AAHIM Coding Symposium

Friday, March 20, 2020

8:30 AM - 3:15 PM


Agenda

7:45-8:25am - Sign-In/Breakfast

 

8:25-8:30am - Welcome and Announcements

 

8:30-9:30am - Keys to Capturing and Validating 2020 CC/MCCs

William E. Haik, MD, FCCP, CDIP
1 CE - Data Structure, Content, and Information Governance

 

When to report and how to recognize a comorbidity or complication can challenge the savviest coding professional which can lead to under reporting of the severity of the patient's illness resulting in reduced hospital reimbursement or an inaccurate risk adjustment adversely impacting quality metrics. On the other hand, over reporting can lead to compliance problems. During the 1 hour presentation, William Haik M.D., F.C.C.P, CDIP, will cover the “General Rule” for reporting Other (Additional) diagnoses as well as the UHDDS Data set with applicable AHA Coding Clinic references. Additionally, Dr. Haik will provide a detailed clinical explanation or update clinical topics such as:

1. Acuity of DVT

1. Hypertensive crisis/emergency/urgency

2. Types of Heart Failure

3. Acute Tubular necrosis

4. Functional Quadriplegia

5. Acute Respiratory distress syndrome

6. Malnutrition

7. MI definition

 

9:30-10:30am - 2020 Clinical Update: Community-Acquired Pneumonia
William E. Haik, MD, FCCP, CDIP

1 CE - Clinical Foundations

 

During the next hour, Dr. Haik will provide the updated clinical definition of Community-Acquired Pneumonia that impact the clinical indicators for Gram-Negative Bacterial Pneumonia and Staph Pneumonia. Clinical indicators for Aspiration Pneumonia will also be discussed.

 

10:30-10:45am - Break

 

10:45-11:45am - Who's Looking at You - Current Contractor Reviews and Findings

Karen Northcutt, BS RN, COC
1 CE - Revenue Cycle Management

 

Objectives:

  • Know what topics are currently under review in your area by local and national review entities
  • Identify “at risk” topics for your hospital
  • Develop an active and robust review plan to proactively identify areas for documentation and coding improvement.

 

11:45-12:00pm - Lunch set up

 

12:00-1:00pm - National Correct Coding Initiative (NCCI) Overview

Karen Northcutt, BS RN, COC
1 CE - Revenue Cycle Management

 

Objectives:

  • Know what the initiative means and the reasons behind the NCCI
  • Know the basic rationale for specific NCCI targeted areas
  • Know the correct modifiers to use when faced with a procedure to procedure code pair edit
  • Understand the differences between CCI, MUE and frequency edits
  • Understand whose responsibility it is within the organization for application of modifiers

 

1:00-2:00pm - Getting Heart Smart
Jeff Gordon, RN, MSN, CCS, COC
1 CE - Clinical Foundations

 

Are we really as heart-smart as we should be? Just how much do we really know about cardiovascular health? “Getting Heart Smart”, deals with many of the factors and statistics associated with coronary artery disease. Having had a heart attack July 2019, the presenter will share his own personal experiences of how he was able to become more heart smart after surviving a 99% widow maker coronary artery blockage.

 

2:00-2:15pm - Break

 

2:15-3:00pm - Getting Heart Smart (continued)

Jeff Gordon, RN, MSN, CCS, COC
1 CE - Clinical Foundations

 

Are we really as heart-smart as we should be? Just how much do we really know about cardiovascular health? “Getting Heart Smart”, deals with many of the factors and statistics associated with coronary artery disease. Having had a heart attack July 2019, the presenter will share his own personal experiences of how he was able to become more heart smart after surviving a 99% widow maker coronary artery blockage.

 

3:00-3:15pm - Questions and Closing Remarks


Presenting

Jeffery Gordon, RN, MSN, CCS, COC

Jeff has worked in healthcare over 40 years, and for the past 15 years has worked at Medical Management Plus in Birmingham, Alabama as the Manager of Outpatient Medical Review. In this position, he is very involved with outpatient Medicare data analysis for the company's client hospitals, as well as coordination of outpatient compliance and coding proficiency reviews. Prior to coming to MMP, he worked in a variety of roles, including Infection Control, Quality Assurance, Hospital Business Office, Case Management, Infusion Therapy, Central Scheduling, and 10 years as an ICU nurse. He is a graduate of Chamberlain College of Nursing and also Grantham University Graduate School of Nursing. He holds a coding certification from both AHIMA and AAPC.

 

 

William E. Haik, MD, FACCP, CDIP

William E. Haik, M.D., F.A.C.C.P., C.D.I.P., AHIMA Approved ICD-10-CM/PCS Trainer, has practiced medicine in Fort Walton Beach, Florida since 1980. He has received board certification in internal, pulmonary, and critical care medicine. Dr. Haik's past professional accomplishments include: Chief of Internal Medicine, Director of Respiratory Care Services, Board of Trustees at his local hospital, President of the Okaloosa County Medical Society, and representative of the Government Liaison Committee for the American College of Chest Physicians.

