Tuesday, April 26, 2022
General Session
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9:00 AM - 10:00 AM, MDT
| 1.00 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
GS1: Operationalize CDI Implementation | PANEL
Donna Malone, CPC, CRC, Approved-Instructor; Kristen Viviano, CPC, CRC; Samuel Le Church MD, MPH, CPC, CRC, CPC-I; Paula Digby, CPC, CPC-I
This panel consisting of industry experts will answer all your CDI questions focused on the best ways to Implement a CDI program. They will share their stories of success as well as hurdles. Come with all your questions ready!
General
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10:00 AM - 10:15 AM, MDT
EH1: Break
Breakout Session 1
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10:15 AM - 11:30 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 1A: Intro to Outpatient CDI
Colleen Gianatasio, CPC, CPCO, CPC-P, CPMA, CRC, CPC-I
Outpatient CDI is the hottest new topic in the business of healthcare today! This session will discuss how outpatient CDI differs from previous approaches to improving documentation and coding. Participants will learn some do's and dont's of provider engagement and a comprehensive understanding of how to compliantly query a provider. This will be an energetic discussion of this exciting new field so be prepared to interact and share your experiences and ask questions!
10:15 AM - 11:30 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 1B: Pathophysiology of Heart Disease
Sharon Jane Oliver, CPC, CDEO, CPMA, CRC, Approved-Instructor
Heart disease is the biggest killer in women above cancer. Everyone can be impacted by heart conditions that we are either born with (congenital) or developed due to lifestyle (acquired). This presentation will address the top recorded diagnoses pertaining to heart disease, and how that respective disease, when first diagnosed, progresses. What steps can be taken by the plan of care at the patients participation in compliance with the provider to correct the condition. How are the other organ systems impacted?
General
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11:30 AM - 12:30 PM, MDT
EH2: Lunch Break
Breakout Session 2
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12:30 PM - 1:45 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 2A: Define Goals and Standards of CDI and What to Include in Processes and Risk Areas
Paula Digby, CPC, CPC-I
We all know that documentation is the foundation of coding, coding (with charge capture) is the primary basis of billing and billing is the requirement of payment. However, payment logic seems to get more complex and payers more difficult leaving providers challenged to obtain and maintain accurate payment. Looking at the revenue cycle and the role of CDI, you very quickly see its’ importance and that running an effective, efficient CDI program can greatly support the services provided and protect the payment once received. CDI is imperative to ensuring payment accuracy, documentation compliance and building a defense for the care provided and payment received even before questioned. That said, without understanding the goals and standards expected, it leaves a provider open to miss direction and miss steps. Join in this session as we discuss CDI goals and standards as well as key processes and risk areas.
12:30 PM - 1:45 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 2B: Pathophysiology - Sepsis
Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I
Sepsis is a tricky diagnosis to assign based on sketchy documentation, multiple providers with their hands in the chart and ever changing clinical criteria.
This session will explain the pathophysiology behind Sepsis, Outline current acceptable clinical parameters and do a deep dive on ICD 10 CM code assignment.
Sepsis codes to one of the highest paid DRGs making it a favorite for auditors looking for overpayments.
General
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1:45 PM - 2:15 PM, MDT
EH3: Break
Breakout Session 3
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2:15 PM - 3:30 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 3A: Engaging Providers for CDI
Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, Approved-Instructor
Getting providers to engage on CDI efforts can be a struggle if you are not armed with the right tools. In this session, we will learn about:
1. Differing communication styles
2. How to use the right tools/mechanisms for effective communication
3. How to drive with the RIGHT data for optimum engagement
2:15 PM - 3:30 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 3B: Advance Coding: Diabetes
Colleen Gianatasio, CPC, CPCO, CPC-P, CPMA, CRC, CPC-I
Diabetes is a chronic condition that negatively impacts the lives of millions. Participants of this interactive session will leave with an understanding of how diabetes impacts patient care and healthcare resource expenditures. They will receive a detailed overview of critical diabetes coding guidelines and Coding Clinic guidance. Participants will learn common documentation and coding challenges and opportunities.
General
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3:30 PM - 4:00 PM, MDT
EH4: Break
Breakout Session 4
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4:00 PM - 5:15 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 4A: Documentation – It's Not Just for Coding
Kelly A Shew, CPC, CPCO, CDEO, CPB, CRC, Approved-Instructor
Let’s be honest – we all know clean and clear documentation is important for billing, right? But why else is thorough documentation needed? Join us as we discuss documentation standards for these reasons, some of which include:
- Patient safety and quality of care
- Education opportunities
- Reduction in risk management exposure
4:00 PM - 5:15 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 4B: Impact of COVID on CDI and How to Prepare for Future Disruptions
Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I
During COVID and during the duration of other emergencies, well-hewn contingency plans and attention to government guidance can make all the difference. Whether we are talking about pandemics, natural disasters, or political upheavals, it's a fact that major shifts in our reality lead to major shifts in our operations as well as our ability to connect with patients or provide and document medical services compliantly. This session will discuss how COVID affected compliance in documentation and coding, and learn from our COVID response how to be better prepared during the next event. We will also look at weather emergencies, and how we need to prepare our medical communities for outages or floods.
