T H E F U T U R E O F H I M :

Solving the Mystery

M A R C H 1 9 – 2 1 , 2 0 1 8

38th Annual Meeting & Trade Show

Please Note:

Exhibit Hall Days have changed for 2018

MONDAY, MARCH 19

8:00 — 9:00 REGISTRATION/CONTINENTAL BREAKFAST

9:00 — 10:30 The Art of Positive Communication: Small Actions to Impact Practice — Julien Mirivel

10:30 — 11:30 Inspiring Leadership | Influencing Change: AHIMA’s 2018 Report to the CSAs — Susan White

11:30 — 11:45 Achievement Awards Presentation

11:45 — 1:00 EXHIBIT HALL GRAND OPENING / BOXED LUNCHES IN EXHIBIT HALL

11:45 — 5:00 PROFESSIONAL HEADSHOT STATION

1:00 — 2:15

1A. Understanding Risk Adjusted Reimbursement Methodologies via Hierarchical Condition Categories (HCCs) — Anne Casto & Maha Raslan

2A. Information Governance: Reflections on the First Year — Lauren Thacker & Kathy Froehle

3A. Best Practices in Privacy Incident Response and Management — Rita Bowen

4A. Amendment or Chart Correction? — Ruby Sosa & Tammy Cunningham

2:15 — 2:45 BREAK & RAFFLE DRAWINGS IN EXHIBIT HALL

2:45 — 4:00

1B. How to Create and Implement a Successful Revenue Optimization and Integrity Program — Charlene Kieffaber & Jennifer Burchill

2B. Advancing Information Governance — IG Success Stories Panel

3B. The Right to Access, Use and Disclose Medical Records in Ohio: Compliance Challenges and Pitfalls for 2018 — Lisa Pierce Reisz

4B. Duplicate Medical Records...What You Don’t Know Can Hurt You — Letha Stewart

4:00 — 5:00 WINE & CHEESE RECEPTION / RAFFLE DRAWINGS IN EXHIBIT HALL

TUESDAY, MARCH 20

8:00 — 9:00 REGISTRATION/CONTINENTAL BREAKFAST

9:00 — 11:30 Strategies For Saving Your Sanity — Dr. Mike Thompson

11:30 — 12:45 BOXED LUNCH & RAFFLES IN EXHIBIT HALL

11:45 — 12:15 STUDENT NETWORKING LUNCH

12:45 — 2:00

1A. It’s All About Leadership & Character — Dr. Mike Thompson

2A. Our Journey to Automated Privacy Monitoring Through Machine Learning and Defined Policy — Jill Choi, Tiffany Perrine & Ryan Youngerman

3A. Productivity Benchmark: How Do You Measure Up? — Andrea Romero

4A. Simplifying MACRA, MIPS & APMs for HIM — Bonnie Cassidy

5A. It’s Your Career … Manage It — Raymond Gooch

2:00 — 2:30 BREAK & RAFFLE DRAWINGS IN EXHIBIT HALL

2:30 — 3:45

1B. Ask Dr. Mike — Mike Thompson

2B. Boss, We have a Security Incident! Table Top Exercise — Robert Brzezinski

3B. Coding Considerations for Quality-Based Outcomes in Ohio Managed Care — Amber Detty

4B. Bridging the Gap Between Coding and Revenue Integrity — Nancy Hirschl

5B. B.Y.O.B — Building Your Own Brand — Cortnie Simmons

3:45 — 4:45 HAPPY HOUR WITH EXHIBITORS

WEDNESDAY, MARCH 21

8:00 — 9:00 REGISTRATION/CONTINENTAL BREAKFAST

9:00 — 10:30 CODING: Joint Effort — Part 1

PROCESS EXCELLENCE: Using Great Processes to Solve Complex Challenges — Peg Pennington

10:30 — 11:45CODING: Joint Effort — Part 2

Dianna Foley

PROCESS EXCELLENCE: Operational Excellence — People, Process and Performance — Ken Robinette

11:45 — 12:45 BOXED LUNCH

12:45 — 2:00

1A. INPATIENT CODING: CDI: The Coder as the Last, Best Hope for the Right DRG — Erica Remer

2A. OUTPATIENT CODING: The Case of the Elusive Endoscopy Codes — Dianna Foley

3A. SPECIALTY CODING: Coding Pediatric Neurology Procedures — Caterna Smith

4A. REVENUE CYCLE: Denials Management — Yes! HIM/Coding Can Do That… — Lisa Knowles

