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HTH Iowa SHIP Kickoff 8/1/2016 For more Information, please contact: [email protected] 1 Welcome to the HOMET OWN HEALTH A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO 2016-2017 IOWA SHIP GRANT. Program Kickoff Webinar All attendees are in “Listen Only” mode Questions or comments? - Open “Questions” pane in dashboard - Type in comments or questions - Comments will be monitored through out webinar. - Questions will be addressed at end of the webinar. This webinar will be recorded and posted for you to share with others on your team Handouts are available for download in the Handouts pane, and will also be emailed out to attendees after the webinar. Webinar Etiquette Kickoff Agenda HTH Welcome Jimmy Lewis, CEO IRCTC Program Overview Jennie Price, ITC Program Director Introduction of Team of Experts and Program Resources Healthcare Industry Transformation & Revenue Cycle Management Sandy Sage, RN HTHU Instructor with Dale Gibson – Medicare Consultant Medicare Webinar/CAH Webinars & Dale Gibson The Importance of Education: Intro to the HTHU School of RCM Meghan Williams, HTHU Client Services Specialist ICD10 & Coding Webinars Jenan Custer, HCCS ICD10 Courses & Dr. Dunnick Jennie Price Next Steps Jennie Price Ongoing Communication & Annie Lee Sallee Your IRCTCTeam Members Program Dashboard PreAssessment Questions Consortium Team

Iowa SHIP IRCTC kickoff webinar rev JL...HTH Iowa SHIP Kickoff 8/1/2016 For more Information, please contact: [email protected] 5 Quality Telemedicine (IQTC) SHIP

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  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 1

    Welcome to the HOMETOWN HEALTH

    A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO 2016-2017 IOWA SHIP GRANT.

    Program Kickoff Webinar

    • All attendees are in “Listen Only” mode

    • Questions or comments?- Open “Questions” pane in dashboard- Type in comments or questions- Comments will be monitored through out webinar. - Questions will be addressed at end of the webinar.

    • This webinar will be recorded and posted for you to share with others on your team

    • Handouts are available for download in the Handouts pane, and will also be emailed out to attendees after the webinar.

    Webinar Etiquette

    Kickoff AgendaHTH Welcome Jimmy Lewis, CEO

    IRCTC Program OverviewJennie Price, ITC Program Director

    Introduction of Team of Experts and Program Resources‐Healthcare Industry Transformation & Revenue Cycle Management Sandy Sage, RN ‐

    HTHU Instructorwith Dale Gibson – Medicare Consultant

    ‐Medicare Webinar/CAH Webinars & Dale Gibson

    ‐The Importance of Education: Intro to the HTHU School of RCM Meghan Williams, HTHU Client Services Specialist

    ‐ ICD‐10 & Coding Webinars Jenan Custer, HCCS

    ‐ ICD‐10 Courses & Dr. Dunnick Jennie Price

    Next Steps Jennie Price‐Ongoing Communication & Annie Lee Sallee‐ Your IRCTC Team Members‐ Program Dashboard‐ Pre‐Assessment 

    Questions Consortium Team

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 2

    ITC Program Directors

    ITC Program Director: Jennie Price HomeTown Health –Dir. of Business Development

    ITC Program Evaluation & Assessment Manager: Elizabeth PetrieHomeTown Health

    SHIP Coordinator: Jeana ChristensenIowa Dept. of Public Health

    Kristy ThomsonHomeTown Health –COO

    Kristy ThomsonHomeTown Health & HTHU Welcome & IntroductionJimmy Lewis, CEOHomeTown Health

    Jimmy LewisCEO & Founder - HomeTown Health, LLC

    • Jimmy has roots in rural South Georgia;  received a Bachelor’s Degree in Industrial Engineering from Auburn.  Jimmy has held senior management positions in six fortune five hundred companies.

    • He came to health care from a position on the board of directors of a hospital, and later become market development officer for that hospital.  Later became Vice President of Government Relations for Columbia/HCA’s 20 hospitals for the state of Georgia.

