2014 California Healthcare Conference

I attended the 2014 California Healthcare Conference presented by MCHC at the Anaheim Convention Center. It was my first chance to attend a coding conference.

It was an opportunity to network with other coders and meet new ones and learn the latest coding news. Some of the workshops included suggestions on how to improve ICD-10 documentation by working with providers; the importance of compliance manuals, HIPPA and fraud, waste and abuse was covered; being proactive in audit plans for coding, contracts and patient care. I also took “Advanced Human Anatomy in Coding” and musculoskeletal system which will be an integral part of the detail needed for ICD-10. “Ethics for coders” was a great refresher as we advocate for our physicians to get paid and we stay away from illegal behavior or practices. There was a hands-on auditing session which is always a great refresher on what to look for in documentation.

Many of the workshops were presented by Annie Boynton (Director Provider Regulatory Compliance (ICD-10) Communication, Adoption & Training at UnitedHealth Group) who is an expert on ICD-10 and many other things! In the workshop, “Effectively Communicating with Providers”, she covered communication techniques in general and then made them specific to use with providers in building rapport and overcoming barriers to communication. She had ideas for one-on-one conversations and group/department presentations. Linda’s HCC Coding workshop was informative and concise with good audience participation.

The next one will be held March 19-21, 2015 be sure to check out their web page for more information.
(http://coderclass.com/)

Comments

Table VI-4. Disease Hierarchies for the 2017 CMS-HCC Model

If the Disease Group is Listed in this column… …Then drop the Disease Group(s) listed in this column is found here : Announcement of Calendar Year (CY) 2017 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter Found at: https://www.cms.gov/Medicare/HealthPlans/MedicareAdvtgSpecRateStats/Downloads/Announcement2017.pdf P 87 If the Disease Group is Listed in this column… …Then drop the Disease Group(s) listed in this column Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations. The information presented herein is for general informational purposes only and is accurate as of the date of

Guidelines for HIV coding

Chapter 1: Certain Infectious and Parasitic diseases (A00-B99) Human Immunodeficiency virus (HIV) Infections B20 Human immunodeficiency virus (HIV) disease (symptomatic) R75 Inconclusive laboratory evidence of human immunodeficiency virus (HIV) Z20.6 Contact with and exposure to human immunodeficiency virus (HIV) Z11.4 Encounter for screening for human immunodeficiency virus (HIV) Z71.7 human immunodeficiency virus [HIV] counseling Z21 Asymptomatic human immunodeficiency virus (HIV) infection status “Confirmation” does NOT require documentation for positive serology or culture for HIV; the provider’s diagnostic statement that the patient is HIV positive, or has an HIV-related illness is sufficient. Once a patient is diagnosed with B20, they should never be assigned R75 or Z21. Sequencing of HIV Codes B20 should be sequenced as the first-listed diagnosis when patient is treated for an HIV related condition. Any non-related conditions get sequenced following t

Preliminary ICD-10-CM CMS HCC Mappings

The link below take you to the Preliminary ICD-10-CM Codes, CMS-HCC and RxHCC Models, Includes FY2014 preliminary list of ICD-10 codes HCC Mappings from CMS. Last modified 9/30/2014. Preliminary ICD-10-CM Mappings Diagnosis Code Description CMS-HCC PACE/ESRD Model Category V21 CMS-HCC Model Category V22 (clinically revised model implemented in 2014) RxHCC Model Category V04 CMS-HCC PACE/ESRD Model for 2015 Payment Year CMS-HCC Model for 2015 Payment Year RxHCC Model for 2015 Payment Year #HCC #ICD10 #CMS #ICD9 #RiskAdjustment #MedicalCoding #Mappings Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials.

HCC Blog by Caridad

Search This Blog