HomeWebcastDisease Coding System Standards (ICD-10): Important Changes You Need to Know and Inpatient Audit Focus Areas to Ensure Compliant Coding Practices
Disease Coding System Standards CLE/CPE CLE

Disease Coding System Standards (ICD-10): Important Changes You Need to Know and Inpatient Audit Focus Areas to Ensure Compliant Coding Practices

Live Webcast Date: Tuesday, May 24, 2016 from 10:00 am to 12:00 pm (ET)
Healthcare CLE & CPERecording

Disease Coding System Standards CLE/CPE

Join us for this Knowledge Group Disease Coding System Standards CLE/CPE Webinar. The U.S. Department of Health and Human Services (HHS) released the final rule mandating that ICD-10 be used for medical coding of conditions for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA). In October 2015, ICD-10, which replaced its 30-year-old predecessor, ICD-9, is the World Health Organization’s International Classification of Diseases (ICD) coding system. The Clinical Modification Codes (ICD-10-CM) are used to classify disease and condition diagnoses while the Procedure Coding System (ICD-10-PCS) is used to classify medical procedures for in-patient settings. ICD-10 comprises 68,000 diagnostic codes in contrast to 13,000 in ICD-9.

All medical practices must be compliant with the new codes to be reimbursed for patient care costs. Payers, billing services, clearinghouses, and all other entities covered by HIPAA will need to comply with ICD-10.  Coding changes include consideration of the severity of conditions.

These codes represent a significant change from ICD-9 and have wide-reaching and serious implications for non-compliant organizations. A June 2013 survey by MGMA reported that 70% of respondents were very concerned about the new changes and almost 60% reported that coding will be much more difficult.

The implementation of ICD-10 affects physician’s practices, hospitals, payment companies, billing and coding organizations, legal services, and compliance and regulatory affairs. It is essential that your company and staff have the expertise, technology, and training required to meet the new legal requirements of ICD-10. Our panel of skilled practitioners will review the changes in the disease coding regulations, and will highlight key risk areas found from initial audits of ICD-10 inpatient records.

  • ICD-10 Overview
  • ICD-9-CM and ICD-10-CM Compared
  • Inpatient Audit Results
  • ICD-10-CM Diagnosis Coding Risks
  • ICD-10-PCS Procedure Coding Risks

Agenda

SEGMENT 1:
John C. Kreamer, Managing Partner
Kreamer Law Group, LLC
  • Opening introductory overview – comparing here we were and where we are and how we arrived at this point.

SEGMENT 2:
Ben Sayabovorn, Manager
Provident Consulting
  • ICD-10 Overview
  • ICD-9-CM and ICD-10-CM Compared
  • Inpatient Audit Results
  • ICD-10-CM Diagnosis Coding Risks
  • ICD-10-PCS Procedure Coding Risks

SEGMENT 3:
David McCann, Managing Director
Berkeley Research Group, LLC
  • Recommendations on facilities – ongoing auditing issues
  • Key findings in doing this kind of work – compliance and coding

Who Should Attend

  • DRG coordinators
  • Internal auditors/RAC coordinators
  • Health information management (HIM) directors
  • Managers and coding supervisors
  • Clinical documentation improvement and (CDIS) specialists.

Disease Coding System Standards CLE/CPE

SEGMENT 1:
John C. Kreamer, Managing Partner
Kreamer Law Group, LLC
  • Opening introductory overview – comparing here we were and where we are and how we arrived at this point.

SEGMENT 2:
Ben Sayabovorn, Manager
Provident Consulting
  • ICD-10 Overview
  • ICD-9-CM and ICD-10-CM Compared
  • Inpatient Audit Results
  • ICD-10-CM Diagnosis Coding Risks
  • ICD-10-PCS Procedure Coding Risks

SEGMENT 3:
David McCann, Managing Director
Berkeley Research Group, LLC
  • Recommendations on facilities – ongoing auditing issues
  • Key findings in doing this kind of work – compliance and coding

Disease Coding System Standards CLE/CPE

Disease Coding System Standards CLE/CPE

John C. KreamerManaging PartnerKreamer Law Group, LLC

A long time Naperville resident, John chose to base his firm out of his hometown.  With his diverse background and over 15 years of experience in the legal field, John brings a wealth of knowledge to the practice and leads his team to tremendous success. John graduated Cum Laude with a B.A. from Coe College in Cedar Rapids, Iowa.  This Outstanding Pre Law Student went on to attend and graduate from DePaul University College of Law in Chicago.  There, John made the Dean’s List and was named an Outstanding Pre-trial Civil Litigation Student. Upon entering the practice of law, John continued to seek professional accolades. He is the Chairman of the DuPage County Bar Association Health Law Committee. He became a Certified Arbitrator in 2009, enabling him to successfully conduct countless arbitrations.  John is a licensed attorney in the State of Illinois and authorize to practice before the United States Federal District Court for the North District of Illinois.  He is a member of the American Bar Association, the Illinois State Bar Association, and the DuPage County Bar Association.

Disease Coding System Standards CLE/CPE

Ben SayabovornManagerProvident Consulting

Ben has over 10 years’ experience with health information management, inpatient coding, and clinical documentation improvement.  He was the ICD-10 Education Workstream lead for multiple large hospital systems across the U.S where he developed and implemented ICD-10 education for providers, coders, nurses, and other hospital staff. He currently specializes in CDI implementations, inpatient auditing, and physician education.  Prior to joining Provident (formally a part of Huron), Ben was an Associate Director at Navigant where he was a project manager and lead trainer for various clinical documentation improvement program implementations and an inpatient auditor utilizing the MS, AP, and APR DRG methodologies.