    • Took his knowledge of the rural health care delivery system in Georgia and formed a consulting company, The Leadership Group. The Leadership Group sponsored development of the Georgia Rural Hospital Roundtable for advocacy for rural hospitals in the state legislature in Georgia. 

    • Jimmy formed HomeTown Health, LLC, a business development company advocating for and developing business opportunities for at least 55 member rural hospitals in Georgia.   HomeTown Health’s efforts have been very instrumental in saving many of Georgia’s rural hospitals. In addition, membership has grown to states outside of Georgia.

    • Jimmy has been instrumental in passing key rural legislation and regulation for hospital based nursing homes, state merit, PPS and critical access hospitals. All of these have been key to the survival of rural hospitals and rural health care in Georgia, and for hospitals in other states.

    • HomeTown Health has expanded services into education as well having developed HomeTown Health University which now boasts of over 20000 students mostly in the Business Office arena for rural hospitals . 

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Who is HomeTown Health?

    • Founded in 1999 as an organization of stakeholders committed to “Working Together for the Survival of Rural Hospitals”

    • Started in Georgia, and have since expanded into various other states

    • Currently provide: advocacy, education, grant management, business partner program, conferences, and other events to support Rural and Critical Access Hospitals and rural providers

    HomeTown Health University• Started over 10 years ago as the online

    education arm of HomeTown Health, and have served nearly 20,000 students!

    • We work with individuals and over 300 facilities across the US and in several countries to provide accredited healthcare professional training – accredited by IACET

    • Areas such as Annual Education/ Compliance, Revenue Cycle Management, Nursing Continuing Education, Health IT, Coding Training, etc.

    Education Accreditation• Provide over 300 courses online, over 100 Webinars a

    year, and various live training conference and workshops• Accredited Education from the International Association for

    Continuing Education & Training (IACET)• Who accepts the IACET CEU? Full list at www.iacet.org

    • American Association of Respiratory Therapy• American Board of Medical Microbiology• American Society for Clinical Laboratory Science• American Society for Quality• American Speech‐Language‐Hearing Association• Board of Certified Safety Professionals• The Child Care Development Associate National Credentialing 

    Program• Clinician’s View (Occupational, Speech, and Physical Therapy)• Federal Emergency Management Agency• Georgia, Massachusetts and Ohio Board of Nursing• Georgia Professional Standards Commission• Human Resources Certification Institute (for their Professional 

    in Human Resource Designation)• National Association of Rehabilitation Professionals in the 

    Private Sector• National Association of Social Workers

    • National Board for Certification in Occupational Therapy, Inc. (NBCOT)

    • National Council for Therapeutic Recreation Certification• National Registry of Emergency Medical Technology (EMT)• National Registry of Microbiologists• National Society of Professional Engineers• Society for Human Resources Management• State of Georgia, FL and Iowa Board of Professional 

    Engineers• The American Association of Integrative Medicine• The American College of Forensic Examiners Institute• The American Council on Pharmaceutical Education• The American Psychotherapy Association• The International College of The Behavioral Sciences• The National Board for the Accreditation of Occupational 

    Therapy (NBCOT)

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 4

    Grant ManagementHTH and HTHU teams provide grant management and education support for various grants for last 14 years• HRSA Small Hospital Improvement (SHIP) Grant• FLEX Grants• Sub-grantee with ONC HIT Regional Extension Center• Partnering with various other healthcare-specific organizations i.e

    Offices of Rural Health, Departments of Education, and similar Rural Health organizations like HomeTown Health

    Healthcare Science Educator  Industry 

    Certification

    Kristy ThomsonIRCTC Team of Experts & ResourcesJennie Price, Director of Business DevelopmentHomeTown Health

    SHIP Grant Program Overview

    ▪ Iowa Department of Public Health decided to follow the lead of other states and issue a Request for Proposal to contract out the management oversight and coordination of the SHIP program activities and services.

