2022 Home Health
Coding Summit

August 15 - 18, 2022 | Hilton Chicago/Oak Brook Hills Resort & Conference Center, Chicago

Pre-Conference A

August 15, 2022
7:00 a.m. - 8:00 a.m.
Pre-Conference A: Compliance Best Practices from Intake to Discharge

REGISTRATION & CONTINENTAL BREAKFAST

8:00 a.m. - 9:15 a.m.
Build a Culture of Compliance: Training, Tools, and Resources for Home Health Coding & Clinical Managers

How can your agency not only achieve survey readiness, but also maintain those high clinical standards when a surveyor isn’t standing watch? Explore vulnerable clinical department processes from referral to discharge. You’ll walk away from this session with strategies for focusing clinician and coder training and education and armed with tried-and-true tools and resources that reinforce compliant practices.

9:25 a.m. - 10:40 a.m.
Walk Away With Lessons Learned From RCD, Ensure Claims Stand Up to Government Scrutiny

Avoid ADRs and streamline processes to get claims paid. Learn strategies from agencies that have participated in the Review Choice Demonstration (RCD) on how to conduct effective self-assessments to spotlight coverage criteria and ensure your claim has everything needed to stand up against any kind of government review. Review the top five most common reasons for non-affirmation of pre-claim reviews and what can be learned from these errors.

Tool: RCD self-assessment checklist for agency audit risk

10:40 a.m.- 10:55 a.m.
NETWORKING & REFRESHMENT BREAK
10:55 a.m.- 12:10 p.m.
CDI Best Practices: Go Beyond Just Accurate Query Practice

True or false: The first step to clinical documentation integrity (CDI) is to ensure the physician is providing the documentation you need. False! The first step is to create a process for collecting data that will inform your decisions. For example, do you know where the majority of your referrals are coming from? Do you know which physicians are consistently providing improper face-to-face documentation? Do you know what percentage of your referred patients are rehospitalized because it took your agency three weeks to get the proper information? CDI is more than teaching how to compliantly query. In this session, learn how to implement a process that will get you the documentation needed to submit compliant claims, including what key data points you should be collecting and analyzing.

12:10 p.m. – 1:10 p.m
NETWORKING LUNCH—Provided
1:10 p.m. - 2:25 p.m.
Steps to Audit-Proof Documentation, Master F2F, Submit Compliant Claims

Learn how to gather accurate information and detailed documentation so that you can avoid the top 10 documentation mistakes when submitting home health claims. Compliant documentation demonstrates eligibility, identifies the skilled care your patients require, and ensures ethical 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. More than 10 years after face-to-face (F2F) was implemented, failure to meet the requirements continues to be a top reason for claim denials. Conquer the common issues causing F2F-related denials and receive a list of specific tips and actions to address them.

Tool: Physician face-to-face encounter compliance checklist

2:25 p.m. – 2:45 p.m.
NETWORKING & REFRESHMENT BREAK
2:45 p.m. – 4:00 p.m.
Implement Key Checks & Balances for Proper Payment

Diagnosis codes and responses to certain functional OASIS items drive your agency’s episode payments under PDGM. Walk through the key documentation touch points that drive PDGM payments. Make sure you have the checks in place related to code choice, including how to handle unacceptable codes, primary diagnosis designations, and comorbidity listings. Walk through examples of where coders and clinicians trip up when completing these touch points. Discover methods to improve clinician accountability for timely, accurate, and complete patient information.

Pre-Conference B

August 15, 2022
7:00 a.m. - 8:00 a.m.
Pre-Conference B: OASIS-E Introduction & Best Practices

REGISTRATION & CONTINENTAL BREAKFAST

8:00 a.m. - 12:10 a.m.
Hello OASIS-E! OASIS-E Introduction for Coders, Clinicians, & QA Staff

Audience: Coders who have a role in OASIS review, clinicians new to home health, QA staff

Note: This class is not an item-by-item training session. It aims to present the core OASIS concepts as well as introduce the changes coming with OASIS-E.

