LIVE AUDIOCONFERENCE
Sponsored by Briefings on Coding Compliance Strategies
presented on May 6, 2008
Inpatient psychiatric facilities (IPF) continue to struggle with the intricacies of the IPF prospective payment system (IPF-PPS). Unlike the acute inpatient prospective payment system (IPPS), reimbursement under the IPF-PPS is not driven by DRG assignment. The DRG is one of many adjustment factors, along with length of stay, that may have an impact on facility Medicare payments.
For IPF-PPS coders and billers, matters are complicated because they must understand how complications and comorbidities (CC) affect the per diem payment rate, and they must be able to query physicians in an intelligent and compliant manner to obtain documentation that accurately reflects patient severity.
Here’s the help you need to unlock the mysteries of the IPF-PPS and to master CC capture and documentation improvement. During this 90-minute audioconference, our speakers discuss effective strategies for documentation improvement and CC capture related to several common conditions, such as uncontrolled diabetes, chronic renal failure, eating disorders, and malnutrition. Our speakers discuss real-life case study scenarios that demonstrate how detailed documentation affects reimbursement for each of these conditions.
You’ll also learn how to educate physicians and other members of the clinical team about proper documentation and how to capture every applicable CC.
Note: This is an intermediate-level program. Participants should have a basic understanding of inpatient psych PPS.
TAKE A LOOK AT THE AGENDA:
- Elements of the Medicare inpatient psychiatric PPS system
- facility v. patient adjustments
- per diem versus DRG payment
- impact and implication of improved data collection
- Clinical case studies
- opportunities for improvement
- uncontrolled diabetes
- chronic renal failure
- eating disorders
- malnutrition
- how improving documentation for each of these conditions affects reimbursement
- strategies to ensure capture of complications/comorbidities (CC) and patient severity
- How to implement a documentation improvement program
- obtain administrative and physician buy-in
- choose a model that will be most effective for your hospital
- identify and train your team
- monitor the program’s impact and deliver ongoing provider training
A question and answer sessions follows the presentation.
LEARNING OBJECTIVES
At the conclusion of this audioconference, you will be able to:
- Discuss the structure of the inpatient psych PPS
- Identify CCs that frequently occur in the inpatient psych setting
- Recognize the importance of CC capture
- Implement strategies for documentation improvement
CONTINUING EDUCATION CREDITS
This program has been approved for 2 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor
FEATURED SPEAKERS
Linda Fisher, BSN, CCS-P, is a manager in the New York City office of Provider Consulting Solutions, Inc. She has more than twenty-five years in health care consulting and a wide range of experience as a consultant to hospitals and physicians. Her expertise includes Medicare regulations and related documentation, coding, reimbursement, compliance, charge capture, and billing issues. She has worked extensively on behavioral health issues for both hospitals and physician groups.
Sara Clark, MLS, RHIA, is a manager in the Clifton Park office of Provider Consulting Solutions, Inc. She has more than twenty years experience in health care working in utilization management and as the HIM director of a multi-hospital regional network. As a consultant for the last five years, she has expertise with coding and documentation improvement, Medicare regulations and education for providers and coding staff. She has helped prepare facilities for the behavioral health prospective payment system.
BONUS MATERIAL INCLUDED IN YOUR MATERIALS PACKET!
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and a documentation improvement pocket card. These materials are provided with PDF links.
WHO SHOULD LISTEN?
HIM managers, coding specialists, billers; patient financial services and finance staff, business office directors; psych unit directors, psychiatric case managers and clinical staff responsible for documentation and coding, psychiatry physicians; CFOs; compliance staff.
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand 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.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
