Session Descriptions

Mike Schlappi's thought-provoking keynote presentation challenges individuals of all ages that despite difficult circumstances, you can take response-ability and be empowered. His engaging presentations have entertained and inspired audiences worldwide. From students to chief executive officers, from the classroom to the board room, from rookies to Olympic athletes, from small gatherings to large corporate events, Mike shows audiences "If You Can't Stand Up, Stand Out!"

• What are the government's chief points of interest when it examines the activities of health care providers?
• What should your organization do to ensure it can stand up to the scrutiny of government investigators?

Learn how to achieve outpatient revenue integrity. This course features practical information including:

• An expanded version of Outpatient Prospective Payment System (OPPS) updates
• Changes CMS has in store for hospitals in 2012
• Tips for being prepared to meet challenges

Prepare for the 537 CPT^® coding changes in 2012! There will be 278 new, 139 revised, 98 deleted and 22 resequenced codes in 2012. This presentation will:

• Focus on codes not discussed in other specialty-specific sessions
• Provide an overview and explanation of added, changed, and deleted codes
• Prepare the coder to implement the code changes

The ICD-10 implementation is the most encompassing change since the Diagnosis Related Groups (DRGs) were adopted in 1983. This project is not just information technology or coding—it’s about processes and how we handle change. Attendees should be ready to discuss their plans and struggles regarding ICD-10 implementation. For example, do you know how many departments are impacted or if you are where you need to be? Join us for a reality check for your facility.

Trying to find the information you need to understand complicated regulatory information is cumbersome and time consuming, especially when you have to sift through multiple government sites. Learn how MedicalReferenceEngine.com can help you reduce time spent researching, enhance productivity, and maintain compliance. With access to current and historical regulatory content and a vast library of Ingenix publications and tools, your search will be easier and faster than ever before.

Don't leave your coding future to Lady Luck. Attend this session and learn how to use your ICD-9-CM coding skills to map to ICD-10 coding and be "ready and able" prior to October 1, 2013. Experience this dynamic training session that will:

• Help coding professionals become comfortable and proficient in converting to the ICD-10-CM and ICD-10-PCS coding systems
• Engage participants with hands-on ICD-10-CM and ICD-10-PCS mapping exercises

A continuation of Part I, this course provides information that can help you achieve outpatient revenue integrity including:

• An expanded version of OPPS updates
• Changes CMS has in store for hospitals in 2012
• Tips for being better prepared to meet challenges

This may be the most exciting decade yet for hospitals. The reform juggernaut continues with Medicare's inpatient updates for 2012. We will explore the most important new programs. Topics will include:

• Last big set of DRG changes before ICD-10
• The latest on casemix "creep" after MS DRGs
• Continuing adjustments for documentation and coding
• Major new quality initiatives
• Surprising results of Medicare's hospital acquired conditions programs
• Progress on ICD-10

Our mission is to form a network of users to share information, solutions, and their experience. As a current RevenueCyclePro.com user, you possess valuable insight and knowledge you can share with other users and with us; the RevenueCyclePro.com user group helps guide the direction of the product. Network with other users as we share product tips and shortcuts, new solution strategies, and user success stories that will help you maximize your investment.

Each year, the HHS Office of Inspector General (OIG) presents a detailed plan of its work for the following year, providing the public with a glimpse into the issues that the government is most concerned about. Health care professionals who familiarize themselves with the content of the OIG Workplan gain a wealth of information and insight on which risk areas they should closely examine in their own facilities.

This course will answer the questions:

• What are the government's chief points of interest when it examines the activities of health care providers?
• What should your organization do to ensure it can stand up to the scrutiny of government investigators?  