    ▪ HomeTown Health, LLC (HTH) was selected through the competitive process to help manage and provide coordinated services for the Iowa SHIP program.

    ▪ Like the IDPH, we believe that this will simplify the SHIP administrative tasks for hospitals and better utilize funding to achieve program goals and outcomes for participants

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Quality 

    (IQTC)

    SHIP Grant Program Overview

    Telemedicine 

    (ITTC)

    Revenue Cycle

    (IRCTC)

    IRCTC Program Goal

    ▪ Federal SHIP Grant Area:Prospective Payment System (PPS) or Payment Bundling (PB) investment activities that improve hospital financial processes

    ▪ enable small rural hospitals to purchase health information technology, equipment, and/or training to comply with meaningful use, ICD-10 standards, and payment bundling.

    IRCTC Program Goal

    The goal of the Iowa Revenue Cycle Transformation Consortium (IRCTC) is to build a group of hospitals and other stakeholders that work togetherto strengthen the rural health infrastructure andincrease access for small or rural Iowa hospitals.

    This will be accomplished by supporting and reducing barriers to the improvement of hospital financial processes in areas such as:

    ▪ Revenue Cycle Management and staff development

    ▪ Reimbursement and Payer Updates

    ▪ ICD-10 support and training/education

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 6

    RCM Barriers & Challenges

    The challenges related to this rapidly changing healthcare environment affect the role of the

    clinical, operational and financial staff of hospital.

    In the midst of large scale transformation comes nearly constant payor changes, and the recent

    industry change to ICD-10.

    The Revenue Cycle team, with its greater inherent challenges for small hospitals and individuals that

    often wear multiple hats, faces an even greater challenge to keep up.

    IRCTC Program Goal

    TRANSFORMATIONnoun: a thorough or dramatic change in form

    Program FormatThe HomeTown Health ITC Program includes:

    • Consortium Webinars

    • Online Training Courses to support staff development & implementation of best practices

    • Live Training Meeting

    • Team of Experts Consultation & Help

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Your Consortium Team

    HomeTown Health

    Area Experts

    Your IRCTC Team of Experts

    How did we select this team of experts?

    • based on qualifications that are evident in their training and past experience

    • their professional expertise in the subject matter 

    • proven success helping other hospitals through some sort of transformation

    • committed to helping Iowa

    Your IRCTC Team of Experts

    • Annie Lee Sallee, MBA, CPC, CPMA, Revenue Cycle Specialist/Area Lead ‐HomeTown Health 

    • Meghan Williams, Customer Relations Coordinator ‐HomeTown Health University 

    • Sandy Sage, RN, PPS/PB Trainer ‐HomeTown Health Trainer • Dale Gibson, Medicare Expert ‐Dale Gibson Medicare Consulting • Jenan Custer, CCS, CPC, AHIMA Approved ICD‐10‐CM/PCS, Trainer and 

    Ambassador ‐ HCCS • James Dunnick, MD, FACC, CPC, CHCQM'S ‐Cardiologist and Certified 

    Coding Trainer ‐The Dunnick Group 

    • Other Consortium participants to be invited based on Pre‐Assessment results and feedback on the current status and needs of the participating hospitals. 

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Your Consortium Team

    Iowa HospitalTeams

    “Solve WITH, not for…”“Choose Your Own Adventure”

    “Redefine ‘best’ and ‘practices’”

    HomeTown Health

    Area Experts

    Webinar InteractionHear from YOU:

    • Live Polls and other questions regarding direction you want the Consortium to take

    • Best Practices, successes or challenges, in your hospital and from others

    Which area of the Revenue Cycle would you say is the strongest

    in your hospital?

