Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C
Each year in home care we face new regulations, new interpretations, new guidance and new codes, not to mention new payment requirements. Keeping up with all the changes requires vigilance, adaptability and support. The more we can work together, the stronger we can be in adapting to change. Whether your focus is coding, compliance or accurate payment, we all have the same need to navigate change and rise to the challenges. Learn how we can support one another and thrive in uncertain times.
TOOL: Agency interdepartmental compliance checklist
Robert W. Markette, Jr., JD, CHC, HCS-C;
Robin Seidman, RN, MSN, MBA, COS-C, HSC-D, LNCC, and Karen Tibbs, RN, MS, HCS-D, COS-C
Get insight into the biggest challenges in home health and strategies to address these challenges in order to better position yourself and your agency for success in an ever-changing industry. Hear from panelists on a range of topics including the biggest issues in coding and the role all staff play in ensuring continued compliance and appropriate payment in PDGM.
J’non Griffin, RN, MHA, HCS-D, HCS-C, HCS-H, COS-C
Common home health diagnoses — Atrial fibrillation, myocardial infarction (MI) and heart failure — have seen saw big changes in recent years in the form of new codes and new guidelines. In this session, learn how and when to assign the standard code for an MI and the five types of Mis, along with nine codes for various kinds of heart failure. Also, get a primer on the proper coding of CVAs and sequelae as well as secondary hypertension.
TOOL: Heart attack types: Guide to coding heart attacks
Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C
Understanding the rules of diabetes and the “with” assumptions that can be made are the key to avoiding coding errors with diabetes. This session will provide a clear explanation of how to code diabetes with hyperglycemia, or diabetes that is described as “poorly controlled” or “uncontrolled.” Expert Arlynn Hansell will walk you through scenarios to under understand how diabetes combination codes work and how to sequence cases involving multiple manifestations. Finally, get specific examples as to when you are required to assign a code for insulin use.
TOOLS: Quick guides to diabetic neurological complications; manifestations linked by ‘with,’ diabetic kidney complications; and decision trees for other specified diabetic complications and diabetic retinopathy
Brandi Whitemyer, RN, CDIP, COS-C, HCS-D, HCS-O, HCS-D
Understanding how to accurately code common respiratory diseases can be tricky. The FY2020 code update brought with it some changes to COPD coding. Ensure you have it right. In this session, learn how to determine the correct primary diagnoses for appropriate clinical grouping under PDGM, how to code for complex respiratory conditions that require multiple codes to accurately provide a full clinical picture and learn the impact of frequently diagnosed and coded secondary conditions classifiable as high/low comorbid grouping conditions.
TOOL: Respiratory conditions quick reference flow chart
Brandi Whitemyer, RN, CDIP, COS-C, HCS-D, HCS-O
When does a coder refer to the ICD-10 coding convention when it conflicts with a tabular guideline? Despite education, many coders still struggle with this. Coding expert and speaker Brandi Whitemyer estimates over 80% of the coding errors she sees from highly experienced coders relate to this issue. During this session, she’ll take a deep dive into this topic to clarify when to cross reference guidelines vs. conventions and provide resources for keeping up to date with these changes.
TOOL: ICD-10-CM decision making tree tool for coding conventions and guidelines
Karen Tibbs, RN, MS, HCS-D, COS-C
Learn the foundation for an accurate audit of coding and documentation supporting ICD-10 accuracy. Gain insights into high-risk time points and key target areas in developing a successful quality assurance process under PDGM. Plus, explore a best-practice audit timeline under PDGM, including a case study scenario.
TOOL: Start of care episode audit checklist
Annette Lee, RN, MS COS-C, HCS-D
Take a big-picture look at post-payment review and additional documentation request (ADR) processes. Understand the different players that may audit your charts, improve understanding of the medical review hierarchy and ensure you check all the boxes on the required technical components.
TOOL: ADR process checklist
Lori Apple, RN, CLNC, HCS-C
An effective compliance program can prevent costly fines and condition-level survey deficiencies, but to be successful, your plan needs buy-in from everyone in your organization. Building a culture of compliance into your organization’s daily practices will foster the support you need. Learn best practices for how to designate a compliance officer and committee (Element 1 of a compliance program), and the requirements for conducting regular and effective staff training and education (Element 3) to help your plan succeed.
TOOLS: Corporate compliance officer job description, education and training for compliance and ethics, investigation plan sample, compliance committee confidentiality agreement
Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C
Written policies, practices and standards of conduct will help your agency guard against charges of fraud or violations of home health regulatory guidelines (Element 2 of a compliance program). Learn how to develop and implement policies, procedures and standards of conduct that are specific, compliant and enforceable. Understand common home care risk areas and claims-processing issues the OIG has identified and learn the key policies and procedures that will help safeguard your agency.
TOOL: Clinical orientation checklist/preceptor form
Arlene Maxim, RN, HCS-C
PDGM adds new pressure at intake for gathering accurate information and documentation and the new discharge planning Condition of Participation means agencies must be prepared to provide additional necessary clinical information to other providers. Learn how to establish processes that work to keep your agency running smoothly.
TOOL: Re-engineering Discharge (RED) for home health and enhanced intake process form
All Coding Summit attendees must have a 2020 ICD-10-CM manual OR the Home Health Coding Center. We recommend:
*Note: You must have a coding manual to take the HCS-D and HCS-H exams.