Query Policies and Procedures
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by HCPro's ICD-9-CM Manual and the Revenue Cycle Institute
presented on May 19, 2009
PROBLEM
Despite extensive guidance related to query policies and procedures, many gray areas exist for which hospitals must account. Who can submit the query? What is a leading query? How long will staff wait for a query response? Answering these questions consistently to ensure compliance is a constant challenge.
SOLUTION
Develop a query policy and procedure that takes into account the many different facility-specific topics that directors and managers must ask.
LEARN FROM US
HCPro presents a 90-minute audio conference, Query Policies and Procedures: Ensure Consistency and Compliance across Your Facility featuring healthcare compliance expert Melissa Ferron, RHIA, CCS, (Melissa Ferron Healthcare Consulting) and coding/revenue cycle director Diana McWaid-Harrah, MS, RHIA, CCS, CPC (UCLA Healthcare).
You will learn how to determine which query method is ideal for your hospital, as well as discover best practice methods to develop a sound policy and procedure. Through a case study of UCLA Healthcare, you will see which model worked best for that specific facility and why. Ms. McWaid-Harrah delivers clear take-away points for you to incorporate at your own facility, as well as practical sample forms and policies.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Discuss the considerations for a establishing a query policy, including the facility-specific questions you should be asking
- Explain how to pose queries, including strategies for working with your medical staff and administration
- Define how to audit and measure the success of the query process, such as the response rate, and their consistency and compliance with your Query Policy
TAKE A LOOK AT THE AGENDA:
- Industry guidelines
- ICD-9-CM Official Guidelines for Coding and Reporting
- Coding Clinic
- AHIMA query practice brief
- Facility-specific topics and best practice suggestions
- Taking facility culture into account
- Methods and models for querying
- Strategies for working with the medical staff
- Who can establish diagnoses
- When it is appropriate to query
- How long you'll wait for a query response
- How to handle verbal queries
- Templates and consistency
- When and how to query for the POA indicator
- Auditing and measuring
- Establishing query policies: Case study discussion of how it works at UCLA Healthcare, including sample procedures
- A question and answer session follows the presentation
BONUS TOOLS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and:
- Sample queries
- Excerpts from query policies
- Query-related articles
MEET THE SPEAKERS
Melissa Ferron, RHIA, CCS, president, Melissa Ferron Healthcare Consulting, LLC. Ferron provides expertise in an array of services associated with coding, clinical documentation, claims submission and reimbursement. She provides direct coding consultation to hospitals and physicians, as well as coding and clinical documentation education. Ferron's focuses on improving the quality of healthcare data, which is used as the basis for reimbursement, severity adjustment and outcomes analysis.
Diana McWaid-Harrah, MS, RHIA, CCS, CPC, director, revenue integrity & medical coding, UCLA Healthcare. McWaid-Harrah supports the revenue cycle operation by ensuring the timely and complete coding for inpatient, emergency room and all surgeries for both of UCLA's hospitals. She implemented a documentation improvement program which has proven beneficial in educating both the physicians and coders on documentation and coding. The Revenue Integrity Department was established by her two years ago, and works with the Patient Business Services team to help with charge review and claim integrity related to coding and charge data.
WHO SHOULD LISTEN?
Professionals employed by inpatient hospitals, including the following titles:
- Coding manager/supervisor
- HIM director
- Coder
- CDI specialist
- Compliance officer/staff
- Quality and performance coordinator
- Nurse
- Case manager
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, 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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