TRAINING & AUDIT SOLUTIONS:

Training Classes/Presentations 2010 - 2011

JLU HEALTH RECORD SYSTEMS OFFERS TRAINING AND PRESENTATIONS IN:

ü ICD-9CM Coding: basic, intermediate, and advanced level for Home Health and Hospice

ü ICD-9CM ACE Coding Certification

ü ICD-10 Coding: how to prepare; basic classes

ü OASIS C: Basics, preparation for COS-C examination

ü HIPAA, Privacy & Security Issues

ü Electronic Health Records Issues & Compliance Activities

ü Other Clinical Topics for new staff/agencies: Medicare 101; Skilled Care; Preparing for Joint Commission

ü Classes for Support Staff: Medical Terminology

EASY FORMATS All courses include up to date educational material designed to reinforce the information learned during the training experience. All classes have been revised for 2011 regulations.

All classes are available onsite (face to face) or in a teleconference or webinar format.

Ninety (90) minute onsite classes are provided with a minimum of 2 classes booked at the same location on the same day. Three (3) hour onsite classes promote the ability to have 2 classes in one day.

Sample Schedule: 9 am-12 pm and 1 pm-4 pm.

MANDATORY PURCHASE* Due to the complexities of coding and PPS, many Coding classes require the purchase of the Rapid Reference Guide as a companion guide (state associations must purchase 1 RRG for each participant; agencies must purchase 1 RRG per 3 participants. The RRG (Rapid Reference Guide) is utilized by participants in the classes and useful in their everyday work.

Teleconferences & webinars do not require the purchase of RRG but is recommended.

NEW CLASSES Classes are periodically added throughout the year; please check our website at www.jluhealth.com for more listings. Customized classes are also available to meet your specific need.

TO SCHEDULE A CLASS CONTACT JLU at 781-829-9632 or via email at jluhealth@verizon.net

