CODING AUDITS

ID #

Course Title

Level

Who should attend

1.01

Fundamentals of Coding*

B

New & inexperienced coders, clinicians and clerical staff

1.02

OASIS Training

B

Clinical staff

1.03

Clinicians ICD-9 Workshop

B

Clinical staff

1.04

Correct Coding for Hospice

B

Supervisors, clinical and clerical staff

1.05

Medicare – Skilled Services

B

Clinical staff, Intake

1.06

Protecting Health Information and Staying in Compliance

B

All staff, Compliance Officers

1.07

ICD-10 Overview

B

Supervisors, QI

1.08

Legal Pitfalls of Record Retention

B

CFO, Compliance Officers, Coding managers, Supervisors

2.01

Up to the Minute Coding 2009*

I

Supervisors, clinical and experienced clerical staff

2.02

V Code Utilization – A Balancing Act*

I

Supervisors, QI, OASIS nurses

2.03

Setting the “Stage” for Proper Reimbursement with Wound Coding*

I

Anyone looking for hands on reinforcement

2.04

Manifestation Coding, A Hidden Jewel*

I

Intermediate coder, QI, OASIS nurses

2.05

Case in Point*

I

Intermediate coder, experienced clinical staff

2.06

Furthering Your Coding Knowledge*

I

Supervisors, Intermediate coder, experienced clinical staff

2.07

Intake: A Key Part of the Coding Process

I

Clinical staff, Intake, Liaisons

2.08

OASIS: The Crosswalk Between Documentation & Reimbursement

I

Supervisors, QI, OASIS nurses

2.09

Taking Therapy Coding to a New Level*

I

Therapists, Supervisors, QI

2.10

Managing Record Retention

I

CFO’s,  Compliance Officers, QI, Supervisors

3.01

Experience Hands on Coding*

A

Advanced coding knowledge recommended

3.02

Coding Management, The Buck Stops Here

A

Administrators, CFO’s, Coding managers

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 medical record or computer

BASIC Classes

1.01 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.

Objectives:

• Provide a comprehensive overview of common ICD-9 Home Health 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

1.02 OASIS Training

3 hour course designed for clinicians. Clinicians will learn OASIS guidelines for MOO 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
   

1.03 Clinicians ICD-9 Workshop

90 minute presentation to field staff discussing the importance of accurate coding and PPS. Review of common PPS 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
   

1.04 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 RHHI’s edits for Hospice diagnoses
   

1.05 Medicare – Skilled Services

3 hour course designed to educated 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
   

1.06 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 what information may be releases and how
• Understand the pitfalls of new technology
• Review current headlines on breaches of confidentiality
   

1.07 ICD-10 Overview

90 minute course will review the components of ICD-10 and what is needed to prepare for the change

Objectives:

• Understand the structure of ICD-10
• Review common home health diagnoses and map into ICD-10
• Checklist to prepare for ICD-10 implementation
   

1.08 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
   

INTERMEDIATE Classes

2.01 Up to the Minute Coding 2009*

3 hour course covering current hot topics in the industry such as PPS & coding. Case studies are utilized to illustrate 2009 changes. Updated annually to reflect CMS changes or revisions

Objectives:

• Emphasis on coding changes impacting home health
• Understand coding terminology for specific diagnostic categories
• Coding of home health case studies
   

2.02 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 MO246
• Understand when to code co-morbidities
• Use of V codes as Primary or Secondary diagnosis
   

2.03 Setting the “Stage” for Proper Reimbursement with Wound Coding*

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 2009 wound updates, ulcer staging and NRS.

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
   

2.04 Manifestation Coding, A Hidden Jewel*

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

Objectives:

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

2.05 Case in Point*

3 hour course where actual case studies are utilized throughout to understand how coding impacts PPS in a more interactive class format. Attendees should be intermediate coders or experienced clinicians. Provide a sampling of different diagnostic categories.

Objectives:

• Attendee will assess their coding knowledge

• Demonstrate understanding of coding principles
   

2.06 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 2009 updates impacting home health
• Demonstrate understanding of coding complexities
• Actual case studies utilized throughout the course
   

2.07 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.

Objectives:

• Identify valuable information to collect during the Intake process
• Understand the referral diagnosis, resolved conditions and home care diagnosis
• Learn which co-morbities impact the plan of care
   

2.08 OASIS, The Crosswalk between Documentation & Reimbursement

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

Objectives:

• Identify conflicts between MO responses and documentation
• Identify specific diagnostic categories and the related MO items
• Understand diagnostic categories requirement for additional clinical or functional reimbursement
   

2.09  Taking Therapy Coding to a New Level*

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

Objectives:

• Understanding the rehab diagnosis coding terminology
• Assigning late effects and aftercare codes
• Coding of therapy case studies
   

2.10  Managing Record Retention

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

Objective:

• Discuss the steps on “how to” to develop a successful program
• Determine what policies are needed for the program
• Understand the designation & duties of a Record Officer
   

ADVANCED classes

3.01 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
   

3.02 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

CERTIFICATION  PROGRAMS

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. 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. Requires the purchase of a Medical Terminology book for staff. 

Objectives:

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