In October, the World Health Organization (WHO) will publish the 2012 update for ICD-10-PCS. Join us for a discussion on new, revised, or deleted codes and ICD-10-PCS index changes as well as

• New files, which may include:
• MDC 6 of MS-DRGs Definitions converted to ICD-10 codes
• ICD-10 Reimbursement Mappings
• PCS Final Addenda for 2010
• ICD-10-PCS Body Part Key
• Updated files, which may include:
• ICD-10-PCS to ICD-9-CM General Equivalence Mapping (GEM)
• ICD-9-CM to ICD-10-PCS GEM
• ICD-9-CM to ICD-10-PCS GEM Documentation and User’s Guide

Increase your clinical coding skills by understanding how the changes to
ICD-9-CM diagnosis codes will affect your coding processes. This in-depth presentation provides you with details concerning the practical application of the new and revised diagnosis codes and coding instruction. Make sure you understand the impact on your coding practices and your bottom line by attending this session which will focus on:

• The rationale for the new and revised diagnosis codes
• How changes in the instructional notes will affect coding
• What everyone needs to know about using the new diagnosis codes correctly
• An overview of official coding guideline changes

Prepare for the 537 CPT^® coding changes in 2012! There will be 278 new, 139 revised, 98 deleted and 22 resequenced codes in 2012. This presentation will:

• Focus on codes not discussed in other specialty-specific sessions
• Provide an overview and explanation of added, changed, and deleted codes
• Prepare the coder to implement the code changes

2012 may bring several hundred CPT^® and HCPCS code revisions, many of which will be generated from the chargemaster. This information-packed program will focus on updating the facility’s chargemaster for 2012, reporting requirements, and new challenges facing hospitals. In addition, the course:  

• Provides a crosswalk of deleted codes to new replacement codes
• Offers recommended revenue code assignment
• Reviews new CPT^® and HCPCS codes for pharmacy, radiology, laboratory, rehabilitation services, and other ancillary departments reporting services provided from the chargemaster

This presentation will provide an overview of the ICD-10 MS-DRG methodology and will discuss how some seemingly harmless coding differences may have a significant effect on reimbursement. The following will also be reviewed:

• Changes to MS-DRG definitions
• The impact of code clusters
• Differences in CC/MCCs

Medical necessity is vital, but what happens if the history is lacking? The mysteries of the history component will vanish with this eye-opening session that provides answers to questions such as:

• What elements of the history should be detailed?
• What can be done if we can’t get history elements?
• What makes a history complete?

In this session, we will explore updates to HCPCS Level II codes for 2012. The Health Insurance Portability and Accountability Act (HIPAA) requires these codes for Medicare and all third-party payers for reporting and reimbursement of supplies, drugs, and some professional services. Attendees will:

• Learn about new HCPCS codes and their regulatory changes and associated policies
• Get introduced to reimbursement policies applicable to the new codes
• Discover more about the 2010 RBRVS and CMS mandates from the November Federal Register

A continuation of Part I, in-depth continuation of the 2012 CPT^® and HCPCS code revisions will be reviewed, offering attendees more time to review new, deleted, and revised codes impacting the chargemaster. Part II will also continue with the discussions for:

• Pharmacy, radiology, laboratory, rehabilitation services
• Other ancillary departments reporting services provided from the chargemaster

Each year, CMS adds more procedure codes for the acute care setting. These new and revised ICD-9-CM Volume 3 procedure codes represent not only new technologies, but also further differentiate between existing codes and other related services. This session will provide information related to:

• New procedure codes, the documentation required for assignment, and each code’s effect on DRG assignment
• Movement of procedure codes among DRGs, the effect on reimbursement, and how to assess the total facility impact, particularly for high-volume procedures
• Clinical background for each new procedure code, including what coders should expect to see in physician documentation and specific strategies to differentiate between similar services
• New and revised procedure codes that may be considered “non-OR procedures” and may be performed in areas other than the operating room but that affect DRG reimbursement

Because the ICD-10 implementation will impact physician offices in many ways, a variety of aspects regarding the implementation should be discussed. If you haven’t started yet, you are behind. Join us to get answers to questions including:

• What will happen to my superbills?
• Won’t the vendors handle this implementation?
• When do I need to begin my implementation?
• Are you talking about ICD-10 training?

Our mission is to form a network of users to share information, solutions, and their experience. As a current EncoderPro.com user, you possess valuable insight and knowledge you can share with other users and with us; the EncoderPro.com user group helps guide the direction of the product. Network with other users as we share product tips and shortcuts, new solution strategies, and user success stories that will help you maximize your investment.

