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Impact of Coding Guidelines on DRGs
August 17th, 2017 at 1:00-2:00 PM EST
Webinars On Demand
We have moved past webinars from December 2014 and prior to the Archives. Please visit that page to access.
Medicare Advantage (HCC) Documentation: Connecting Clinical and Coding Concepts for Endocrine and Pulmonary Diseases July 20, 2017 Coders and CDI staff are looking at the same elephant but from different ends: one holding the trunk, the other holding the tail. Dr. Taylor is both a clinician and coder, and understands the whole documentation elephant and will explain the differences and how to reconcile them. The Medicare HCC model is based on diagnosis capture of what is documented in the chart, and clinical indicators are necessary to support the code.
Medicare Advantage (HCC) Documentation: Connecting Clinical and Coding Concepts for Cardiovascular Diseases June 15, 2017 Coders and CDI staff are looking at the same elephant but from different ends: one holding the trunk, the other holding the tail. Dr. Taylor is both a clinician and coder, and understands the whole documentation elephant and will explain the differences and how to reconcile them. The Medicare HCC model is based on diagnosis capture of what is documented in the chart, and clinical indicators are necessary to support the code.
Minimize the Confusion behind Reporting Infusions and Injections May 18, 2017 It can be confusing to determine the appropriate code(s) for infusion and injection services. Even the basic terms, push/infusion/injection, may mean different things to the clinical staff and the coding staff. Time based services are inherently challenging and require precise documentation to support that you’ve met or exceeded the ‘mid-point.’ When it is about the why something was done (medical necessity) more than what was done, documentation can even challenge veteran staff.
Breathe Easy – Tips on Coding & Documentation for Respiratory Diagnoses & Services April 20, 2017 As we learn more about the application of ICD-10 codes, the guidelines created to assist in correct coding can still be seen as confusing to some. This webinar will offer simple strategies for assigning codes for these troublesome and ever changing coding areas of respiratory conditions and the treatment of those conditions, such as mechanical ventilation. Various coding scenarios will be reviewed.
March Medication Madness: Tying Together Use, Documentation, and Coding March 16, 2017 The information presented in this webinar will include an explanation of the medications most commonly associated with adverse drug events treated in EDs and hospitals along with the reported frequency and types of adverse events, most common manifestations, typical diagnostic work up and treatments associated with the adverse event and outcomes. The presenters will also review the proper use of the ICD-10-CM Table of Drugs and Chemicals to identify codes, pertinent coding conventions and sequencing guidelines , and where to find documentation in the patient’s record, as well as how and when to query the physician for clarification of an adverse event. The financial impact of adverse drug events in terms of MCCs, CCs, and MS-DRG assignment will also be demonstrated.
Matters of the Heart: ICD-10-CM/PCS Coding of Hypertension and Circulatory Procedures February 16, 2017 Over the last few months there were diagnosis and procedure guideline changes that impacted the coding of the diagnosis of hypertension and circulatory coding issues such as bypass grafts and advancement in technology for heart and vessel procedures. This webinar will offer simple strategies for assigning codes for these troublesome and ever changing coding areas.
Hospital Outpatient Prospective Payment System: 2017 APC Update December 15, 2016
This presentation provides the audience with a better understanding of the significant changes associated with the 2017 Medicare Outpatient Prospective Payment System (OPPS) final rule published in early November 2016. Participants will be able to incorporate the information into plans for their hospitals as indicated by the changes.
CY 2017 CPT® Update December 1, 2016
The New Year will once again ring in numerous changes for reporting medical services and procedures. Dozens of new codes reflect innovative technology and new services rendered. The revisions clarify the intent of codes as well as bundle frequently used component codes into new combination codes. Reporting time for moderate sedation and reporting dialysis maintenance will significantly change for services post January 1. This webinar will review these and all other changes that will impact coding and compliance in the New Year.
Distilling the Healthcare Acronym Jungle: Finding and implementing common ground among next generation healthcare reimbursement and quality systems November 17, 2016
This presentation attempts to distill the essence behind the mire of regulation and re-regulation that has occurred during the last 10 years in healthcare. While many courses provide a short primer on each new program, this session will look deeper into the commonalities between them, helping you create a more unified approach and communication message when managing or implementing next generation healthcare initiatives.
ICD-10-CM Coding for Inpatient Rehabilitation Facilities (IRFs) October 20, 2016
The webinar will provide an overview of diagnosis coding in the inpatient rehabilitation setting using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). The purpose of this presentation is to assist in understanding the correct coding practices for reporting diagnosis codes for inpatient rehabilitation facilities.
FY 2017 Changes to IPPS MS-DRGs and CMS’ Quality Programs September 29, 2016
This presentation will explain the IPPS changes for FY 2016, as well as the motivation and rationale. It will describe the changes and additions to the MS-DRGs, CC and MCC lists and the impact these changes will have case mix, coding practices and data reporting. It will provide an update on revisions to the measures in CMS’ various quality programs as well as refinements to scoring methodology used to determine rankings and financial incentives and penalties.