Disease Coding System Standards CLE/CPE

David McCannManaging DirectorBerkeley Research Group, LLC

David McCann is a Managing Director in the Clinical Economics practice at BRG where he specializes in providing coding, documentation and data analysis services to health care providers. His 20 years of consulting experience span a variety of areas, including inpatient and outpatient coding, MS-DRG and case mix analysis, physician documentation, compliance, and medical necessity reviews.  He has spent an extensive amount of time implementing Clinical Documentation Improvement Programs, as well as, training clients and assisting them to improve their documentation and coded data resulting in improved and more appropriate reimbursement.  David has worked with physicians and health care facilities to create programs that are both clinically relevant and compliant.  David is a Certified Coding Specialist and frequently provides coder training to improve data quality and positively impact Case Mix Index.  He has extensive experience with facility reimbursement and documentation analysis.


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Disease Coding System Standards CLE/CPE

Course Level:
   Intermediate

Advance Preparation:
   Print and review course materials

Method Of Presentation:
   On-demand Webcast

Prerequisite:
   NONE

Course Code:
   145007

NASBA Field of Study:
   Specialized Knowledge and Applications

NY Category of CLE Credit:
   Areas of Professional Practice

Total Credits:
    2.0 CLE

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About the Knowledge Group

The Knowledge Group

The Knowledge Group has been a leading global provider of Continuing Education (CLE, CPE) for over 13 Years. We produce over 450 LIVE webcasts annually and have a catalog of over 4,000 on-demand courses.

About the Knowledge Group

The Knowledge Group

The Knowledge Group has been a leading global provider of Continuing Education (CLE, CPE) for over 13 Years. We produce over 450 LIVE webcasts annually and have a catalog of over 4,000 on-demand courses.

Kreamer Law Group represent clients in a range of complex civil litigation matters, including health law, business law, insurance law, employment law, commercial law, breach of contract, negligence, fraud and intentional torts.

Website: https://www.kreamerlawgroup.com/

Provident is a health care management consulting company focused on the integrity of the clinical record to support quality patient care, manage compliance with law and regulation, secure appropriate reimbursement, and give healthcare leaders actionable clinical data to drive success.

Website: https://www.providentedge.com/

Berkeley Research Group is a leading global strategic advisory and expert consulting firm that provides independent advice, data analytics, authoritative studies, expert testimony, investigations, and regulatory and dispute consulting to Fortune 500 corporations, financial institutions, government agencies, major law firms, and regulatory bodies around the world.
 
BRG experts and consultants combine intellectual rigor with practical, real-world experience and an in-depth understanding of industries and markets. Their expertise spans economics and finance, data analytics and statistics, and public policy in many of the major sectors of our economy, including healthcare, banking, information technology, energy, construction, and real estate.
 
BRG is headquartered in Emeryville, California, with over 26 offices across the United States and in Asia, Australia, Canada, Latin America, and the United Kingdom.  BRG has over 900 employees.  BRG’s Healthcare practice offers a full suite of services that includes; CDI, Performance Improvement, Compliance (including 340B and Regulatory), Health Analytics, Valuation, and Financial Advisory.

Website: https://www.thinkbrg.com/

A long time Naperville resident, John chose to base his firm out of his hometown.  With his diverse background and over 15 years of experience in the legal field, John brings a wealth of knowledge to the practice and leads his team to tremendous success. John graduated Cum Laude with a B.A. from Coe College in Cedar Rapids, Iowa.  This Outstanding Pre Law Student went on to attend and graduate from DePaul University College of Law in Chicago.  There, John made the Dean’s List and was named an Outstanding Pre-trial Civil Litigation Student. Upon entering the practice of law, John continued to seek professional accolades. He is the Chairman of the DuPage County Bar Association Health Law Committee. He became a Certified Arbitrator in 2009, enabling him to successfully conduct countless arbitrations.  John is a licensed attorney in the State of Illinois and authorize to practice before the United States Federal District Court for the North District of Illinois.  He is a member of the American Bar Association, the Illinois State Bar Association, and the DuPage County Bar Association.

Ben has over 10 years’ experience with health information management, inpatient coding, and clinical documentation improvement.  He was the ICD-10 Education Workstream lead for multiple large hospital systems across the U.S where he developed and implemented ICD-10 education for providers, coders, nurses, and other hospital staff. He currently specializes in CDI implementations, inpatient auditing, and physician education.  Prior to joining Provident (formally a part of Huron), Ben was an Associate Director at Navigant where he was a project manager and lead trainer for various clinical documentation improvement program implementations and an inpatient auditor utilizing the MS, AP, and APR DRG methodologies.

David McCann is a Managing Director in the Clinical Economics practice at BRG where he specializes in providing coding, documentation and data analysis services to health care providers. His 20 years of consulting experience span a variety of areas, including inpatient and outpatient coding, MS-DRG and case mix analysis, physician documentation, compliance, and medical necessity reviews.  He has spent an extensive amount of time implementing Clinical Documentation Improvement Programs, as well as, training clients and assisting them to improve their documentation and coded data resulting in improved and more appropriate reimbursement.  David has worked with physicians and health care facilities to create programs that are both clinically relevant and compliant.  David is a Certified Coding Specialist and frequently provides coder training to improve data quality and positively impact Case Mix Index.  He has extensive experience with facility reimbursement and documentation analysis.

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