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Healthcare Transformation & Revenue Cycle Management

    Sandy Sage, RNHTHU Instructor

    Sandy Sage, RNRevenue Cycle Instructor/TrainerHomeTown Health University

    • Project Leader for the SHIP grant programs:REV UP Your Revenue Cycle and Managed Care Consortium

    • Most recently, she served as a Revenue Cycle Manager for Dodge County Hospital in Georgia 

    • She has been a Registered Nurse since 1990 

    • She has been a Nurse Manager in the ED & Med/Surg, Case Manager, clinical liaison between medical and accounting, Revenue Analyst, Quality Coordinator, and BO staff trainer

    Healthcare Today

    How does the changing healthcare environment affect our hospitals?

    What should we do about it?

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Volume to Value▪ CAHs are currently reimbursed based on cost

    ▪ PPS hospitals are paid – OP - Fee for Service – IP - DRG payments

    ▪ PPS are feeling the change first

    ▪ CAHs are next to be affected

    ▪ Conditions of Participation reflect coming change

    Cost Sharing▪High deductible plans▪ Increased premiums▪Higher co-pays

    Kaiser Foundation Cost Sharing increased 230% since 2006

    6 x faster than wage increases

    Adjusting to ChangePast Behavior▪ Increase rates to private insurers to compensate

    for lower reimbursement from government payers

    ▪ Didn’t worry about collecting co-pays and deductibles because the payment for service was high

    Response▪ Private insurers are narrowing networks and

    rolling out value based plans

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 11

    How do we respond?

    First Reaction to decreased reimbursement:

    ▪ Administration cuts staff to decrease costs

    ▪ Hours, salaries and employees take the hit

    ▪ “Off with your heads!”

    ▪ Stress and fear take over

    ▪ Attitudes and morale are low (affecting patients)

    ▪ Creates another set of problems

    Solution?

    Don’t weaken the workforce; Strengthen the Revenue Cycle!

    Strengthen the Core

    RegistrationChargingDocumentationCodingFocus on areas that will make the

    biggest impact!

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Finding Weakness

    ▪ Key Performance Indicators▪ Determine Standard Benchmarks▪ Monitor and Measure▪ Find areas needing improvement▪ Make changes▪ Monitor and Measure

    CULTURE

    Create a culture of responsibility

    andAccountability.

    Are your staff held responsible?

    Adapting

    Do More with Less

    As you strengthen the Revenue Cycle you will streamline processes

    Errors will decrease

    You can focus on improving other areas and processes

    Revenue will increase and Cost will decrease

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 13

    Action Items

    Imperative that you help your staff to keep up with changesImperative that you make ongoing staff education and professional training a requirement

    How will the IRCTCprogram help?

    Monthly Medicare WebinarsMedicare Reimbursement Update Webinar Led by HomeTown Health Education Team and Trainer Dale Gibson HomeTown Health offers this monthly Medicare Update to help hospitals stay on top of the latest changes in state and federal policy. ‐ reimbursement updates on the most current Medicare policies and procedures.‐ reviews the most current changes in Federal policy and procedures as it relates to filing claims to Medicare.‐ help Medicare Billers, Business Office Managers and CFO's stay ahead of the game‐ held on the 2nd Wednesday of the Month 

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Quarterly CAH WebinarsQuarterly CAH Reimbursement Training Webinar HomeTown Health offers this quarterly CAH Series to help hospitals stay on top of the latest changes in billing requirements, specific to the needs of Critical Access Hospitals. The experts in the field, Dale Gibson and Leanne Layne come together to share their knowledge and expertise in the world of CAH reimbursement and billing. Topics to include items such as: • CAH Billing Overview & Inpatient Billing • CAH Swing Bed Billing, Chart & Cost Reporting • CAH Outpatient Billing • Method II Elections, plus other Content TBD as needs

    arise.

    Quarterly IRCTC Transformation Check-Ins

    Revenue Cycle Management Transformation Series The primary consortium quarterly check‐in series providing training in areas of Revenue Cycle Management and assistance in rolling out the RCM online staff development education in your facility. The intended audience for this series include Business Office Manager, Revenue Cycle Director, and other related department heads. 