 

Dr. Haik's coding background has included AHA's Editorial Advisory Board and Expert Advisory Panel of Coding Clinic for ICD-9-CM as well as participation in the preparation of the original AHIMA CCS and CDIP examinations. Additionally, he helped develop the Served on a multi-disciplinary committee for the development of the 2010, 2013, and 2019 AHIMA: Guidelines for Achieving a Compliant Query Practice and the 2018 AHIMA: Guidelines for Physician Office Query Practice

 

Dr. Haik's clinical documentation background has included serving on the original Board for the Association of Clinical Documentation Improvement Specialist and aided in the preparation of the first certification examination.

Dr. Haik's compliance background has included working as the final arbitrator for Medicare Part C MS-DRG determinations and as an expert consultant to the United States Department of Justice and presently serves on the Advisory Board of HCPro's Briefings on Coding Compliance Strategies.

 

Dr. Haik has conducted educational seminars and national teleconferences regarding physician involvement in DRG management, coding, and other related topics in association with HCFA (CMS), AHA, AHIMA, ACDIS, HCPro, and various state Quality Improvement Organizations (see list of Health Information Presentations).

 

Since 1988, he has served as the Director of DRG Review, Inc., a physician directed hospital coding consultative service. The goal of DRG Review, Inc. is to educate medical and coding staffs in medical record documentation and coding compliance.

 

Karen Northcutt, BS RN, COC

Karen M. Northcutt, BSRN, COC is the co – founder and Executive Vice President of Medical Management Plus, Inc. (“MMP, Inc.”), Birmingham, Alabama. MMP, Inc has been in business since 1989 providing healthcare consulting services. Prior to co-founding MMP, Inc., she was a registered nurse with experience in medical / surgical and urgent care nursing. Karen earned her bachelors degree in Nursing at the University of Alabama at Birmingham (UAB) in 1984.

 

Ms. Northcutt directs all revenue integrity services including charging, billing, clinical composition audits, HCPCS/CPT/ICD-10 coding, Charge Description Master Reviews, medical record documentation audits, UB04 audits and Corporate Compliance consulting projects. Ms. Northcutt has worked primarily with acute care facilities throughout the Southeast ranging in size from 35 to 902 staffed beds and representing not-for-profit, for-profit corporations, major teaching, general and tertiary provider status.

 

Ms. Northcutt assisted the Alabama Hospital Association in establishing and facilitating the Revenue Integrity Committee (RIC) in 2002. In this capacity Ms. Northcutt assists the Alabama Hospital Association in facilitating the statewide Revenue Integrity Committee in identifying common reimbursement issues and clarification of billing / documentation guidelines with Alabama's MAC, Palmetto Government Benefit Administrators (GBA), Medicaid of Alabama, Blue Cross Blue Shield of Alabama and select Medicare Advantage Plans. In this capacity as a provider representative, Karen presents issues and facilitates discussion and promotes resolution with representatives of the major payers in the state of Alabama.


Register

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For Group Registrations, please see the note below*.

 

 

*Please Note: You will enter Group Contact information on the first screen. Entering group contact information does not register you personally for the event. If you wish to register yourself and/or others as a participant you must complete a registration form by clicking on the Add Registrant button at the bottom of the Group Contact form.

 

Online registration will close at 11:59 PM CT March 17, 2020.

 

When you register online, you will have the option to pay by mail with a check or pay online with a credit card (AMEX, Discover, MasterCard, or Visa). You will receive two emails once you join – 1) a confirmation email and 2) a registration statement email which serves as your receipt (if you paid by credit card) or invoice (if you plan to pay by check).

 

If you are paying by check, make your check payable to KnowledgeConnex, include your invoice # that is on your registration statement email, and mail your check to KnowledgeConnex. The mailing address will be on the registration statement email.


Cancellation

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Click here if you need to cancel your registration or provide a substitute.


Continuing Education

CEUs: 6.0

 

During the week following the meeting, all paid attendees will receive an email with a link to the online evaluation and a CE certificate.


Pricing

Member: $135

 

Non Member: $135

 

Student: $50

 


 

Pricing Discounts

 

If 4 or more registrants from one facility register together on the same registration form, a 25% discount will be automatically applied.

 

Group discounts are only available when all registrants are registered at the same time, on the same registration.

 

Discounts are automatically reflected once four registrants are added to a single registration.


Location

Vestavia County Club

400 Beaumont Drive
Birmingham, AL 35216

 

205-823-2451

 

Website

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