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MaHIMA Fall Meeting & Coding Seminar

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  • September 20, 2019

    Please select one topic

    7:30 AM  -  8:00 AM
    Registration/Continental Breakfast
    7:55 AM  -  8:00 AM
    Robin Andrews, M.Ed., RHIA, CCS - President, MaHIMA

    General Session

    8:00 AM  -  8:50 AM
    Morning General Session - Voice and reality of the Transgender Woman of Color: Gender discussion...
    Title: Voice and reality of the Transgender Woman of Color: Gender discussion with Dreya Catozzi Summary: This presentation will provide an up-close and personal look into the life of Dreya Catozzi. My presentation will start with my story and follow up with educating the attendees about the importance of having resources and the risk of not having resources for the Transgender community with an emphasis on trans women of color. I will speak about why it is important to have resources available in the areas of health care, employment and housing.
    9:00 AM  -  9:50 AM
    Morning General Session -Key Areas of Cybersecurity


    9:55 AM  -  10:05 AM
    Break - Track A & B


    10:00 AM  -  10:50 AM
    Track A: Search for Money: HIPAA Enforcement Trends
    Summary: This session will explore recent HIPAA enforcement actions to highlight the primary factors behind settlements and what organizations can do to avoid receiving similar penalties. Actions will include settlements with the Office for Civil Rights, state Attorneys General, and class action lawsuits. Each type of enforcement action carries its own risks and means of resolving. Learning from the experiences of others provides real world examples that are not just theoretical exercise. Ultimately, every organization will face an issue at some point, but being prepared ahead of time can minimize the risk.


    10:00 AM  -  10:50 AM
    Track B: ICD-10 CM/PCS; PPS Updates and Highlights
    Summary: The presentation will provide an overview of key categories of ICD10 CM/PCS updates effective 10/1/2019. Inpatient Prospective Payment overview changes will be highlighted including key DRG shifts, New Technology Payment Add-Ons, and coding considerations to ensure data quality.


    11:00 AM  -  11:50 AM
    Track A: A Perfect Match - Using a Combination of Probabilistic Logic and Referential Data to ....
    Title: A Perfect Match - Using a Combination of Probabilistic Logic and Referential Data to Improve Patient Matching Summary: The trend toward consolidating inpatient and ambulatory data into a single EMR has increased the need for automated patient matching. QuadraMed has partnered with Lexis Nexis to offer Augmented Automated Matching, which blends the logic and intelligence of probabilistic matching with the wealth of data available in the Lexis Nexis referential databases. Learn how this partnership is helping to improve accurate patient identification for our customers which supports patient safety and satisfaction, health information exchange and value-based care.


    11:00 AM  -  11:50 AM
    Track B: Evaluation and Management Coding (E/M)
    Summary: Have you ever wondered why the Evaluation and Management Codes (E/M) are placed at the forefront of the CPT book? This is because every patient encounter with any provider begins with an E/M regardless of the location or provider specialty. The objective of this presentation is: • Explanation of an Evaluation and Management Services. • Explanation of the requirements for the different levels of Evaluation and Management Services. • Selection of an Evaluation and Management Services based on the requirements • Review of physician documentation • Proposed single physician fee schedule (PFS) payment rate for Evaluation and Management Services in 2021


    12:00 PM  -  1:00 PM
    Lunch and State Business Meeting
    MaHIMA Business meeting: House of Delegates Discussion Items

    General Session

    1:00 PM  -  1:50 PM
    Afternoon General Session: Defending Your Chargemaster
    Summary: Increasing federal and state regulations are causing many hospitals to struggle to stay up-to-date with ever-changing coding and compliance rules, as well as developing and maintaining a defensible and transparent pricing strategy. This presentation is designed to define the Chargemaster (CDM) and help you determine next steps to defend your CDM including written criteria, policies and procedures specific to common risk areas in addition to key industry trends that impact CDM structure, price transparency and revenue. We will also address next steps for you to consider when implementing an effective Internal Audit and Monitoring program to ensure compliance and optimize reimbursement long term. Participant Objectives are as follows: 1. Understand the role the CDM plays in the Hospital Revenue Cycle 2. Identify risk areas and develop a plan to proactively defend your CDM structure and negotiate payer contracts 3. Understand your payer contracts and how net revenue is impacted 4. Identify key elements of an Internal Audit and Monitoring program to ensure a compliant CDM with accurate and complete charge capture
    2:00 PM  -  2:50 PM
    General Session -#METOO How Cultural Change has Impacted Interpersonal Boundaries in the Workplace
    Summary: It’s been a year and a half since the #MeToo movement brought greater awareness to sexual harassment in the workplace. This presentation provides a framework for understanding the development of sexual harassment law and an analysis of where we are now.
    3:00 PM  -  3:00 PM
    Meeting Adjourned