    Topics to include: • Introduction to School of Revenue Cycle Management Program: Importance of Education in the Business Office 

    • PFS Certifications and Business Office Staff Retention and Development • Business Office Leadership, Reporting, and Benchmarking for Improvement ‐ “REV UP” Your Revenue Cycle Benchmarking 

    Online Staff Development SupportCourses – Revenue Cycle Mgmt

    School of Revenue Cycle Management and PFS Certifications HTHU’s School of Revenue Cycle Management is dedicated to training business office managers/directors and staff in all aspects of the revenue cycle. Students are offered a wide menu of curriculum choices that cover the critical components of generating revenue for the hospital. 

    The PFS/Business Office Certification courses are available individually and grouped for certifications. HTHU Business Office Certifications have been proven to decrease errors, increase knowledge base, increase clean claims and increase revenue. HTHU proudly offers posters, in‐person and web‐based assistance from our team, as well as a career advancement guide for incorporating education into job performance, annual evaluations or job advancements. 

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    The Importance of The Importance of Education: Intro to the HTHU School of RCM Meghan Williams Customer Relations Coordinator HomeTown Health

    Meghan WilliamsCustomer Relations CoordinatorHomeTown Health

    • Meghan joined the HTHU staff in May 2012• Coordinates social media for HomeTown Health & 

    HTHU, website development and maintenance• Education reporting for HTHU subscribers, 

    education course review, as well as coordination of sales/marketing/retention for HTHU

    • Completed a B.A. in Speech Communications from the University of Georgia

    • Meghan’s career in healthcare began as a Human Resources Director in southwest Georgia where she was responsible for all aspects of employee relations, payroll/benefits, workers compensation, annual education development and training, as well as serving as the HIPAA Compliance Officer. 

    • She also served as an active member of the hospital authority’s volunteer group.

    Why do We need Education?

    Relevancy to Industry

    Professional Development

    Cohesive Knowledge Base

    Empowerment of Staff

    Regulatory Compliance

    Financial Stability & Viability

    Why do we need education?

  • HTH Iowa SHIP Kickoff 8/1/2016

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    ▪ Vital Role – Key Component to Outcomes– Patient Encounter– Records & Documentation

    ▪ Customer Service – Setting the Tone– Patient Encounter

    ▪ Best Practices for Successful Encounters– Collections

    Patient Access

    ▪ Familiar with Industry Transformation

    ▪ Best Practices for Financial Stability– Denials– Communication with Payors– Documentation & Coding

    Business Office

    ▪ On-Demand Training (Medicare & Industry Updates)

    ▪ Business Office Certifications– Patient Access, Billing, Financial Counselor, Healthcare

    Hospitality

    ▪ Computer Skills

    ▪ Accounting

    ▪ Facility Compliance

    ▪ Management & Leadership

    ▪ Office Education– Billing, Patient Access, Financial Counseling, Health

    Information Exchange

    HTHU School of Revenue Cycle Management

  • HTH Iowa SHIP Kickoff 8/1/2016

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    Demo of School of Revenue Cycle Management:

    www.hthu.net

    ICD-10 & Coding WebinarsJenan CusterHCCS

    Jenan CusterDirector of Operations, Coding Healthcare Coding and Consulting Services (HCCS)CCS, CPC, CDIP, AHIMA Approved ICD-10 Trainer

    • Jenan is a CCS, CPC, CDIP, AHIMA ICD‐10‐CM/PCS Approved Trainer, AHIMA Ambassador, and AS in Health Information Management

    • She has been involved in the coding and HIM areas for over 14 years and has been a partner with Home Town Health for four years

    • Jenan oversees a coding team exceeding 200 remote coders, consulting services, and coding for over 100 facilities all across the United States