Listing of Training Classes/Presentations 2011

Basic (B): class is designed for the beginner

Intermediate (I): class is designed to expand coding knowledge

Advanced (A): class is designed for the experienced coder

ID #	Course Title	Level	Who should attend
	CODING		ICD-9CM ICD-10
C1.01	Fundamentals of Coding	B	New & inexperienced coders, clinicians and clerical staff
C1.02	Clinicians ICD-9 Workshop	B	Clinical staff
C1.03	Correct Coding for Hospice	B	Hospice supervisors, clinical and clerical staff
C1.04	Intake: A Key Part of the Coding Process	B	Clinical staff, Intake, Liaisons for home health or hospice
C1.05	ICD-10 Fundamentals	B	Supervisors, QI
C1.06	ICD-10 Not Too Early to Start Planning	B	Administrators, Supervisors, QI
C1.07	Coding Compare	B	New & inexperienced coders, clinicians, Supervisors
C2.01	Up to the Minute Coding 2011	I	Supervisors, clinical and experienced clerical staff
C2.02	V Code Utilization – A Balancing Act	I	Supervisors, QI, OASIS nurses
C2.03	Wound Care Coding Under OASIS C	I	Anyone looking for hands on reinforcement
C2.04	Manifestation Coding, A Hidden Jewel*	I	Intermediate coder, QI, OASIS nurses
C2.06	Furthering Your Coding Knowledge	I	Supervisors, Intermediate coder, experienced clinical staff
C2.07	Best Practices in Coding	I	Supervisors, Intermediate coder, experienced clinical staff
C2.08	Taking Therapy Coding to a New Level	I	Therapists, Supervisors, QI
C2.09	Coding Decisions	I	Supervisors, Intermediate coder, experienced clinical staff, QI
C2.10	Coding Diagnostics Series – Pick 3	I	Supervisors, Intermediate coder, experienced clinical staff, QI
C3.01	Experience Hands on Coding	A	Advanced coding knowledge recommended
C3.02	Coding Management, The Buck Stops Here	A	Administrators, CFO’s, Coding managers
C3.03	Effective Management of Coding	A	Administrators, CFO’s, Coding managers
C3.04	Coding Complexities	A	Supervisors, Intermediate coder, experienced clinical staff, QI
C3.05	Coding Compliance, Don’t get Caught Unprepared!	A	Supervisor, QI
	OASIS		OASIS C
O1.01	OASIS C Training	B	Clinical staff
O1.02	OASIS C- Understanding the Changes	B	Clinical staff
O2.01	OASIS: The Crosswalk Between Documentation & Reimbursement	I	Supervisors, QI, OASIS nurses
02.02	OASIS Accuracy & Auditing	I	Supervisors, QI, OASIS nurses
	HIPAA & RELEASE OF INFORMATION RECORD RETENTION		PRIVACY/ SECURITY COMPLIANCE/REGULATORY
H1.01	Protecting Health Information and Staying in Compliance	B	All staff, Compliance Officers
H1.02	Legal Pitfalls of Record Retention	B	CFO, Compliance Officers, Supervisors
H1.03	Protecting the Agency from Breeches	B	All Staff
H1.04	HIPPA Privacy & Security Compliance	B	All Staff
H1.05	FTC Red Flag Rules – Bringing Your Agency Into Compliance	B	Administrators, Compliance Officers, Billing, Admissions
H1.06	Implementing an Identity Theft Program What Staff Need to Know	B	All staff
H1.07	RAC Audits - Impact on Home Health	B	QI, Compliance Officers, Supervisors
H2.01	Managing Record Retention- Setting A Document Retention Schedule	I	CFO’s, Compliance Officers, QI, Supervisors
	ELECTRONIC HEALTH RECORDS		EHR, EMR
E1.01	Learning to Love your EMR System	B	Administrators, Supervisors, QI
E1.02	Maintaining a Legally Sound Record	B	Administrators, Supervisors, QI
E1.03	Navigating the EMR	B	Administrators, Supervisors, QI
E1.04	Beginning the EMR Conversion	B	Administrators, Supervisors
	OTHER CLINICAL TOPICS
T1.01	Medicare – Skilled Services	B	Clinical staff, Intake
T1.02	Conducting a Home Visit	B	Clinical Staff, Supervisors
T1.03	Joint Commission Readiness	B	QI, Compliance Officers, Supervisors
ID#	CERTIFICATION PROGRAMS		WHO SHOULD ATTEND
4.01	ACE - Advancing Coding Education	A	Recommended for experienced coders
4.02	Medical Terminology	B	Support staff who file, read, or enter data into the MR or computer
4.03	OASIS C Prep for COS-C Examination	A	Staff who would like to take the COS-C exam

CODING

C1.01 Fundamentals of Coding*

3 hour course designed for inexperienced coders. Basic coding skills are reviewed for staff not familiar with coding. Review how to utilize coding books and learn how to code accurately.

Course is available with a home health or hospice focus.

Objectives:

Provide a comprehensive overview of common ICD-9 diagnoses
Identify how to code specific diagnostic areas by example: Neoplasm, Diabetes, CVA, Cardiac, Rehab (PT, OT, ST) and assign procedure codes
Learn ways in which accurate coding can benefit your agency

C1.02 Clinicians ICD-9 Workshop

90 minute presentation to field staff discussing the importance of accurate coding. Review of common case mix diagnoses.

Objectives:

Understand coding terminology of specific diagnostic categories
Comprehensive overview of common home health diagnoses
Understand why accurate coding is essential
Coding impact on reimbursement

C1.03 Correct Coding for Hospice

3 hour course designed to assist Hospice’s in selecting Primary and Secondary diagnosis for correct coding.

Objectives:

Understanding correct coding and its role in Hospice
Determine how to select the specific terminal diagnosis and supporting secondary diagnoses
Review Regional Home Health Intermediary’s (RHHI) edits for Hospice diagnoses

C1.04 Intake: A Key Part of the Coding Process

3 hour class divided into 90 minute sessions. The agency provides actual Intakes for review by consultants followed by group discussion and customized presentation. Course is available with a home health or hospice focus.

