WSHIMA Fall Institute

Friday, October 4, 2019

8:00 AM - 4:30 PM PT


Agenda

7:30 - 8:00 - Registration

 

8:00 - 9:30

 

 

Track 1 - In Patient Coding and CDI Improvement

 

PCS Coding: Back to the Basics

 

  • Discussion of the coding concepts that are unique to ICD-10-PCS codes.
  • Review PCS conventions and guidelines that lead to accurate code assignment.
  • Practice body part identification and approaches which still challenge many coders.
  • Review Case Studies that provide helpful hints to be used during the coding process.

 

Laura Legg
Strategic Solutions Director
BESLER

 

CEU: 1.5

 

Track 2 - Pro-Fee Coding and CDI Improvement

 

Building a Compliant OP CDI Program

Objective:
• Provide overview to participants of what an OP CDI
program entails
• Gives participants tools to create an OP CDI program
• Gives participants tools to do querying compliantly in
the outpatient setting

Dana L. Brown, MBA, RHIA, CHC
Reimbursement Management Consultants Inc. (RMC(+)
Gloryanne Bryant - Independent Coding Contractor

 

CEU: 1.5

 

 

Track 3 - Rise in Privacy - Privacy and Information Security

 

Assessing Privacy and Security Compliance

• Teach the audience the complex world of measuring privacy and
security regulatory compliance through the use of assessments.
• Inform the audience members of newer regulatory requirements,
including GDPR (General Data Protection Rule) and CCPA
(California Consumer Protection Act).
• Illustrate how audience members can perform these assessments.
• Show the end result of assessments, e.g. prioritized remediation
plans including policy creation and updates.
• Show how real world assessment and remediation processes flow
and operate.
• Demonstrate real assessment questions, illustrating the scope and
content of various assessments
• Inform the audience of real world case examples of the use of and
results from privacy and security assessments.

 

Kelly McLendon, RHIA, CHPS
CompliancePro Solutions, LLC

 

CEU: 1.5

 

9:30 - 9:45 - Break

 

9:45 - 10:45

 

Track 1 - In Patient Coding and CDI Improvement

 

The Crucial Role the Inpatient Coder Plays in the Success of the Clinical Documentation Improvement (CDI) Program

 

Discuss how to best mitigate the risk of missed opportunities by promoting collaboration between inpatient coding and the CDI Nurse Specialists

The Power of Assigning the Most Appropriate Principal Diagnosis – demonstrate the impact on relative weight, geometric mean length of stay, mortality rate and reimbursement

Explain why there is more to coding a case than just achieving a severity of illness (SOI) level 4 and a risk of mortality (ROM) level 4

Sharon Hartzel
Moss Adams LLP

 

CEU: 1.0

 

 

Track 2 - Pro-Fee Coding and CDI Improvement

 

 

Risk Adjustment/HCC Coding for Outpatient CDI and
Coding Staff

Gives participants overview of the Risk Adjustment Model
Gives participants knowledge of HCC code capture rules.
Gives participants tips in compliant documentation and code capture

Dana L Brown, MBA, RHIA, CHC
Reimbursement Management Consultants Inc. (RMC)
Gloryanne Bryant - Independent Coding Contractor

 

CEU: 1.0

 

Track 3 - Rise in Privacy - Privacy and Information Security

 

Information Security Risk Assessments and Cybersecurity Risks


Don't be the next headline breach story! Tips on accurate, through, organizational wide security rule risk analysis. What's beyond the security risk analysis required by HIPAA, discuss the NIST cybersecurity framework.

Cris Ewell, PhD
CISO University of Washington

 

CEU: 1.0

 

 

11:00 - 12:00

 

Track 1 - In Patient Coding and CDI Improvement

 

Inpatient Risk-Adjustment Coding, HCCs and Compliance

 

Gives participants overview of the InPatient Risk Adjustment Model
Gives participants knowledge of HCC code capture rules for InPatient services
Gives participants tips in compliant documentation and code capture

Nancy J. Andersen, MS, RHIA, CCS
Kaiser Permanente Health Plan and Hospitals

 

CEU: 1.0

 

 

Track 2 - Pro-Fee Coding and CDI Improvement

 

 

CDI Opportunities in Emergency, Observation, and Injection & Infusion Coding

 

Provides education on Emergency coding, and tips for improving documentation and code capture.
Provides education on Observation coding, and tips for improving documentation and code capture.
Provides education on Injection & Infusion coding, and tips for improving documentation and code capture.

