Description: In the evolution to value-based care, understanding HCC concepts is vital, particularly for those accustomed to acute care coding and clinical documentation improvement. The speaker will discuss how this coding system works by highlighting the interaction of weights and overriding categories. An emphasis on medical record documentation will include a review of the problem list, past medical history, and medication list as well as other appropriate clinical and administrative criteria that is often missed.
The speaker will define the different HCC models and discuss the utilization of both inpatient and outpatient records to reflect the patient’s health risk. Since determining a patient’s risk adjustment factor (RAF) is the intended outcome, the speaker will guide CDI specialists in identifying common missed query opportunities that reflect appropriate RAF scores for patients.
Webinar Date: This was presented as part of OHIMA's 2021 CDI Workshop - June 8, 2021
Duration: 1 hour
Speaker: Kim Felix, RHIA, CCS has over 30 years of HIM coding experience including coder, auditor, and manager at various University and Community Hospitals. She is currently the Vice President of Education at Intellis. For the past 4 years, she has been the project manager for the CMS HHS RADV audit. She has provided over 50 COVID-19 inpatient and outpatient coding education sessions for over 5000 healthcare professionals in 2020. Over many years, she has presented at various state-wide and local Coding and CDI conferences and is currently the Past-President for her local AHIMA chapter (SePHIMA). Kim is also a contributor to numerous articles for HFMA Revenue Cycle Newsletter, For The Record and justcoding.com. She has been an adjunct faculty member at Temple University, Gwynedd-Mercy College, Pierce College, Thomas Jefferson University and Study Mentor at Western Governors University.
Speaker: Allison Van Doren, RN, BSN, CCDS, CDIP, CRC has 20 years of nursing experience in clinical nursing and clinical documentation improvement within academic and community hospital settings. As Intellis' Chief Nursing Officer, she has provided project oversight and reviews for many compliance audits focusing on clinical documentation and risk adjustment and managed interdisciplinary teams focused on improved documentation and patient safety. Allison has presented at state and national meetings on CDI topics including: Mortality risk adjustment, Patient Safety Indicators, hierarchical condition category (HCC) coding and CDI, query compliance, antibiotic resistance, and COVID-19.
Speaker: Jeanie Heck, BBA, CCS, CPC, CRC has been working in the HIM field for over 30 years. The majority of her experience has been in the outpatient physician practice arena. She has worked as a business & practice manager, coder, auditor, and educator. She has served as the lead senior auditor for the CMS HHS RADV engagement for the past four years. Most recently, as the Director of Education at Intellis, she has presented education to providers & coders on the new 2021 E/M guideline updates. In addition to her professional experience, Jeanie has been an adjunct faculty member and lead medical coding instructor at Camden County College for the past 13 years and is also an adjunct faculty member in the HIT department at Santa Barbara City College for the past 10 years.
Click here to register for this webinar!
Cost: $25 Members / $35 Non-Members*
1 AHIMA CEU**
Domain: Revenue Cycle Management
*Save $10 by purchasing all 4 parts! Simply select the "CDI Workshop 2021-All" package at checkout.
**AHIMA CEUs are also accepted by the AAPC! Check eligibility on the AAPC website.