HCM Marketplace

AUDIOCONFERENCE

Improve ED coding and appropriate reimbursement will follow.

Learn to engage your staff and educate them on how to document and capture correct charges before sending the bill out the door.
The chaotic and hectic environment of the ED makes it one of the most difficult departments for hospitals to maintain compliant coding. HIM staff are faced with coding numerous routine and non-routine procedures which increases the opportunity to miss appropriate charges and encounter compliance risks. Clinical staff often miss documentation of services, procedures, and supplies which can add up to a staggering loss of revenue.

Don't accept coding and documentation challenges in the ED as inevitable.
Make real changes now.

Through detailed case studies that provide real-life solutions to ED coding and reimbursement challenges, this program will help you and your staff:

1. Decipher and accurately code difficult cases in the ED
2. Work interactively with colleagues to identify best practices/strategies for improved documentation
3. Enhance compliance in the ED
4. Develop best practices for establishing successful auditing processes in the ED

Note: Participants should have an understanding of basic coding and knowledge of surgical cases and operational practices in the ED.

TAKE A LOOK AT OUR AGENDA

1. Opportunities for improved documentation in the ED
   • Developing forms for ease of documentation-for nurses and other clinicians
     • Check-off boxes vs. narrative approaches
     • Missed orders/lost charges
     • Lack of medical necessity
     • The role of nursing in documentation
     • Use of encoder vs. CPT Manual
2. Guidelines for difficult ED coding cases
   • Surgical procedures
     • Layered vs. non-layered closures
     • Incision and drainage (simple vs. complicated)
   • Critical care/trauma
3. Case studies
   • Fracture care
   • Peg tube placement
   • Foley catheters
   • EKGs
   • Hard vs. soft-coded approaches and other commonly miscoded procedures
4. Best practices for the ED: Auditing and tips for success
   • Use of audit templates
   • Department report cards
   • Merit raises that include documentation compliance as a component
   • What you're not capturing, e.g., supplies
   • Helpful links and resources
5. A question and answer session follows the presentation

FEATURED SPEAKERS

Glenn Krauss, RHIA, CCS, CCS-P, is revenue systems coordinator at Mercy Health System in Janesville, WI. He has more than 14 years of experience in the healthcare industry in various staff positions such as coder, hospital management representative, and consultant. He also has experience teaching physiology, surgical procedures, the rationale of therapeutic treatments with ICD-9-CM and CPT coding, and complex medical and billing issues.

William L. Malm, ND, RN, is president of Health Revenue Integrity Services in Cleveland, OH. He has more than 20 years of experience in a combination of clinical and financial healthcare, including as a compliance officer, revenue cycle specialist, and chargemaster specialist. He also has clinical experience in emergency services, cardiac care nursing, cardiothoracic post-operative care nursing, and oncology, and has presented at numerous national seminars on OPPS.

WHO SHOULD LISTEN?

• HIM directors, managers, and coders
• Compliance managers
• Auditing managers
• Revenue integrity and revenue cycle managers
• Chargemaster coordinators

This program is also designed for nursing directors and managers.

YOUR MATERIAL PACKET

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and take-home items including:

1. Sample documentation forms
2. Audit templates
3. Resources from HCPro's Boot Camp Seminars

These materials are provided with PDF links. Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

• Audioconferences
• Continuing Education

• Other Health Information Management Products