Increase your clinical coding skills by understanding how the changes to
ICD-9-CM diagnosis codes will affect your coding processes. This in-depth presentation provides you with details concerning the practical application of the new and revised diagnosis codes and coding instruction. Make sure you understand the impact on your coding practices and your bottom line by attending this session which will focus on:

• The rationale for the new and revised diagnosis codes
• How changes in the instructional notes will affect coding
• What everyone needs to know about using the new diagnosis codes correctly
• An overview of official coding guideline changes

Your transition plan has been developed. Your course of action—well mapped. Did you include managing regular updates to the code set into your plan? ICD-10-CM is still a work in progress and will continue to change and evolve just as ICD-9-CM has for decades. So begin to manage the code set changes before the system goes live and be one more step ahead of the curve. Join me to review:

• New/revised ICD-10-CM diagnosis codes
• Revisions to the coding guidelines and their impact on coding practices
• Rationale, case examples, and the impact on documentation processes

Conquer the Darth Vader of coding. In this session, we will review the 1995 and 1997 guidelines to determine which situations warrant utilizing which guideline. In addition, we will take into account individual specialties and the impact on the exam elements.

Our mission is to form a network of users to share information, solutions, and their experience. As a current ChargemasterExpert.com user, you possess valuable insight and knowledge you can share with other users and with us; the ChargemasterExpert.com user group helps guide the direction of the product. Network with other users as we share product tips and shortcuts, new solution strategies, and user success stories that will help you maximize your investment.

Computer-assisted coding (CAC ) can provide opportunities to enhance coder productivity, accuracy, and revenue integrity. When ICD-10 goes into effect in just two years, CAC will play a critical role for a successful conversion. However, many challenges can impact the path to making the right decision and timing on implementing CAC . In this session, you will learn how to strategically approach each of the obstacles in your process, the timing for each one of these decisions, and how to best evaluate CAC technology to ensure the maximum return on investment.

This final session will bring us together to go over the areas of impact for practices with ICD-10 and will show where attention is needed now. Attendees will learn:

• Where to begin to prepare now
• Documentation readiness
• Clinical impacts to ICD-10

This workshop is designed to prepare and train individuals for the transition from ICD-9-CM to ICD-10-CM and ICD-10-PCS. We will focus on the basic fundamentals of each code set, including the structure and conventions and guidelines with specific chapter and section overviews, emphasizing what is the same and what is different. We will also demonstrate how to apply the guidelines to case scenarios to reinforce the concepts presented. This is a must-attend session for those that must be fully knowledgeable in the code set or are responsible for training others. Strong ICD-9-CM skills and knowledge is a prerequisite to the course.

Part One

1. Introduction and status of ICD-10-CM and PCS drafts
2. ICD-10-CM overview and structure
3. Focus on 7th character and placeholder concepts
4. Coding conventions and guidelines and how they differ from ICD-9-CM
5. Chapter overview with emphasis on those with new concepts and those that are different from ICD-9-CM
6. ICD-10-CM case studies and wrap-up

Part Two

1. ICD-10-PCS overview and structure
2. Coding conventions and guidelines how they differ from ICD-9-CM
3. Using the index and constructing codes from the tables
4. Medical and surgical section overview
5. Root operation definitions and application emphasizing terminology differences from ICD-9-CM
6. Overview of medical/surgical-related section
7. Review of the ancillary sections ICD-10-PCS case studies and wrap-up

Medicare isn't the only payer performing practice audits. It's only a matter of time before your practice and/or facility are faced with more commercial payer scrutiny. But that doesn't mean you need to panic. Get to know what payers look for, how you can prepare for an audit, and your timeline for responding to payer requests for billing information. Understand the audit process and you'll be ready when your payer(s) come knocking.

With an ever-growing list of RAC-targeted MS-DRGs and a host of coding compliance traps that continue to haunt coders and facility billing staff, narrowing down topics to audit internally is no easy task. Where does one even begin?

This seminar will focus on the identification of vulnerable areas in your facility, both hospital and physician.

Attendees will gain a thorough understanding of:

• Affordable Care Act of 2010
• Data mining in health care
• What agencies have their eye on you
• Prepayment vs. post-payment reviews
• Medicaid RAC Proposed Rule
• Potential financial impact
• High risk areas in your hospital