FY ICD-10-CM/PCS Update September 20 and 22, 2016 Coding for obstetrics and gynecology diagnoses and procedures has never been simple. This webinar will describe the coding and documentation details required to identify, report, and assign specific ICD-10-CM/PCS codes related to those services.
Congenital Anomaly ICD-10-CM/PCS Coding and DRG Implications July 21, 2016
Congenital Anomalies are most often identified within the first hours or days of life. For those conditions representing immediate threat to life and viability, a corrective or lifesaving procedure may be necessary within hours or days of birth. Other anomalies may represent functional or cosmetic conditions that may require corrective or restorative procedures over time, and may involve more than one procedure, such as prosthetic implants, and removal or relocation of tissue or organs as the individual grows. Due to the range and varying anomalies that may need surgical intervention, it is important to understand the structure and varied DRGs assigned from many different body systems.
ICD-10-CM/PCS Coding for OB/GYN June 16, 2016
Coding for obstetrics and gynecology diagnoses and procedures has never been simple. This webinar will describe the coding and documentation details required to identify, report, and assign specific ICD-10-CM/PCS codes related to those services.
Documenting, Coding, and Reporting Healthcare-Associated Infections (HAIs) Used in CMS’ Hospital Inpatient Quality Reporting (IQR) Program May 19, 2016
This webinar will describe the documentation details required to identify, report and assign specific ICD-10-CM/PCS codes and present on admission (POA) indicators for the health-associated infections (HAIs) CLABSI, CAUTI, SSIs, MRSA, and C.diff– used in Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting (IQR) and Hospital-Acquired Conditions (HAC) Reduction Programs. How the measures are defined and reported to the CDC and CMS will be explained along with the criteria for which cases to report. Information will be provided on where and how to access the specification manuals, training materials and reporting tools.
ICD-10-CM Diagnosis Coding for Home Health April 21, 2016
The webinar will provide an overview of diagnosis coding in the home health setting using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). The purpose of this presentation is to assist in understanding the correct coding practices for reporting diagnosis codes on the home health claim form, the home health plan of care, and on the Outcome and Assessment Information Set (OASIS) data collection tool.
CDI Issues Related to ICD-10-CM Mental & Behavioral Health Codes March 17, 2016
This webinar will focus on the clinical documentation issues related to the ICD-10-CM mental and behavioral health codes. Topics will include substance use induced disorders, dementia, delirium, encephalopathy, psychoses, mood disorders, schizophrenia, autism spectrum, posttraumatic stress syndrome and other stress and anxiety disorders. The presenter will review the codes and the documentation needed to assign specific codes, and provide example physician queries to assist in obtaining the needed documentation. The impact that the codes have on severity of illness scores and MS-DRG assignment for non-psychiatric, as well as psychiatric patients will also be discussed.
Basic Analysis Tool Kit to Balance the Impact of Documentation on PCS Productivity February 25, 2016
This webinar will focus on some of the top documentation issues for PCS that will affect coding specificity, the review process, and communication with providers to obtain procedure details. We will cover productivity or process issues concerning the following: How coders review the operative/invasive procedure documentation with an eye towards PCS; Examine the extensive code categories that sometimes include multiple components to completely describe a procedure; Review the increased numbers of procedure codes required to identify multiple explicit objectives for a procedure; Differentiated and detailed anatomy required for PCS coding accurary to prevent claim denials; Explicit procedural choices that differentiate approaches and detailed devices; Appropriate communication to obtain the details needed to code PCS comliantly.
Hospital Outpatient Prospective Payment System APC 2016 Update December 17, 2015
After the presentation, the participants will better understand the significant changes associated with the 2016 Medicare Outpatient Prospective Payment System (OPPS)final rule published in early November, 2015. Participants will be able to incorporate the information into plans for their hospitals as indicated by the changes.
CY 2016 CPT Coding Update December 01, 2015
Numerous changes have been made in throughout the CPT® code set for 2016. This webinar will highlight the latest revisions to the CPT® codes and guidelines for 2016 including added, revised and deleted codes and guidelines. Sections with the most significant changes for 2016 will be covered including: Prolonged E&M Services, Vaccines, Digestive, Pathology and Laboratory, Radiology and Radiation Oncology. The webinar will review the CPT® 2016 coding updates to provide a better understanding of the changes to coding or reporting requirements for physicians and outpatient sites of service.
Diving Into Case Mix Analysis November 19, 2015
This webinar will provide participants with tools and techniques that they can apply to define, analyze, monitor, and evaluate their hospital’s case mix. The components of case mix and factors that affect case mix will be described, along with which data are best for various types of case mix analysis, and which statistics are appropriate to use for different analytic goals. A case example will be reviewed to demonstrate how to investigate and assess the impact of case mix change using reports and graphs.