This class is intended to lay the groundwork as you build your OASIS foundation. The core concepts that will be discussed include OASIS intent, eligible patients and who completes the OASIS, differences in OASIS time points (SOC, ROC, FU, TRN, DC, DAH), data reporting regulations/OASIS CoP, how OASIS and the plan of care work together, and the impact of data accuracy on PDGM. You’ll also get a high-level look at how to use the Guidance Manual, including key conventions and terms you need to understand to accurately review the OASIS. You’ll also get a rundown of the key OASIS-E item changes, including the sections that are changing entirely. And you’ll learn the intent of the sections, including which items are QRP items, which ones are process measures, and which ones aim to bridge the gap between other post-acute providers and home health. Learn how OASIS-E impacts payment and outcomes, as well as Five-Star ratings and Value-Based Purchasing (VBP).

12:10 p.m. – 1:10 p.m
NETWORKING LUNCH—Provided
1:10 p.m. - 3:30 p.m.
OASIS & Coding QA Best Practices

Learn how coding, OASIS, and the plan of care (POC) go hand-in-hand and what red flags to look for when reviewing each piece of documentation to prevent ADRs, denials, and/or charges of upcoding. You’ll work through specific examples and scenarios of when the POC doesn’t match the diagnosis and vice versa, and what to look for in the chart/documentation.

3:30 p.m. – 4:00 p.m.
Q&A with OASIS Experts

Now it’s your turn to ask our experts your OASIS questions.

Conference Day 1

August 16, 2022
7:00 a.m. - 8:00 a.m.

REGISTRATION & CONTINENTAL BREAKFAST—EXHIBITS OPEN

8:00 a.m. - 9:15 a.m.
State of Coding: Code & Guidance Updates, PDGM Changes, and More!

Get a high-level overview of all the key code and guidance changes that will impact your home health coding starting October 1, 2022. Also get an update on PDGM, OASIS, Review Choice Demonstration, and other regulatory changes that will affect your coding and QA.

9:25 a.m. - 10:40 a.m.
Keys to Coder-Clinician Collaboration: Get Your Coding and Documentation In Line or Risk Denials

Learn best practices for working with clinicians to get appropriate documentation. Understand what to do when you can’t get the documentation you need, how to work together to create compliant queries and find a PDGM-compliant diagnosis, how to reconcile a diagnosis that contradicts the documentation, and how to resolve disagreements between the coder and clinician on diagnosis assignment. Finally, go over each person’s role and responsibilities when it comes to assigning diagnoses.

Tool: Audit checklist to ensure coding matches documentation

10:40 a.m.- 10:55 a.m.
NETWORKING, REFRESHMENT & EXHIBITS BREAK
10:55 a.m.- 12:10 p.m.
Understand and Address the Legal and Ethical Standards of Coding

Mining for diagnoses and coding from prior episodes, upcoding, switching diagnoses to keep someone on service—all of these can lead to fraud, financial penalties, loss of your credential, and at worst jail time. Some of these practices are inadvertent and unintentional. Learn how to differentiate between compliant vs. noncompliant agency coding practices, how to make proper corrections, and what to do when your boss is asking you to code something you know is upcoding. Get specific examples of when to lean on the coding guidelines and how to avoid the most common upcoding errors.

12:10 p.m. – 1:10 p.m
NETWORKING & EXHIBITS LUNCH—Provided

After Lunch you will have a choice of Two Tracks: Choose your track based on your level of coding competency and experience.

Conference Track 1 Day 1

August 16, 2022
Intermediate Coder’s Track

This track is intended for coders who have been coding in home health for at least one year and either received their HCS-D credential in the past year or plan to sit for the credential immediately following the summit. This track is also appropriate for coders who have completed the ICD-10 Coding Basics course.

1:10 p.m. - 2:25 p.m.
Let the Coding (and Fun) Begin: Infections, Neoplasms, and Anemia

Coding can be fun! In this session, learn the keys to accurately coding sepsis, MRSA, cancer, and anemia while playing Jeopardy! And remember, you must answer in the form of a question!

