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

C1.05

ICD-10 Fundamentals 

B

Supervisors, QI

C1.06

ICD-10 Not Too Early to Start Planning

B

Administrators, Supervisors, QI

C2.01

Up to the Minute Coding 2010* 

I

Supervisors, clinical and experienced clerical staff

C2.02

V Code Utilization – A Balancing Act*

I

Supervisors, QI, OASIS nurses

C2.03

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

I

Anyone looking for hands on reinforcement

C2.04

Manifestation Coding, A Hidden Jewel*

I

Intermediate coder, QI, OASIS nurses

C2.05

Case in Point*

I

Intermediate coder, experienced clinical staff

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

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

OASIS

OASIS B

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

HIPAA & RELEASE OF INFORMATION

RECORD RETENTION

CONFIDENTIALITY

CORPORATE 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

Confidentiality & Release of Information

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

The Impact on Home Health

B

QI, Compliance Officers, Supervisors

H2.01

Managing Record Retention

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 Medical Record

B

Administrators, Supervisors, QI

E1.03

Navigating the EMR

B

Administrators, Supervisors, QI

OTHER CLINICAL TOPICS

T1.01

Medicare – Skilled Services

B

Clinical staff, Intake

T1.02

Conducting a Home Visit

B

Clinical Staff, 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 medical record or computer

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.

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

C1.02 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

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 RHHI’s 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.

Objectives:

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

C1.05 ICD-10 Fundamentals 90 minute course will review the components of ICD-10 and how it looks compared to ICD-9CM.

Objectives:

• Understand the structure of ICD-10
• Review common home health diagnoses in ICD-9CM
• Review generic equivalent mapping 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.

Objectives:

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

C2.01 Up to the Minute Coding 2010* 3 hour course covering current hot topics in the industry such as PPS & coding. Case studies are utilized to illustrate 2010 changes effective 10/01. 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

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

C2.03 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 from NPUAP 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

C2.04 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

C2.05 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

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 2010 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 on common coding errors made at agencies
• Review of best practice areas

C2.08  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

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

C3.02 Effective Management of Coding 90 minute course that looks 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

OASIS  Classes

O1.01 OASIS C Training 3 hour course designed for clinicians. Clinicians will learn OASIS C 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

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 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

HIPAA & Release of Information 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 releases and how

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

• Identify what is considered PHI
• Understand what information can be released and how
• Understand the pitfalls of new technologies
• Review the 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 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
• 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

Other Clinical Topics

T1.01 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 

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

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