Objectives:

Identify valuable information to collect during the Intake process
Understand the referral diagnosis, resolved conditions and home health/hospice diagnosis
Learn which co-morbidities impact the plan of care & must be included

C1.05 ICD-10 Fundamentals

90 minute course will review the components of ICD-10 and it’s functionality compared to ICD-9CM. Implementation date by CMS 10/01/13

Objectives:

Understand the structure of ICD-10
Review common home health diagnoses in ICD-9CM
Review Generic Equivalent Mapping (GEM) into ICD-10

C1.06 ICD-10 Not Too Early to Start Planning

90 minute course will review the how to prepare for the major change with ICD-10 and what is needed to prepare for the change. Implementation date by CMS 10/01/13

Objectives:

Discuss the major impact the change in coding will have on agencies
Review training time & methods of education
Checklist to prepare for ICD-10 implementation

C1.07 Coding Compare

3 hour course that explores ICD-9 conversion to ICD-10 with actual case studies showing both code sets

Objectives:

Overview of timeline for conversion to ICD-10
Understanding the major differences between ICD-9CM & ICD-10
Understand ICD-10 conventions of coding
Code specific home health cases

C2.01 Up to the Minute Coding 2011*

3 hour course covering current hot topics in the industry. Case studies are utilized to illustrate 2011 changes effective 10/01. Updated annually to reflect CMS changes to official coding guidelines.

Objectives:

Learn the new coding changes impacting home health for 2011
Understand coding terminology for specific diagnostic categories
Coding of home health case studies

C2.02 V Code Utilization – A Balancing Act*

3 hour course illustrates how proper reimbursement is a balancing act between aftercare and supplemental diagnoses.

Objectives:

Understand V code terminology, when to use a V code and it’s effect on Risk Adjustment

Understand when to code M1024

Understand when to code co-morbidities

Use of V codes as Primary or Secondary diagnosis

C2.03 Wound Coding Under OASIS C*

3 hour course will covers all aspects of skin lesions and wounds. Wound care coding will require a basic understanding of clinical terminology & OASIS. Actual case studies are utilized. Includes wound updates from WOCN, NPUAP and OASIS Q&A’s.

Objectives:

Understand the different types of wounds, lesions, ulcers and appropriate codes assignment
Case studies will include surgical and trauma wounds, pressure & stasis ulcers
Complex cases including wound VAC, VAD, skin grafts & PICC lines

C2.04 Manifestation Coding, A Hidden Jewel*

3 hour course designed to build coding knowledge and identify manifestations which enhance reimbursement.

Objectives:

Understand the principles for manifestation coding
Identify how to access manifestation codes
Code by example utilizing manifestation principles and diagnoses

C2.06 Furthering Your Coding Knowledge*

3 hour course designed for the intermediate coder and experienced clinical staff to expand their knowledge by coding actual case studies of hot topic areas.

Objectives:

Emphasis on recent coding changes including 2011 updates impacting home health
Demonstrate understanding of coding complexities
Actual case studies utilized throughout the course

C2.07 Best Practice in Coding*

3 hour course designed for the coders and clinical staff with experience to review the best practices of common home health coding.

Objectives:

Emphasis of common coding errors made at agencies
Review of best practice areas
Examples of correct coding provided

C2.08 Taking Therapy Coding to a New Level*

3 hour course designed specifically for guiding the therapist to the correct coding process.

Objectives:

Understanding rehab diagnosis coding terminology
Assigning late effects and aftercare codes
Coding of therapy case studies (PT, OT, SLP)

C2.09 Coding Decisions

3 hour course covering multiple diagnosis categories that require a decision on when to include or not to include the diagnosis as Primary or Secondary diagnosis

Objectives:

Discuss coding guidelines for selection of a Primary & Secondary diagnosis
Examples of diagnoses may include GERD, GI bleed, Depression, Falls
Review of Asymptomatic, Resolving, and Historical Conditions

C2.10 Coding Diagnostic Series – Pick 3*

60 minutes classes that allows the agency/association to chose 3 in-depth topics for presentation. A minimum of 3 classes are required for onsite scheduling.