2:25 p.m.- 2:45 p.m.
NETWORKING, REFRESHMENT, & EXHIBITS BREAK
2:45 p.m.- 4:00 p.m.
Cardio-Respiratory-Diabetes … Oh My!

The fun and learning continue as you compete in Jeopardy! while learning how to properly code CVAs and sequelae, heart failure, hypertension with CKD, secondary hypertension, MI, exacerbated COPD, pneumonia, COVID, diabetes, and the “with” convention.

4:00 p.m. – 5:00 p.m
WELCOME & NETWORKING RECEPTION IN THE EXHIBIT HALL

Conference Track 2 Day 1

August 16, 2022
Advanced Coder’s Track

This track is intended for experienced HCS-D certified coders with three or more years in home health coding who consider themselves experts. It’s also appropriate for experienced QA/QI staff who are dual-certified (HCS-D, HCS-O).

1:10 p.m. - 2:25 p.m.
Connect the Dots Between Coding, OASIS, Plan of Care, and Payment in PDGM

Coders play an important role at several stages in the home health payment system. Learn how to manage an episode—including the key areas in which coding plays a major role, such as during OASIS reviews, diagnosis determinations, and plan of care creation—and ensure your agency receives full and accurate payment for its services. Understand how unacceptable diagnoses, primary diagnosis designations, and comorbidity listings have impacted payments under PDGM, and what you need from the documentation to get to the right code.

2:25 p.m.- 2:45 p.m.
NETWORKING, REFRESHMENT, & EXHIBITS BREAK
2:45 p.m.- 4:00 p.m.
Get Your Hospice Coding Right

If you code hospice cases, this session is for you. Learn how to code hospice cases based on the current guidelines and present a clear picture of the patient’s terminal diagnosis as well as all related and unrelated diagnoses, especially since the top terminal hospice diagnoses have shifted from cancer to neuro diagnoses. You’ll be able to practice coding by working through hands-on practice scenarios.

4:00 p.m. – 5:00 p.m
WELCOME & NETWORKING RECEPTION IN THE EXHIBIT HALL

Conference Track 1 Day 2

August 17, 2022
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST & EXHIBITS

Intermediate Coder’s Track This track is the ultimate training for accurately coding the most common home health wounds. Each session is devoted to a particular type of wound. Not only is wound coding and documentation a constant source of confusion, but it also attracts intense scrutiny from auditors, resulting in severe financial penalties for mistakes. Our experts help you see through the haze and reduce your risk for ADRs and denials.

8:00 a.m. - 9:15 a.m.
Uncover the Keys to Coding Pressure Ulcers and Burns

Work in groups as you tackle actual patient charts to find the right pressure ulcer code. Learn how to distinguish between what stage the clinician has documented vs. what the rest of the documentation is describing. Then move on to the keys of properly coding burns.

9:25 a.m. - 10:40 a.m.
Unravel the Challenges of Coding Diabetic, Stasis, and Arterial Ulcers

Get the latest guidance on how to differentiate between and properly code diabetic, stasis, and arterial ulcers. Work through actual patient cases to find the right code.

10:40 a.m.- 10:55 a.m.
NETWORKING, REFRESHMENT, & EXHIBITS BREAK
10:55 a.m.- 12:10 p.m.
Take On the Coding of Surgical and Trauma Wounds

Learn how to code properly healing surgical wounds, including procedure-related wounds (complicated wounds will be covered in the next session). Then move on to trauma wounds such as cuts, lacerations, and punctures. Understand the differences in coding skin tears vs. trauma wounds vs. surgical wounds.

12:10 p.m. – 1:10 p.m
NETWORKING & EXHIBITS LUNCH—Provided
1:10 p.m. - 2:25 p.m.
Take a Deep Dive Into Complicated Wounds

Work through patient scenarios to learn how to code complicated surgical and trauma wounds. This session will cover the proper coding of wounds that have experienced delayed healing, delayed treatment, dehiscence, and/or infection.

