POA Reporting for Hospital Acquired Conditions

AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND

Sponsored by the Association of Clinical Documentation Improvement Specialists

presented on June 12, 2008

Hospitals have been reporting the present-on-admission (POA) indicator for several months, and now the government is starting to return claims that don’t contain POA indicators for every diagnosis. The stakes will get higher in October when hospitals will be paid a lower-weighted DRG for eight hospital-acquired conditions (HAC) when those conditions are not POA and are the only complication/comorbidity (CC) or major CC (MCC) reported.

In the 2009 IPPS proposed rule, CMS proposes to expand this list of eight conditions to include nine new conditions. Everything points to a tougher road for coders and to more specific documentation from physicians. Querying physicians for the documentation you need to properly report POA indicators for HAC is critical—not only for your hospital’s bottom line, but also to ensure compliance and appropriate facility and physician profiles.

Listen to HCPro and expert speakers Robert Gold, MD, and DeAnne W. Bloomquist, RHIT, CCS, for this important 90-minute audioconference. They will discuss POA and HAC reporting requirements, explain when and how to query for additional documentation, how to avoid reporting a high number of indicators for POA, and discuss questions following their presentation.

NOTE: This is an intermediate-level program. Purchasers should be familiar with POA indicators.

TAKE A LOOK AT THE AGENDA

1. The importance of correct data reporting for POA and HAC
1. Implications for hospital and physician profiles
2. Patient safety implications
2. POA guidelines and requirements
1. Review of POA guidelines in the context of HAC
2. Payment implications for the U indicator
3. Clinical and coding aspects of eight current HAC
1. Clinical rationale
2. HAC and the POA
3. Query and documentation clarification strategies
4. Nine proposed HAC for 2009
1. Clinical rationale
2. HAC and the POA
3. Query and documentation clarification strategies
5. Mechanisms to monitor POA reporting for HAC
1. Performing internal audits for HAC
2. Strategies to monitor indicators
   
3. Coordinating monitoring efforts with HIM, quality and executive committees, and medical staff to improve patient safety
4. Providing physician education

A question-and-answer session follows the presentation.

LEARNING OBJECTIVES

At the conclusion of this audioconference, you will be able to:

FEATURED SPEAKERS

Robert S. Gold, MD, is founder and CEO of DCBA, Inc., in Atlanta, GA, a consulting firm that provides physician-to-physician educational programs in clinical documentation improvement. He has more than 41 years of experience as a physician, medical director, and consultant. He writes "Clinically Speaking" for Briefings on Coding Compliance Strategies, and "Minute for the Medical Staff," for Medical Records Briefing, and is the author of the training handbook, Documentation Strategies to Support Severity of Illness: Ensure an accurate professional profile, all from HCPro.

DeAnne W. Bloomquist, RHIT, CCS, is a coding and compliance consultant and the president of Mid-Continent Coding, Inc., in Overland Park, KS. She has more than 20 years experience as a coding, DRG, and APC consultant, in HIM management, and 30 years experience in the healthcare industry. She serves on the advisory board for HCPro’s Briefings on Coding Compliance, and has published many articles on coding and coding best practices.

BONUS MATERIAL INCLUDED IN 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 copies of the following:

These materials are provided with PDF links.

WHO SHOULD LISTEN?

HIM directors, coding managers, and staff; clinical documentation specialists; hospitalists; physician liaisons and physician champions; quality managers; risk management leaders; patient safety managers and committee members

AUDIO ON-DEMAND

In addition to the regular purchase option 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.

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