Diabetes Maternal Child Health Pediatrics

Respiratory Orthopedic Neoplasms

Psychiatric Renal V-Codes

Cardiac Gastrointestinal

Neurological Urinary

C3.01 Experience Hands on Coding*

3 hour course will cover several areas of advanced coding and challenge participants utilizing case studies to determine correct diagnoses and sequencing.

Objectives:

Code specific home health cases
Discuss accuracy of coded cases
Promote the usage of co-morbidities and manifestation codes
Understand Aftercare coding and sequencing of V-codes

C3.02 Coding Management, The Buck Stops Here

90 minute course that looks at the structuring and organizing of the coding function. Are you responsible for the coding department? This course provides leadership with an understanding of how effective coding management contributes to sound business decisions.

Objectives:

Provide a foundation for effective coding management
Identify areas of coding quality improvement and coding compliance
Review coding function and competency
Using coding for business decisions

C3.03 Effective Management of Coding

90 minute course that looks at what is needed for talent & resources to have an effective coding program. This course provides guidance on the components of the coding function and the metrics needed to measure coding productivity.

Objectives:

Understand structure & organization of the coding function & how best to utilize this limited resource
Through benchmarking metrics determine when additional coding support is needed
Timeline for training new coders
Correct & effective query processes

C3.04 Coding Complexities*

3 hour course where actual case studies are utilized throughout to understand how coding impacts reimbursement in a more interactive class format. Attendees should be intermediate coders or experienced clinicians.

Objectives:

Attendee will assess their coding knowledge
Difficult cases will be discussed such as a non-healing surgical wound that begins healing; infected hernia mesh; dual diagnoses and many others

C3.05 Coding Compliance, Don’t Get Caught Unprepared!

90 minute course analyzes the coding function and reimbursement

Objectives:

Discuss the efficiency of the coding process
Discuss the competency of those providing that function
Discuss auditing of records for compliance
Review types of external audits & common target areas

Are you looking to obtain Coding Certification, ACE?

See Certification Programs Page for Classes

OASIS Classes

O1.01 OASIS C Training

3 hour course designed for clinicians. Clinicians will learn OASIS C guidelines for M responses, timelines, the primary diagnosis verses inpatient diagnosis, and the diagnosis selections impact on reimbursement.

Objectives:

Overview of timelines and reporting requirements
Provide clinicians with overview of OASIS items & common diagnoses
Differentiate between selection of Primary & Secondary diagnosis & Inpatient diagnosis
Impact diagnosis selection on the HHRG/ HIPPS code

O1.02 OASIS C Understanding the Changes

3 hour course designed for clinicians & QI staff who have previous OASIS experience. The class will highlight the essential areas and changes for OASIS C.

Objectives:

Overview of OASIS changes
Review of new items
Review of revised OASIS questions

O2.01 OASIS, The Crosswalk between Documentation & Reimbursement

3 hour course will review areas where agencies collect conflicting information which may lead to down coding and impact reimbursement.

Objectives:

Identify conflicts between M responses and documentation
Identify specific diagnostic categories and the related M items

Understand diagnostic categories requirement for additional clinical or functional reimbursement
Review of diagnoses that impact Non-Routine Supplies (NRS)

O2.02 OASIS Accuracy and Auditing

90 minute course will review the agencies obligations under CoP 484.20 for accurate OASIS information

Objectives:

Discuss areas impacted by OASIS data: outcome measures, reimbursement
Review requirements & strategies for clinical record audits
Review requirements & strategies data entry audits
Review requirements & strategies clinical audit visits
Best ways to summarizing & reporting audit activities

Are you looking to obtain COS-C Certification?