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    J E N A N C U S T E R C P C , C C S , C D I P A H I M A A P P R O V E D I C D - 1 0 - C M / P C S T R A I N E R A N DA M B A S S A D O RD I R E C T O R O F C O D I N GH E A L T H C A R E C O D I N G A N D C O N S U L T I N G S E R V I C E S ( H C C S )

    1

    HomeTown Health– Iowa

    © 2015 Healthcare Coding & Consulting Services© 2015 Healthcare Coding & Consulting Services© 2015 Healthcare Coding & Consulting Services

    AGENDA

    HCCS Overview and Services

    HCCS’s Partnership with Home Town Health

    What we're seeing Post ICD‐10 ‐ needs of hospitals

    What Iowa Participants can expect from Quarterly Webinars 

    2

    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐ IOWA

    3

    Introduction to HCCS

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    © 2015 Healthcare Coding & Consulting Services

    HISTORY & MISSION

    2006: HCCS established to provide remote coding and HIM consulting services

    Culture committed to uncompromising values, dedicated to our clients

    Passion for delivering integrity and accuracy, one chart at a time

    Leading provider for remote coding, auditing & CDI

    Provide short‐term or long‐term coding on both partial‐department or complete outsourcing basis, as well as direct hire staffing 

    Named a 2014 Top Medical Coding Company, by MedicalBillingAndCodingOnline.com  

    4

    © 2015 Healthcare Coding & Consulting Services

    Remote Medical Coding

    Coding & Documentation Audits

    Clinical Documentation Improvement

    ICD‐10 Training & Education

    Interim HIM Staffing

    HCCS SERVICES

    5

    © 2015 Healthcare Coding & Consulting Services

    Highly transparent reporting on coder scheduling, productivity, and accuracy.  

    Coders maintain a 97% accuracy with up to 6% of all charts continuously being audited, one of the most robust auditing processes in the industry 

    HCCS’s ChartCounts is able to monitor productivity and provide up‐to‐the‐minute tracking and reporting

    SERVICES: REMOTE CODING

    Accuracy Rate Comparison

    Industry Standard

    HCCS Actual

    Coding Accuracy 95% 98%

    Reimbursement Coding Accuracy 98% 98.7%

    All coding is done with in‐house coders, we will not use any subcontractors

    All Chart Types Coded Inpatient

    Observation

    Emergency Department

    Outpatient/Ancillary Services

    Same Day Surgery

    6

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    © 2015 Healthcare Coding & Consulting Services© 2015 Healthcare Coding & Consulting Services

    Variety of audits offered to ensure compliance

    Comprehensive review of all coding elements and documentation

    DRG validation, APC validation, ProFee coding, RAC readiness/defense

    Comprehensive summaries with education as requested

    Performed on‐site or remotely

    Evidence‐based education

    SERVICES: CODING & DOCUMENTATION AUDITS

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    © 2015 Healthcare Coding & Consulting Services© 2015 Healthcare Coding & Consulting Services

    SAMPLE AUDIT SCORE CARD

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    © 2015 Healthcare Coding & Consulting Services© 2015 Healthcare Coding & Consulting Services

    VALUED CLIENTS

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    © 2015 Healthcare Coding & Consulting Services

    HCCS managers have an average of 23+ years of HIM industry experience. Our management team is arguably the most experienced in the Remote Coding industry.

    Rigorous recruitment process ensures only quality coders are being hired.

    Based off of our continuous QA process, we provide all of our coders with evidence‐based training and feedback on an ongoing basis. This allows us to produce accuracy rates that far exceed industry standards.

    Team of 200+ HIM professionals prepared to provide services to a range of medical facilities from critical access hospitals to level 1 trauma centers. 

    HCCS has the ability to ramp up to almost any sized project. Our in‐house recruiting group and robust HR department give us exceptional flexibility and scalability, well beyond the known ability of any of our competitors.

