The PDGM summits have come and gone. You have questions. Outsourcing coding isn’t necessarily the only or best option for your agency, but “free” webinars and trainings often just push their own product. No worries, we got you. Get outside that box. See what the Alliance has to offer your agency on coding.
Home health coding will be critical to your agency’s bottom line under PGDM
CMS’s Patient-Driven Groupings Model (PDGM) will dramatically change the Medicare payment methodology for home health. It is essential that primary and secondary diagnosis codes accurately reflect the patient’s condition because this will impact their clinical groupings and co morbidity adjustments. Accurate and complete coding will be critical to how your agency is reimbursed.
Prepare. Train. Repeat.
Coder education programs have evolved to commensurate with changes to ensure staff are well prepared for a demanding—and dynamic—work environment. How up to date in your team? We have 3 trainings this year to get your team on the right path.
Learn more about the programs, then register online.
Every Medicare Home Health Agency must carve its own path to the new payment model and proper training and preparation is absolutely the best way to make the transition smooth and successful. An agency not prepared for PDGM is not prepared for the future.
It all starts with OASIS.
Fundamentals of Coding 101
- Understand the five steps to correctly assign ICD-10 -CM Codes.
- Explore coding conventions necessary for proper code assignment.
- Identify how to code specific diagnostic areas.
Coding and Its Impact on Reimbursement
- Learn how to choose the primary & other diagnoses using ICD-10-CM & OASIS guidelines
- Review OASIS M items that relate to coding including inpatient diagnosis (M1011), primary diagnosis (M1021) & other diagnoses (M1023).
- Discuss the proper sequencing of diagnoses and gain a basic understanding of case mix diagnoses
Understanding Common Diagnostic Areas – Where Coding Mistakes Occur: Part 1
- Identify how to code specific diagnostic areas
- Neurological Diagnoses;
- Circulatory Diagnoses
- Identify common areas where coding errors cause loss of revenue (both sessions 3 & 4)
Understanding Common Diagnostic Areas – Where Coding Mistakes Occur: Part 2
- Identify how to code specific diagnostic areas
- Wounds & ulcers
For staff new to coding we offer a 4-part series specifically designed for new coders.
Clearly there will be big changes in 2020. This webinar goes beyond providing your staff with the code changes for October 1st and combines the impact to home health case mix as well as a review of the coding guideline changes. Join us for practical advice and Test Your Knowledge Cases highlighting the changes.
- Identify the coding changes that affect home health & hospice
- Determine which codes now require greater specificity
- New cannabis use & dependence codes
- New codes added for cerebral infarction
- Learn the extensive additions to Chapter 2 Neoplasms which affect home health & hospice patients
- Major revisions to Chapter 19 Injury, Poisoning and Other certain other consequences of external causes including post-operative infections (T81) which are expanding from 3 codes to 15 options; sepsis following procedure; additional drug poisonings
- Changes to therapy diagnosis coding such as Muscular Dystrophy; myalgia
- Updates to abscess of the anal & rectal regions
- Review changes to case mix diagnoses that may affect reimbursement
- Review updates & changes to coding guidelines effective October 1, 2018
- Discuss Test Your Knowledge cases to illustrate the new coding changes
Our most popular webinar every year is Joan’s FY Coding Update. Get the whole team ready and looking forward to the new year with this 90-minute presentation.
THURSDAY, OCTOBER 3, 2019- INTERMEDIATES ONLY!
Level: Staff with a least 1 years’ experience in coding or experienced credentialed coders
Continue to master ICD-10-CM by utilizing your critical thinking skills with this fast paced class designed for the person who is experienced in coding. Test Your Knowledge scenarios will be presented and time provided for you to code and gain more proficiency. Accurate and complete coding will be essential for home health for timely claims adjudication and decreased requests for additional documentation. Monies are easily lost due to incorrect or incomplete coding. An average coding mistake can cost an agency between $300 to $1,800 per episode per patient. An investment in this class ensures better coding compliance.
-Receive 8 CEUs-
*ATTENDEES MUST BRING THEIR ICD-10 CODING MANUAL*Register for onsite Intermediate Coding 10/3/2019 8- 4:30 pm
For those who have been doing this a while, but want to dive a little deeper, we have a full day, onsite intensive Intermediate coding session.
Joan has a degree in Health Information Management and has been a home health consultant for over 30 years. She has educated more than 20,000 people in nationwide on coding. Joan is past president of the Massachusetts Health Information Management Association (MaHIMA) and active member of the American Health Information Management Association (AHIMA). Usher is a Board of Director of Hospice & Palliative Care of MA and a past Board of Director Home Care Alliance of MA.