See Certification Programs page for Classes

HIPAA Privacy & Security Classes

H1.01 Protecting Health Information – Staying in Compliance

90 minute course designed to refresh and update staff on release of information. Current media cases and how they relate to your organization are discussed. Electronic devices for recording or storing of information protected under HIPAA are discussed.

Objectives:

· Identify what is considered PHI

· Understand the pitfalls of new technology

· Review current headlines on breeches of confidentiality

· Understand what information may be released

H1.02 Legal Pitfalls of Record Retention

3 hour course to discuss the importance of establishing a retention schedule of all documents to protect business operations.

Objectives:

· Understand why establishing a retention schedule is necessary for an effective record

management program

· Review regulations governing the retention process

· Provide an overview of the major types of documents & retention period kept by the business

H1.03 Protecting the Agency from Breeches

3 hour course to discuss areas of vulnerabilities at agencies and how to properly protect information. Objectives:

· Identify what is considered Protected Health Information (PHI) & Personal Information (PI)

· Understand what information can be released and what method

· Understand the pitfalls of new technologies (camera phones, texting, social media)

· Discuss Breech Notification & review current “headlines” on breeches

H1.04 HIPPA Privacy & Security Compliance

3 hour course to discuss the importance HIPPAA privacy & security.

Objectives:

· Review of the HIPAA Privacy & Security regulations & how it applies to home health & hospice

· Understanding privacy as it relates to internal, external customers & business associates

H1.05 FTC Red Flag Rules – Bringing Your Agency Into Compliance

90 minute course to discuss the requirement under the Federal Trade Commission to develop an identity theft program.

Objectives:

· Learn what is required for home care under the FTC Red Flag Rules

· Identify steps/timeline needed for compliance as Red Flag Program

· Discuss Red Flags that may apply to your agency

H1.06 Implementing an Identity Theft Program - What Staff Need to Know

90 minute course to discuss the practical implementation of the Federal Trade Commission’s Red Flag Rules.

Objectives:

· Discuss the red flags defined for each department in the agency

· Determine the questions to ask customers

· How to mitigate & prevent identity theft

· What to do for a suspected breach

H1.07 RAC Audits -The Impact on Home Health

90 minute course to discuss latest issues concerning home health

Objectives:

· Review the current issues under RAC

· Determine how to effectively comply with requests

· Lessons learned from the hospital experience

H2.01 Managing Record Retention – Setting a Document Retention Schedule

3 hour course will review the steps to establishing a sound records management program.

Objectives:

· Discuss the steps on “how to” to develop a successful program

· Review of some suggested timeframes for retention

· Determine what policies are needed for the program

· Understand the designation & duties of a Record Officer

Electronic Health Records

E1.01 Learning to Love your EMR System

3 hour course to review how to use the EMR to comply with COP requirements & other regulations.

Objectives:

Discussion about the future of the EMR
Asking for customized reports
Using audit tools & Benefits from EMR reminders, prompts & warnings
How to correct the EMR
Review of the EMR policies you should have in place

E1.02 Maintaining a Legally Sound Medical Record

3 hour course to discuss the importance of understanding the regulations surrounding the EMR.

Objectives:

Four principles that must be met for an EMR to be admissible
Discussion of the legal business record to support a claim
Definitions of a legal EHR, HIPAA designated record set
Discussion of e-discovery & meta data

E1.03 Navigating the EMR

3 hour course to discuss understand how to navigate the issues with EMR.

Objectives:

Understand the types of possible documentation errors & how to properly utilize the correction process
How to determine the proper storage & retention methods
Using electronic audit trails
Understand the EMR to avoid common mistakes when developing e-processes
Checklist of policies needed for the e-record

E1.04 Beginning the EMR Conversion

90 minute course to discuss the major considerations of EMR conversion.

