management functions to maintain and improve, outcomes, and financial performance.
Sessions include: 1) Role of the Clinical Documentation Specialist in the Management of Clinical Validation Denials; 2) Appealing Denials for Coding of BMI, Obesity, and Morbid Obesity; 3) Successfully Appealing Clinical Validation and Coding in Malnutrition and Congestive Heart Failure; and 4) Successfully Appealing Clinical Validation and Coding Issues in Acute Blood Loss Anemia
HIM professionals play a vital role in an organization’s revenue cycle. This session will provide attendees with the opportunity to learn about factors influencing revenue cycle and strategies for effectively managing revenue cycle challenges in healthcare.
This webinar will review what the provider, nurses, and dietary staff need to know to correctly document obesity on the front end to help prevent denials on the back end. Clinical scenario case studies will be presented to provide real life examples of successful obesity appeal arguments.