Come together as a group for an opportunity to delve into key takeaways and lessons learned from the conference thus far. Get insights into the most important information shared during sessions in the tracks you couldn’t attend and hear from your peers what they’re most eager to put in practice when they return to the office.
Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C
Accurately coding for fractures and joint replacements is often a challenge. Many codes in these categories are on the list of acceptable primary code assignments under PDGM. In this session, you will learn tips for how to choose the correct codes for both trauma and pathological fractures, and their complications. You’ll also learn how to code for joint explantations and joint replacements, including their complications and periprosthetic fractures and when to assign 7th character D (subsequent) vs. A (initial).
TOOL: Fractures decision tree; 7th character A vs. D decision tree, musculoskeletal coding guide
Brandi Whitemyer, RN, CDIP, COS-C, HCS-D, HCS-O, HCS-D
In order to correctly code for sepsis, it’s important to first understand the current/updated qSODA scoring criteria and sepsis clinical parameters. In this session, learn how to understand and interpret appropriate provider documentation to assign acceptable primary diagnosis codes under PDGM for bactremia vs. sepsis vs. septicemia vs. SIRS. This session will also cover severe sepsis/septic shock, review up to date sepsis clinical criteria and definitions and explain when multiple codes are needed/not needed in sepsis.
TOOL: Sepsis definitions and coding classification quick reference guide and a complicated sepsis tool
Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C
Maurice Frear, HCS-D, HCS-H
In this session, find out how to extract information and communicate with the hospice team to ensure fast and accurate coding. Coders will learn how to find the most pertinent information to identify the appropriate terminal diagnosis code that is both compliant with coding guidelines and agrees with the assignment of diagnosis provided by the medical director of the hospice or other appropriate physician. Learn about changes in coding habits for hospice and about related vs. unrelated diagnoses.
TOOL: Non-acceptable primary/terminal diagnoses for hospice
Maurice Frear, HCS-D, HCS-H
Hospice Outcomes and Patient Evaluation (HOPE) instrument would complete the fulfillment of the two-pronged requirement for hospice data reporting set forth in the Affordable Care Act. This is important for a future shift from a chart data extraction tool such as HIS to a direct patient assessment data set, completed by the clinician, such as the HOPE.
TOOL: HIS and proposed HOPE instrument comparison guide
Sharon Harder
Compliant documentation demonstrates eligibility, accurately records the skilled care your patients require, and safeguards your reimbursement. Poor documentation can undermine all the work your agency does to provide care for patients. Learn steps you can take to avoid common documentation pitfalls.
Sharon Harder (moderator); Dee Kornetti, MA, PT, HCS-D, HCS-C, COS-C; and Arlene Maxim, RN, HCS-C
Put your knowledge to the test in this interactive session on compliant documentation. Break into groups with your fellow attendees to work through a scenario to secure accurate and compliant documentation.
TOOL: Patient-centered care planning form
Arlene Maxim, RN, HCS-C
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.