Hospital and Healthcare Regulatory Compliance Training - Live Webinars, Recordings & CDs

This is the second part of a three-part CDI series. This webinar program will look closely at the components of inpatient (IP) and outpatient (OP) documentation. We will review some examples of diagnostic discrepancies for improvement through querying the provider. You will learn about documentation process improvement. In addition, we will recap the steps and effective communication for a healthcare system to take to help improve IP and OP CDI.

This training program will provide a comprehensive look at the changes in the new access rights under HIPAA and CLIA regulations and prepare attendees for the process of incorporating the changes into how they do business in their facilities. It will also explain how the HIPAA audit and enforcement activities are now being increased and what needs to be done to survive a HIPAA audit.

The "Welcome to Medicare" visit and Annual Wellness Visits (AWV) are important screening services available to Medicare beneficiaries at no cost. More and more practitioners are providing these services, often missing key elements to support the codes. In this session, we will look these services and discuss the typical problems providers are struggling to document when performing these visits.

New guidelines for office and outpatient Evaluation and Management (E/M) codes 99202-99215 were effective on January 1, 2021. This is biggest change in E/M coding and documentation since the 1995 and 1997 guidelines were published. Learn everything you need to know about documenting and coding under these new guidelines.

The current guidelines for documentation of office and outpatient visits were implemented in the early 90’s and have become cumbersome and outdated for the current medical provider. For 2021 CMS and the AMA have joined together to create and implement new documentation guidelines for office and outpatient visits that must be used starting January 1, 2021.

This webinar will give the physician’s perspective on how documentation and medical necessity play into appropriate coding and compliance for these E/M services. How coders and auditors need to understand what certain words, phrases, orders, and clinical plans mean when a physician uses and documents them.

This presentation will provide a comprehensive overview of the successful elements of a clinical documentation improvement/integrity (CDI) program. A successful CDI program includes staffing and operational processes that have integrity and are compliance centered.

The Medicare/Medicaid Fraud and Abuse Anti‑Kickback Statute (the “Statute”) is alive, still with us and as viable as ever. The Statute provides that the offer or payment, as well as the solicitation or receipt, of “any remuneration” in exchange for referrals of any good, facility, service, or item for which payment may be made in whole or in part under Medicare/Medicaid is prohibited.

Social determinants of health (SDOH) are the economic and social conditions that influence individual and group differences in health status. They are conditions in which people are born, grow, live, work and age and may impact a wide range of health, functioning, and quality-of-life outcomes and risks. More healthcare data is needed to assist in identifying these contributing factors; thus, health information professionals can assist by assigning ICD-10-CM codes.

Each year the Center for Medicare and Medicaid Services (CMS) approves updates to the ICD-10-CM of diagnosis codes to become effective for medical claims beginning on October 1st. The changes must be implemented by all medical providers in order to have medical claims submitted and reimbursed in a timely manner. This webinar will highlight the 2021 changes to ICD-10-CM for attendees.

In this care coordination training you will learn how to apply the key strategies for reducing your hospital’s cost and length of stay. Also you will learn how to appreciate the role of interdisciplinary care rounds by identifying your hospital’s strength and weakness related to care coordination.

Each year the American Medical Association (AMA) makes changes to the CPT® manual that become effective for dates of service January 1st. This year is no exception with 307 total changes that include 207 new codes, 48 revised codes, and 52 deleted codes.

Coding for shoulder arthroscopy can be difficult and confusing but the 2021 CPT® changes may help to make it a little easier. There are new descriptions for debridement of the should and new instructions for the removal of loose or foreign bodies. Case studies will be looked at for accurate coding.

This training will prepare hearing officer for corrective actions and how to prepare for the hearing. It will cover application process for new applicants which include prior practice, references, prior adverse actions and liability settlements. Attendees will learn elements of good, clear and concise bylaws, fair hearing plans and other policies.

This healthcare coding webinar will provide an overview of ICD-10-CM, the format and guidelines. It will also explain the differences between ICD-9 and ICD-10 to help you understand how it will affect your work and as well as your co-workers and providers.

This ICD-10-CM webinar will cover day-to-day complex challenges for coding professionals and CDI professionals, which includes advanced areas of the coding guidelines, coding conventions, strategies to address documentation issues and query best practices. It will also review challenging CDI, coding and audit case scenarios and review query examples, coding references and clinical indicators on common diagnoses considered as complications/comorbidities (CC) and major complications/comorbidities (MCC).

Attend this webinar to understand hospital utilization management despite demanding payers doing everything they can to deny payment through denial of medical necessity. Learn about the best model of case management, denial management, and best practices in clinical reviews.

This webinar will focus on the challenge of the patient with an extended length of stay. It will focus on characteristics that can assist hospital case management staff in identifying patients that are potential candidates for extended length of stay, with strategic interventions to decrease both the number of patients in this group and a decrease in the length of stay of any patient reaching extended length of stay.

This session focuses on the issues of managing release health information when it may involve substance use disorder treatment information. We will explain how HIPAA relates to information management and release and explain the processes required for various releases of information under the HIPAA rules, including release according to individual access requests, and under consents and HIPAA authorizations.

Artificial intelligence (AI) has become a strategy to turn smart tasks into game-changing tools and technologies for healthcare providers. This has been documented in the processes of coding, diagnosing some diseases, and has assisted financial teams in identifying outcomes that would have all taken many hours by staff performing these tasks. Coupled with the right expertise, AI has been shown to be effective in case management departments, as well-especially with the utilization management process.