    MARKET DIFFERENTIATORS

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    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐ IOWA

    11

    HCCS’s Partnership with Home Town Health

    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐ IOWA

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    Partnering to provide Quality Coding Guidance and Education

    Preparation for ICD-10 Conversion through Live training sessions, remote, and on-demand

    Assessments for Coding ICD-10 Complex Training in both CM and PCS Proficiency training on “Hot Topic Areas” of compliance

    in both ICD, CPT, and Modifiers use Tailoring to the Coding needs of the Home Town Health

    Participants

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    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐

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    What we're seeingPost ICD-10 - Needs of Hospitals

    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐ IOWA

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    Coders have questions, it’s ok. Distinct Trends in ICD-10 Audits There are voids with on site ICD-10 expertise With lack of education, bad habits are forming now Lack of adequate documentation Defining Coding

    Challenges Juggling ICD-10/CPT Understanding the importance of Source Guidance, and

    being up to date with the most current guidance impacting coding

    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐

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    What Iowa Participants can expect from

    Webinars

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    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH – IOWA

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    ICD-10 Updates

    CPT Updates

    Expert Guidance on ICD-10, CPT Coding….

    Remedial Assistance on ICD-10

    Updates to Source Guidance impacting coding- AHA Coding Clinics- CPT Assistants

    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐ IOWA

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    On Demand June 28th, 2016 - Conquering Colonoscopy CPT/ICD-10-CM Coding Many More!

    Upcoming Live Audioconferences September 27th, 2016 - EMS Coding Compliance in ICD-10 and Beyond September 2016- "Preparing for the end of the Code Freeze: October 1,

    2016“. Mastering ICD-10 Changes December 27th, 2016 - Unraveling Diabetes Coding in ICD-10-CM March 28th, 2017 - Physician E/M and CPT Reporting in the ED Setting June 27th, 2017 - Hitting the Mark on Compliant OB coding in ICD-10

    © 2015 Healthcare Coding & Consulting Services

    HOME TOWN HEALTH ‐

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    HCCS Overview and Services

    HCCS’s Partnership with Home Town Health

    What we're seeing Post ICD-10 - needs of hospitals

    What Iowa Participants can expect from Quarterly Webinars

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    © 2015 Healthcare Coding & Consulting Services19

    THANK YOU FOR YOUR TIME

    We welcome all [email protected]

    Quality

    Value

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 18

    Quarterly Coding & ICD-10 Updates

    Quarterly ICD‐10/Coding Webinar SeriesLed by Jenan Custer ‐ HCCS In order to help hospitals stay on top of the latest changes and ongoing challenges in coding requirements, experts in the field come together to share their knowledge in the world of coding and ICD‐10. Recommended audience will include: Coders, HIM Managers/Directors, Business Office Staff interested in the topic. 

    Topics to include: • EMS Coding Compliance in ICD‐10 and Beyond & ICD‐10 Update • Unraveling Diabetes Coding in ICD‐10‐CM & ICD‐10 Update• BONUS: Preparing the the Code “unfreeze” on Oct. 1• Physician E/M and CPT Reporting in the ED Setting & ICD‐10 Update • Hitting the Mark on Compliant OB coding in ICD‐10 & ICD‐10 Update 

    Online Staff Development SupportCourses – Coding & ICD-10

    From HTHU’s School of Coding & Documentation

    ICD‐10 Clinical Documentation Improvement Series In this series designed for coders, physicians, and other clinicians, Dr. James Dunnick, a physician and certified coding trainer, cover common diagnoses of ICD‐10‐CM for each chapter. 

    In addition, a series of foundation courses are included from the School of Coding/Documentation 

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 19

    Online Staff Development SupportCourses – Coding & ICD-10

    From HTHU’s School of Coding & Documentation

    Foundation Courses Areas• Medical Terminology• Anatomy & Physiology• ICD‐10 Basics/Fundamentals & History• CDI Foundation Courses• Business Office Education

    Live ITC MeetingTentative Dates: February 22‐23Courtyard Des Moines Ankeny

    • A live 2‐day workshop with other participating hospitals will provide education in the area of Revenue Cycle Improvement and Coding training. 

