Master Advanced ICD-10-CM Concepts and Prevent Coding Errors

Why Should You Attend:

Every October, our Official Coding and Reporting Guidelines are updated, and AHA Coding Clinic is published every quarter. It is fundamental to know and understand every guideline and convention although many expressed challenges in finding adamant time to thoroughly review the latest updates and coding guidance.

Along with the requirements of meeting productivity and quality standards, coding and CDI professionals face day-to-day complex challenges in the advanced areas of the official coding guidelines, conventions, and references like the AHA Coding Clinic. It is imperative to stay abreast of these updates, otherwise documentation issues and coding errors may result in denials and noncompliance.

Complete documentation and quality coding impacts hospital and physician profiling data, trends, scorecards, outcomes, reimbursement and consumer resources. Quality coding and auditing of medical records are essential to ensuring your facility’s overall accuracy and compliance to regulatory directives.

It is important to understand and apply all the regulatory requirements and coding updates to promote quality coding, complete clinical documentation to ensure compliance.

This presentation will provide an overview of complex coding guidelines and references to assist in those situations where coding errors may be prevented. It is designed to promote accurate coding, compliant queries and quality clinical documentation.

Let’s be proactive and start mastering those complex coding concepts and challenging case scenarios. This webinar will assist you in applying the most recent coding references in those confusing case scenarios, which will assist you with external regulatory audits and achieve compliance.

Together, we will review the common coding errors involving CCs and MCCs, review coding guidelines, coding clinic references, and identify best practices of complete quality documentation and applicable clinical indicators.

Areas Covered in the Webinar:

• Review challenging coding guidelines and references applicable to coding, CDI and auditing
• Review case examples involving CCs and MCCs in coding and auditing
• Identify common CCs and MCCs reported and associated errors
• Enhance knowledge on AHIMA’s guidelines for achieving a compliant query process
• Identify best practices on coding and auditing to ensure alignment with regulatory updates
• Review sample audit cases involving denials
• Learn how to accurately distinguish future audit targets and focus
• Q&A

Free Materials:

• ICD-10-CM Official Guidelines for Coding and Reporting FY 2020
• ICD-10-PCS Official Guidelines for Coding and Reporting FY 2021
• AHIMA’s Guidelines for Achieving a Compliant Query Practice (2019 Update)
• AHIMA’s Guidelines for Achieving a Compliant Query Practice (2016 Update)
• FY 2020 CC and MCC List

Who Will Benefit:

• Hospital and Clinic Coding Staff
• HIM Supervisors
• Managers
• Directors
• Auditors
• CDI Staff
• Coding and CDI Educators
• Coding Compliance and Privacy Staff

Victoria M. Hernandez
Founder, Integrity Coding Solutions

Victoria is an RHIA (Registered Health Information Administrator), a Clinical Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), a Certified Coding Specialist Physician-Based (CCS-P) and an AHIMA-Approved ICD-10-CM/PCS Trainer with over 26 years of experience in the healthcare field.

Victoria is the Founder of a coding, auditing and CDI company called Integrity Coding Solutions. Prior to starting her company, she was the Regional Director of Coding Audit and Education for a California-based integrated healthcare delivery system covering 21 facilities with 160+ coders and CDI staff. She specialized in providing the following: initial and on-going coding and CDI education, specialty-specific training, department presentations and one-on-one feedback to coding, CDI staff, physicians, local, regional and national leadership. Victoria is also an Adjunct Professor in coding at Cosumnes River College in Sacramento, California.

In her volunteer role, Victoria serves as Component State Association (CSA) HIM Awareness Coordinator for California (CHIA), 2016-2017 AHIMA’s Alternate Delegate for California Health Information Association (CHIA). She also served as an AHIMA CDIP Exam Item Writer in from 2015-2018.

Victoria is passionate about staying involved and working collaboratively in promoting high standards and integrity of HIM coding practice. She believes in the end that “quality data with integrity will promote and help achieve the best healthcare for all patients”.

Topic Background:

Coding and CDI professionals experience day-to-day complex challenges in the advanced areas of the coding guidelines, conventions, documentation and coding issues resulting in denials. Every October, our Official Coding and Reporting Guidelines are updated, and AHA Coding Clinic is published every quarter. Knowing and understanding coding guidelines and resources are fundamental to the CDI and coding professional’s roles but many are unable to find the time to review the updates and latest references.

Quality coding and auditing of medical records are essential to ensuring your organization’s accuracy and compliance to regulatory directives. Complete documentation and quality coding impacts hospital and physician profiling data, consumer resources, trends, scorecards, outcomes and reimbursement, just to name a few.

It is important to understand and apply all the regulatory requirements and coding updates to promote quality coding, clinical documentation and achieve compliance.

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