 

Audience: Facility OP coders, Profee coders, CDI staff, Managers, all coding staff

 

Dana L Brown, MBA, RHIA, CHC
Reimbursement Management Consultants Inc. (RMC)
Gloryanne Bryant - Indipendent Coding Contractor

 

CEU: 1.0

 

Track 3 - Rise in Privacy - Privacy and Information Security

 

 

Washington Data Law's - impact on Privacy and Information Security

 

WA State law, CCPA, GDPR changes to SHB 1071, the impact of consent/release of information under HB 1874, awareness of the Washington's Uniform Parentage Act and the “near miss” of HB 1845 and SB 5376 (including what we might see in the next legislative session)

Zosia Stanley, JD
Washington State Hospital Association

 

CEU: 1.0

 

 

12:00 - 12:30 - Lunch (provided)

 

12:30 - 2:00

 

 

Track 1 - In Patient Coding and CDI Improvement

 

2020 ICD-10 CM Updates

 

Learn about the new diagnosis and procedure codes for FY20; Understand clinical concepts about the new codes; Learn the CC/MCC designation changes; Learn how to create an action plan for FY20

Laura Legg
Strategic Solutions Director
BESLER

 

CEU: 1.5

 

 

Track 2 - Pro-Fee Coding and CDI Improvement

 

Physician Compliance - How This Can Affect Coding


Overview of key laws/regulations governing physician compliance
Discuss government claims monitoring activities
Review publicly available information

Linda Heller, RHIA, CHC, CPC
CommonSpirit Health

 

CEU: 1.5

 

Track 3 - Rise in Privacy - Privacy and Information Security

 

The Landscape of HIEs; 21st Century Cures Act, Information Blocking and TEFCA - It's not just HIPAA anymore.


HIE Exchange - Impact to privacy. Discuss nationwide exchange as electronic health information across disparate health information networks to include understanding of the regulation landscape including AHIMA's recommendation and interpretation of the 21st Century Cures Act, including Information Blocking as well as Trusted Exchange Framework & Common Agreement TEFCA.

Chris Apgar, CISSP
Apgar and Associates

 

CEU: 1.5

 

 

2:00 - 2:15 - Break

 

2:15 - 3:15

 

 

Track 1 - In Patient Coding and CDI Improvement

 

Coding - Strokes

Linda Dawson
Providence Health System

 

CEU: 1.0

 

Track 2 - Pro-Fee Coding and CDI Improvement

 

2020 ICD-10 OPPS Updates

 

Learn about the new diagnosis and procedure codes for FY20; Understand clinical concepts about the new codes; Learn the OPPS designation changes; Learn how to create an action plan for FY20

Nancy J. Andersen, MS, RHIA, CCS
Kaiser Permanente Health Plan and Hospitals

 

CEU: 1.0

 

Track 3 - Rise in Privacy - Privacy and Information Security

 

HIPAA's Patient Right to Access PHI

One of the top five issues investigated by the Officer for 14 Civil Rights
(OCR)!

 

Debi Primeau, MA, RHIA, FAHIMA
President, Primeau Consulting Group, Inc.

 

CEU: 1.0

 

3:15 - 3:30 - Break

 

3:30 - 4:30

 

Track 1 - In Patient Coding and CDI Improvement & Track 2 - Pro-Fee Coding and CDI Improvement

 

Management of End Stage Liver Disease

Recognize the causes of cirrhosis
Describe the complications of cirrhosis and their presentation
Manage the treatment for the complications of cirrhosis

Anne Larson, MD FAASLD FACP AGAF
NW Hepatology - University of Washington Medicine

 

CEU: 1.0

 

Track 3 - Rise in Privacy - Privacy and Information Security

 

Successful Breach Mitigation Breach Risk Assessment Tool Key elements required in every organization.


Privacy and Security Incidents and breach methodology
Monitoring for breaches
Examination of the data elements associated with breach reporting and how these data elements can serve reporting for governance and how they can assist in breach mitigation.
Review of the breach determination elements provided by OCR
Review of the breach determination elements not provided by OCR that are vital to address

Kelly McLendon, RHIA, CHPS
CompliancePro Solutions, LLC

 

CEU: 1.0


Register

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Registration open through 11:59 PM PT October 1, 2019.

 

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

View Terms and Conditions

 

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


Continuing Education

CEUs: 7.0

 

During the week following the meeting, all paid attendees will receive an email with a link to the online evaluation. Once completed, you will have the option to download a CE certificate.


Pricing

WSHIMA Members $125.00

Non-Members $ 175.00

Students $75.00



Location

Four Points by Sheraton - Seattle Airport South

22406 Pacific Highway South
Des Moines, WA 98198

 

253-642-0100

Click here for directions