Objectives:

Getting key players working together (Clinical, Medical Records, Fiscal, IT)
Overview of policies required for EMR
Review of standards for e-record, CCHIT & meaningful use requirements

Other Clinical Topics for New Staff/Agencies

T1.01 Medicare – Skilled Services

3 hour course designed to educated new home health agencies and new staff on Medicare guidelines for the home health patient.

Objectives:

Describe conditions of coverage by CMS for the home care patient
Describe skilled services and who provides them
Describe part time & intermittent, reasonably & necessary and homebound

T1.02 Conducting A Home Visit

90 minute course to describe the objectives of the home visit.

Objectives:

Discussion of the purpose of the home visit, observation and data collection efforts
Review of the pre and post visit duties and how to most effectively accomplish the task
Review how to efficiently collect information for the OASIS, Care Plan, Narratives

T1.03 Joint Commission Readiness

90 minute course to review the top compliance areas of the Joint Commission.

Objectives:

Review areas of vulnerabilities at agencies
Provide tips for staying in compliance
Discuss education areas required for staff

CERTIFICATION PROGRAMS

For more information about Pricing & Format - contact JLU

4.01 ACE - Advancing Coding Education

8 hour comprehensive training designed for coders who would like to validate their proficiency. Participants should have an understanding of coding principles and experience with OASIS. 8 hours of classroom instruction. ACE certification is awarded to those candidates who pass the examination.

Objectives:

ACE certification (additional information & details available)

2 ½ hour examination
Validates proficiency
Valid for 3 years

4.02 Medical Terminology

16 hour course designed to help support staff who file, read, or enter data into the medical record or computer system to provide knowledgeable support to clinicians. Quizzes are utilized each class to track participants understanding and progress. A final exam is given and a certificate is awarded for passing grades. Offered as four 4 hour sessions or two 8 hour sessions.

Objectives:

Read and understand medial terminology
Recognize standardized abbreviations
Pronounce common diagnoses appropriately

4.03 OASIS C Preparation for the COS-C Examination

12 hour course is designed to review all the components of OASIS C in preparation of the COS-C examination. Note: JLU has no affiliation with OASIS Answers who administers the COS-C examination and does not guarantee certification of candidate.

Objectives:

Detailed review of all requirements under OASIS C
Review of OASIS time points, documents, measures, item guidance
Review of OASIS Q & A’s

Follow-up after ICD-9 training with a Coding Audit. This audit is a great tool to evaluate if staff understands coding techniques and uses proper guidelines when coding.

CODING AUDITS

Don’t let incorrect coding lose money $$$$$ for your agency.

This review will provide valuable information to the organization regarding completeness, accuracy and regulatory compliance of coding & clinical documentation. Recommendations will be provided regarding diagnosis selection, orders and clinical documentation. An overall summary will be provided to identify trends and any areas of weaknesses that the agency should address in order to receive appropriate reimbursement. Customized ICD classes can be developed for to assist with any areas of deficiencies.

Accurate coding is essential in the home health PPS system to receive appropriate reimbursement. Monies are easily lost due to incorrect or incomplete coding. An average coding mistake can cost an agency between $400 and $1,800 an episode.

If the average agency employs 30 clinicians with just two mistakes per year, lost revenue could amount to approximately $108,000.
Example: Late effects of CVA with dysphagia. This diagnosis requires two codes to receive full payment under the PPS System. If staff codes only the late effects CVA and omits the dysphagia as a separate diagnosis, payment is lost. This is solely a coding issue. The plan of care and visits do not change. The way it is coded directly impacts reimbursement.

JLU will review a statistically significant sampling (20-30%) of ICD-9 coding of medical records to determine the appropriate completion of the OASIS document and the correct use of ICD-9CM coding for M0230-M0246.

Documentation Review includes the following documents: Intake/Referral, OASIS, Physician Orders, Clinical Visit Notes and other applicable documentation from the first week of service. Sampling of records includes review of the PPS diagnostic categories & the agency’s top 10 diagnoses.