2:25 p.m. – 2:45 p.m.
NETWORKING, REFRESHMENT & EXHIBITS FINALE
2:45 p.m. – 4:00 p.m.
The Leftovers: Coding Miscellaneous Wounds

This session will cover the proper coding of wounds and skin-related problems that are common in home health patients and often confuse coders, such as skin irritations, lesions, drains, and ostomies.

Conference Track 2 Day 2

August 17, 2020
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST & EXHIBITS

Advanced Coder’s Track Please submit your most challenging and difficult scenario(s), and our experts will work through them during this track. You must submit to MHerr@decisionhealth.com by June 1, 2022.

8:00 a.m. - 9:15 a.m.
Complicated Wounds Training (Part 1)

During this advanced code training, you’ll take a deep dive into the coding of wound complications, including surgical and trauma wounds, while also receiving strategies for quickly getting through hundreds of pages of documentation to find the right wound codes.

• Learn how to glean the relevant OASIS and other documentation required when coding wounds, then learn how to reconcile how the wound’s been documented by the nurse vs. how you now have to code it
• Walk through the proper steps and analysis needed to decide the primary diagnosis and sequencing of multiple comorbidities
• Work through patient documentation to learn how to accurately and efficiently find the focus of care and sequence complicated wounds

9:25 a.m. - 10:40 a.m.
Complicated Wounds Training (Part 2)

Work through patient documentation to learn how to accurately and efficiently find the focus of care and sequence complicated wounds.

10:40 a.m.- 10:55 a.m.
NETWORKING, REFRESHMENT, & EXHIBITS BREAK
10:55 a.m.- 12:10 p.m.
Complicated Wounds: Break the Code

Practice what you’ve learned while having some fun. Work through scenarios in teams, break the locks, and win the game!

12:10 p.m. – 1:10 p.m
NETWORKING & EXHIBITS LUNCH—Provided
1:10 p.m. - 2:25 p.m.
Advanced Complications Coding

During this advanced code training, you’ll take a deep dive into the coding of complications, including those involving fractures, bypass procedures/revisions, and more!

• Learn how to glean the relevant OASIS and other documentation required when coding complications
• Walk through the proper steps and analysis needed to decide the primary diagnosis and sequencing of multiple comorbidities
• Work through patient documentation to learn how to accurately and efficiently find the focus of care and sequence complications

2:25 p.m. – 2:45 p.m.
NETWORKING, REFRESHMENT & EXHIBITS FINALE
2:45 p.m. – 4:00 p.m.
Advanced Complications Bingo!

Practice what you’ve learned while having some fun. Work through scenarios, get the right answer, and then check your bingo card!

Conference Track 1 Day 3

August 18, 2022
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST

Intermediate Coder’s Track This track is intended for coders who have been coding in home health for at least one year and either received their HCS-D credential in the past year or plan to sit for the credential immediately following the summit. You’ll work through common home health scenarios that trip up even the most experienced coders, while focusing on cases that reinforce key coding rules.

8:00 a.m. - 11:00 a.m.
Intermediate Interactive Coding (will break at 9:30 a.m.)

The disease topics that will be covered include signs and symptoms, resolved diagnoses including post-COVID-19 condition, trauma and pathological fractures, joint replacements (healing and complicated), depression, dementia, Parkinson’s disease, and Alzheimer’s disease.

11:00 a.m.
Conference Adjourns

Conference Track 2 Day 3

August 18, 2022
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST

Advanced Coder’s Track This session is intended for experienced, HCS-D certified coders with three or more years in home health coding and who consider themselves proficient in ICD-10 coding.

8:00 a.m. - 11:00 a.m.
Advanced Interactive Coding (will break at 9:30 a.m.)

You’ll work quickly through complicated and uncommon disease scenarios, including those with multiple comorbidities. In the final hour, your truth-telling (and coding) skills will be put to the test as our speakers play a game of “Who’s Telling the Truth?” with attendees.

11:00 a.m.
Conference Adjourns
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