    • Grant will provide for one attendee registration from each hospital, plus stipend for hotel for 2 nights (max. allowable amount for Iowa)

    • Additional attendees can attend for a small fee (TBD)

    Next StepsCalendar, Team Formation, & Pre-Assessment

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 20

    IRCTC CalendarMedicare Update

    Quarterly Training Other:

    August 2016 X Kickoff Webinar/CAH Webinar

    Pre‐Assessment

    September X Coding/ICD‐10 ICD‐10 Courses Begin

    October X Transformation Check‐In School RCMCourses Begin

    November X CAH Webinar

    December X Coding/ICD‐10

    January 2017 X Transformation Check‐In

    February X CAH Webinar Live Meeting in Des Moines

    March X Coding/ICD‐10

    April X Transformation Check‐In

    May X CAH Webinar,Closing Webinar

    Post‐Assessment

    June X Bonus: Coding/ICD‐10 Results:  Year Two begins!

    Program Dashboard

    www.hthu.net/irctc*password protected*

    Password to be supplied once you complete Pre‐Assessment

    Ongoing Communication

    Monthly Email Support and “TO DO” list 

    communications from 

    Annie Lee Sallee ‐Revenue Cycle 

    Education Specialist

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    For more Information, please contact: [email protected] 21

    How to get the most from this program:

    1. Highly recommend listening to Webinars together

    2. Discuss the webinars and courses- What did we learn from it? - What practices need to be altered or changed at our

    hospitals? Where are areas we can improve?

    3. Decide who else needs to hear it, and share link/resources on the Dashboard (www.hthu.net/irctc)

    4. Be prepared to provide ongoing feedback and help the Consortium to stay on track

    “Getting Started” Checklist

    1. Assign Project Manager/Team Leader

    2. Complete the online Self-Assessment (www.hthu.net/itc)

    3. Register Team on HTHU.net for Webinar Series

    1. Assign a Team Leader

    ▪Team Leader – Good choices for this project include… (someone organized who will champion improvement in your Revenue Cycle i.e. Revenue Cycle Director, Quality Director, Dept. Manager)

    ▪This person will be HTH’s primary contact for communication of reports and schedule of coursework

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    1. Assign a Team Leader▪ Team Leader Responsibilities:– Watch Monthly/Quarterly Webinars– Invite and encourage/assign others on

    your team to participate in webinars/ courses

    – Lead monthly team meetings to gather feedback

    – Work with other leaders in the hospital to distribute resources

    – Lead the group in working together to improve

    Who else is on your ITC Team?

    ▪ Team Sponsor – C-Suite representative

    ▪ Also Include:– HIM, Business Office, Patient Access, Case

    Management, Clinical representatives

    Getting Started: hthu.net/ITC

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    2. Hospital Pre-Assessment

    ▪ Should be completed by at least one senior level director/manager from your hospital's team (Team Leader or C-suite Sponsor)

    ▪ Only need one per hospital submitted

    ▪ Required to participate; responses will be kept confidential

    ▪ Will be asked to complete similar assessment at the end of the program

    ▪ Due by August 15th to participate!

    2. Hospital Pre-Assessment

    ▪ As a group, where are we now in Iowa?

    ▪ What are common needs? Common obstacles?

    ▪ Where do we most need to spend our time and the grant dollars?

    ▪ What are YOUR hospital’s specific needs?

    ▪ How will we know this Consortium has been successful?What do you want the transformation to look like?

    3. Register for Webinars

    ▪ Once Self-Assessment is submitted, we will reach out to the primary program contact/team leader with online Dashboard password.

    ▪ Click on the link(s) to register for program webinar(s) and share it with others on your Consortium Team

    (2 Medicare Webinars, CAH Webinar, and Coding Webinar before next Check-in!)

  • HTH Iowa SHIP Kickoff 8/1/2016

    For more Information, please contact: [email protected] 24

    Contact the [email protected]

    Questions?