*Agenda subject to change
|HIM: Your High Impact Role in Powering the Revenue Cycle|
Shelly Cassidy, MS
Rural Med Management
- What is the revenue cycle
- Critical KPIs
- HIMs role in powering the Revenue Cycle
|The Late 90's Child Matures: Upcoming Changes to HIPAA and Information Privacy|
Michael Chase, JD, MHA, BSBA
Baird Holm, LLP
HIPAA has long meant job security for everyone in HIM, right? 2021 will not disappoint, and is on track to keep you all busy! This session will provide an overview of the recently proposed changes to HIPAA and the new information blocking rules, with an emphasis on the impact to the HIM department. The fast-paced program will also focus on other recent regulatory and enforcement actions that impact the worlds of HIM and data privacy and security.
David Devries, MS
Director of Health Data
Nebraska Hospital Association
|Inpatient Respiratory Procedures|
Dianna Foley, RHIA, CHPS, CDIP, CCS
|Coding Guidelines for CPT Preventative Medicine Visits|
Kelley Haddox, RHIT, CCS, NPB
|Practical Application to Office Visit Scenarios: 2021 MDM Table and Prolonged/Extended Service Codes|
Pam Koch, RHIA, CCS, CCS-P
Knowing the guidelines of the 2021 MDM (Medical Decision Making) Table for Office Visit level selection (99202-99215) is one thing. Applying them appropriately is quite another given Medicare’s developing interpretation of the table's elements. This presentation will illustrate application of the 2021 MDM Table when selecting an office visit level for sample office visit scenarios along with discussion of supporting documentation or lack thereof. Correct application of the prolonged office visit service code 99417 (for non-Medicare) and G2212 (for Medicare) will also be demonstrated.
Elizabeth Morgenroth, RHIA, CPC
Curator Health/Clarkson College
As healthcare systems continue to acquire hospitals, ambulatory centers, and professional provider organizations, they also seek to achieve economies of scale by combining like-functions such as revenue cycle operations. Implementation of enterprise practice management systems and health records can be a common catalyst for this organizational change. HIM managers can see this as a challenge or an opportunity.
The addition of professional coding into the HIM team offers managers several strategic opportunities to revolutionize the department in the following ways: utilizing professional and facility outpatient coders to assign charges and codes to encounters with both a professional and facility charge with a single touch; streamlining physician education and building stronger relationships with physicians through a single, unified message which encompasses the needs of the facility and professional coding worlds; leveraging the clinical knowledge of CDI professionals by expanding CDI programs to outpatient services and preparing for HCC coding.
HIM Directors may not be familiar with the needs and management of professional coding and physician organizations when they are added to the enterprise. Potential pain points include comfort level with facility charging and DRG, interfacing with physician organizations and with compliance professionals whose main focus is professional e/m services. Additional challenges include achieving a single, consistent, credible physician message for inpatient coding, inpatient and outpatient CDI, and professional fee coding, as well as determining which services are best "hard coded" vs. "soft coded."
Healthcare organizations should explore ways to maximize resources and leverage electronic tools for accurate charge capture and coding. Rather than using an evolutionary approach to organizational design, HIM professionals can be revolutionary and anticipate the needs of the organization before these changes occur so that they demonstrate value and vision for the enterprise. HIM departments will remain a fertile ground of critical thinkers who bring value to the organization regardless of placement.
|Get the Blood Flowing with Lower Extremity IR Coding|
Teresa Owen, RHIT, CCS, CIRCC
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!
Kay Piper, RHIA, CDIP, CCS
|Coders' Best Practices|
Kay Piper, RHIA, CDIP, CCS
|Hierarchical Condition Categories|
Malinda Stanley, RHIA, CCS
Karla VonEschen, CPC, CPMA
|AHIMA Update for the CSA|
Katherine G. Lusk, MHSM, RHIA, FAHIMA