8:30 - 9:30am

Warning, Warning, Healthcare Providers Fraud Alert

Carthenia Jefferson, Esq., RN

 

1.0 - Health Law and Compliance

 

9:45 - 10:45am

Common Inpatient Coding Errors

Joy King Ewing, RHIA, CCS, CCDS

 

Many coders & auditors today are still focusing primarily or only on coding issues that impact the DRG. In addition, as hospitals migrate to using CAC products, editing behind the CAC to correct errors and ensure data quality seems to be lacking. As a result, we see data accuracy & quality going downward rather than improving.

 

1.0 - Data Structure, Content, and Information Governance

 

10:45 - 11:45am

What is the Impact on Risk Adjustment, Revenue, & Data Quality?

Joy King Ewing, RHIA, CCS, CCDS

 

With the full implementation of Value-Based Purchasing by CMS, coding for risk adjustment has become a crucial part of reimbursement for hospitals. Many coders/hospitals are still not coding for HCCs (Hierarchical Condition Categories) and are missing out on capturing proper risk adjustment. This presentation will focus on common coding errors & data quality issues we see in auditing, as well as some discussion on how risk adjustment coding can impact reimbursement dollars.

 

1.0 - Revenue Cycle Management

 

 

11:45 - 12:45pm
Lunch

 

12:45 - 1:45pm

Outpatient Facility Infusion and Injection Coding

Rachel Mitchell, BSHIM, RHIA, CIC, COC, CPC, CRCR

 

• Introduction to infusions and injections in the Outpatient Setting
• Define different types of administrations and how they are given
• Documentation requirements
• Define documentation needed to support billing
• Bundled services
• Define what is included
• Coding and charging rules

 

1.0 - Data Structure, Content, and Information Governance

 

2:00 - 4:00pm

CPT Changes for 2023

Kim Huey, MJ, CHC, CCS-P, PCS, CPC, CPCO, COC

 

Overview of the CPT changes for 2023, including changes to the Evaluation and Management codes

• Describe the rationale for changes to Evaluation and Management coding
• Review coding by time versus medical decision making
• Discuss requirements for coding in each of the sites of service affected by the 2023 changes
• Outline changes in coding for anterior abdominal hernias
• Discuss coding for pulmonary artery and vein imaging and stenting
• Review the concept of Digital Medicine and the new coding options available
• Review other changes in CPT coding for 2023

 

2.0 - Data Structure, Content, and Information Governance

 

Carthenia Jefferson, Esq., RN

 

Joy King Ewing, RHIA, CCS, CCDS

 

Rachel Mitchell, BSHIM, RHIA, CIC, COC, CPC, CRCR

 

Kim Huey, MJ, CHC, CCS-P, PCS, CPC, CPCO, COC

Registration has closed. Onsite registration will NOT be available.