ICD-10-PCS Documentation and Coding for Spinal Procedures October 22, 2015
This webinar explains the important clinical terms needed to identify and differentiate the scope and objective of various types of inpatient and ambulatory spine procedures. It will review the difference between vertebral joints and bones. It will examine the terminology used for root operations, surgical approach and device placement. The impact on DRGs will be evaluated using different PCS codes for approaches, root operations, body parts, and devices.
FY 2016 Changes to CMS Programs Affecting Inpatient Payment: IPPS, MS-DRGs, and Quality Initiatives September 24, 2015
This webinar will help the participant understand the changes CMS is implmeneting that affect inpatient payment for FY2016 and how to incorporate the information into plans and activities leading to improvments in documentation, coding, and data collection and submissions in their hospitals.
Coding Common Joint Procedures Using ICD-10-PCS and the Impact on MS-DRG Assignment August 20, 2015
The webinar focuses on coding common joint procedures using ICD10-PCS. Procedures to be covered include: replacement, removal, revision, and fusion procedures on the hip, knee, ankle, elbow, and shoulder. The presenters will review the documentation needed, pertinent coding guidelines and steps required to select a code. The webinar will conclude with a brief explanation of the impact that the ICD-10-PCS procedure codes have on the MS-DRG assignment for these types of surgical cases.
Outpatient Diagnosis Coding Made Easy July 23, 2015
While significant preparation for the ICD-10-CM/PCS transition is underway for inpatient coders less is being said about outpatient ICD-10-CM coding. This presentation will break down similarities and differences between the ICD-9-CM and ICD-10-CM outpatient coding guidelines and highlight key areas of focus for outpatient coders to help with a smooth transition in October 2015. Specifically, this presentation will point out specific chapters that have the most significant changes to coding or reporting requirements for physicians and outpatient sites of service. Information will be broken down to include coding guidelines, anatomy & physiology, pharmacology, and code sets most affected by ICD-10-CM for outpatient coding. Suggestions will be given how to provide pinpointed, easy-to-understand education for outpatient coders.
Making the Code Cluster Connection for Complex ICD-10 Cardiac DRGs June 17, 2015
This webinar explains the important clinical terms needed to identify and differentiate the scope and objective of various types of inpatient cardiac and ambulatory procedures. It will review the components of the MS-DRG hierarchy for complex combination Cardiac DRGs. Examine the code cluster required to accurately assign DRGs and review terminology for core procedures, different approaches, techniques, and devices in the validation of cardiac DRGs.
CMS Hierarchical Condition Categories (HCCs): The Basics May 21, 2015
The webinar will provide background on how the Hierarchal Condition Categories (HCCs) were developed as a method of payment to Medicare (Part C) Advantage Plans, and how with the implementation of Affordable Care Act and the health insurance exchanges the use of HCCs will continue to rise. The presenter will explain which patients are being risk adjusted and how their combination of diagnoses codes, demographics, and other factors place them in a particular HCC. Examples of HCC tables and how to use them while performing risk adjustment coding will be provided, along with a step-by-step demonstration of the clinical documentation, coding and HCC assignment process.
Avoiding an MI when Coding Cardiac Catheterization and Percutaneous Coronary Intervention in ICD-10 May 14, 2015
An ICD-10 perfect storm is brewing, Hurricane PCI. The good news is that unlike many storms, we have plenty of advance notice about this one. However, evacuation is not an option, this means the only recourse is to prepare.
Coding Common Gi Procedures Using ICD-10-PCS and the Impact on MS-DRG Assignment April 2015
This webinar will focus on the coding of common gastrointestinal (GI) procedures using ICD-10-PCS. Procedures covered will include: colorectal surgery, laparoscopic procedures that are convered to open, colostomies, and lysis of adhesions. The webinar will conclude with a brief explanation of the impact of ICD-10-PCS procedure codes for these procedures have on the MS-DRG assignment of these types of GI cases.
ICD-10-PCS: Top reported Surgical and Non-Surgical Procedures March 2015
Across the country HIMA professionals share a common goal for when ICD-10 goes live: to be proficient in ICD-10 coding. Proficiency is accuracy and speed. ICD-10-PCS coding is more complicated than ICD-9-CM procedure coding so we need to make sure we are comfortable coding our most common procedures. This webinar will go through the top 30 reported procedures.
Building Confidence Coding with ICD-10-PCS: Coronary Artery Bypass Graft Procedures February 2015
This webinar provides information on ICD-10-PCS procedure coding for coronary artery bypass grafting (CABG) procedures. Learn the basic coding concepts and specific procedural coding guidelines. Then build your confidence by evaluating case studies for coronary artery bypass grafting procedures to ensure accuracy as well as efficiency.