Wednesday, April 27, 2022
General Session
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9:00 AM - 10:15 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
GS2: How to Become a CDI – Coder to Auditor to CDI | PANEL
Angela B Clements, CPC, CPMA, CEMC, CGSC, COSC, Approved-Instructor; Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Kimberly Garner Huey, COC, CPC, CPCO; Sandra Kay Giangreco Brown, RHIT, Approved Instructor, COC, CPC, CPC-I, COBGC
Are you at a crossroads in your career? Are you thinking of how you can “up your game”? This panel session will focus on how and when to take your skills to the next level. How to know if you are comfortable and ready to review provider documentation with a new set of “eyes”? Bring your questions and thoughts about entering the detailed world of clinical documentation improvement and find out how this adds a unique edge to auditing and education.
General
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10:15 AM - 10:30 AM, MDT
EH5: Break
Breakout Session 5
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10:30 AM - 11:45 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 5A: Compliant Provider Queries
Melissa Kirshner, CPC, CDEO, CRC, CPC-I, CFPC
It happens. We have to query our providers to clarify documentation for correct coding. But do you know how to format a correct query? What makes the query correct?
In this session:\
- Learn what a compliant query is
- Review examples of incorrect and ineffective queries
- Develop education strategies for your providers
10:30 AM - 11:45 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 5B: Oncology Diagnosis Coding
Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC
Learn methods of exploring strategies for open communication and partnership between provider, coder, and CDI professional. Identify common diagnosis related denials for this specialty. Learn how to best navigate the clinical coding ambiguities surrounding the “history of” versus “active” disease. Learn how documentation impacts research initiatives, reimbursement, readmission rates, quality measures, risk adjustment, and physician profiles. We will also review some of the most common diagnosis queries and how to strengthen provider engagement for improved outcomes.
General Session
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11:45 AM - 12:45 PM, MDT
| 1.00 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
GS3: Networking Lunch
Join us for Networking Lunch while we give out some great prizes!
Breakout Session 6
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12:45 PM - 2:00 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 6A: CDI for Lesions and Repairs
Kelly A Shew, CPC, CPCO, CDEO, CPB, CRC, Approved-Instructor
As with any other procedure, accurate documentation for dermatologic procedures is key to capturing the full picture of services that were provided. This is an area with many requirements for complete documentation and many of them are easy to overlook. This session will review documentation requirements for diagnosis and procedure coding for:
- Layers, sizing, and complexity of wound closure
- Lesion biopsies and removals
- Multiple procedures and global periods
12:45 PM - 2:00 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 6B: CAC and Impact of Clinical Documentation
Christine Hall, CPC, CPB, CPMA, CRC, CPC-I
• Define uses of CAC
o What is its purpose?
o How does it work (examples would be nice)?
o What are the pros/cons?
• Explore how to leverage EMR tools/templates/macros in a compliant manner
o Best practices/advantages (especially to clinicians)
o Disadvantages – Upkeep/maintenance; cloned/carry-forward documentation
o Compliance and education
• Discuss how coders/CDI can work alongside CAC
o Impact on coder/CDI productivity/accuracy
o Is there a threat to coder/CDI jobs?
o Audit implementation for CAC
General
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2:00 PM - 2:30 PM, MDT
EH6: Break
Breakout Session 7
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2:30 PM - 3:45 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 1 - 7A: Documentation to Support 2021 E/M Guidelines and other E/M Services
Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC
1. Explain how Clinical Documentation has an impact on the completeness of the patient medical record
2. Show how proper Clinical Documentation is directly correlated to the correct selection of the level of service
3. Educate on how to incorporate Clinical Documentation into an audit for any evaluation and management service
4. Explain how missing Clinical documentation can have an impact on correct diagnosis coding
2:30 PM - 3:45 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
Track 2 - 7B: Top 10 DRGs for Conditions
Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC
CDI is all about the integrity of documentation, but let us keep in mind proper documentation aids in ensuring proper reimbursement. Facilities should pay close attention to the conditions that drive the highest DRGs. Payers are undoubtedly doing this through their clinical validation processes. Conditions and procedures such as sepsis, heart failure, and joint replacements to name a few have attached relative weights of significant value. Providers need to be aware of documentation that is required to not only support, but also validate the conditions they are treating. This session will cover some CDI practices that will help bolster documentation for top DRGs.