PROCESS EXCELLENCE: Patient Centric Healthcare Delivery Models — How to Empower Care Providers? — Aravind Chandrasekaran

2:15 — 3:30

1B. INPATIENT CODING: The Heart of the Matter: Complex Cardiology Coding — Daphne Chandler & Becky Campbell

2B. OUTPATIENT CODING: 2018 CPT and OPPS Updates — Amy Pritchett

3B. SPECIALTY CODING: Avoid the Pitfalls: Proper Coding & Charging in the Emergency Department — Mike Rosenfeld

4B. REVENUE CYCLE: The Hows and Whys of Risk Adjustment — Susan White

PROCESS EXCELLENCE: Personal Kanban — Tim Krall

Program Agenda

CE CREDITS: PROGRAM = 5 .0 / EXHIB ITS = 1 .0

Monday19

CONCURRENT SESSIONS: 1:00 PM – 2:15 PM & 2:45 PM – 4:00 PMChoose one session from each timeslot.

1. REIMBURSEMENT

1A. UNDERSTANDING RISK ADJUSTED REIMBURSEMENT METHODOLOGIES VIA HIERARCHICAL CONDITION CATEGORIES (HCCS)

Anne Casto, RHIA, CCS Adjunct Lecturer The Ohio State University

Maha Raslan, MBA, RHIA Director - Compliance MediGold-Mount Carmel Health Plan

As CMS and commercial payers are implementing risk-adjusted payment methodologies to more accurately reimbursement patient care. It is important for HIM professionals to understand how these methodologies differ from more prevalent prospective payment schemes. Documentation and coding have a major role in the determination of payment levels under risk-adjusted methodologies. This presentation will provide examples of how improved physician documentation and complete coding impact the bottom line.

1B. HOW TO CREATE AND IMPLEMENT A SUCCESSFUL REVENUE OPTIMIZATION AND INTEGRITY PROGRAM

Charlene Kieffaber, RHIA Revenue Optimization Analyst, Mount Carmel Health System

Jennifer Burchill, MHA, RHIA, CANPC Manager - Revenue Integrity and Optimization, Mount Carmel Health System

This presentation will describe the success story of how Mount Carmel created the Revenue Optimization and Integrity program, a first for all of the Trinity Health Regional Health Ministries. Revenue Optimization and Integrity is a combination of Revenue Integrity (PFS Compliance, LCD, RAC, etc.) and Charge Master charging and analysis. It will address the history, culture, and current challenges and how they have been met and proactively addressed. There will also be helpful tips and tricks for those attending to take back to their departments when addressing issues pertaining to Revenue Integrity and Charge Master Projects.

8:00 AM – 9:00 AM

REGISTRATION & CONTINENTAL BREAKFAST

9:00 AM – 10:30 AM

THE ART OF POSITIVE COMMUNICATION: SMALL ACTIONS TO IMPACT PRACTICE

Julien C. Mirivel, PhD Professor of Applied Communication University of Arkansas at Little Rock

This talk is an introduction to the art of positive communication. It is built on the premise that “the spoken word, spoken honorably and well, can make a difference that no other form of communication can equal.” In the talk, Dr. Mirivel will share a simple model to inspire change in one’s personal communication. With personal examples and stories, this presentation will invite everyone to practice concrete behaviors that will have a positive effect at work and at home. By the end of the session, every person in the audience will be able to make a positive difference in their own lives and the lives of others.

10:30 AM – 11:30 AM

INSPIRING LEADERSHIP | INFLUENCING CHANGE – AHIMA’S 2018 REPORT TO THE CSAS

Susan White, PhD, RHIA, CHDA Former Board Member AHIMA Board of Directors

Increase your awareness of AHIMA’s 2018-2022 strategy and how you can lead and influence change in your career as well as the healthcare environment of the future.

11:30 AM – 11:45 AM

ACHIEVEMENT AWARDS PRESENTATION

Join us in honoring OHIMA’s Distinguished Member and other Achievement Award recipients! Awards will be presented onstage.

11:45 AM – 1:00 PM

EXHIBIT HALL GRAND OPENING!

Boxed Lunch & Raffles in Exhibit Hall

Join us for the grand opening of the 2018 Exhibit Hall! Enjoy lunch and participate in the exhibitor raffles while browsing through the wide variety of exhibits.

*IMPORTANT NOTE: Be sure to check YES on your registration form if you want a boxed lunch!

11:45 AM - 5:00 PM

PROFESSIONAL HEADSHOT STATION

Stop by during a break to have your headshot taken by a professional photographer - courtesy of OHIMA!

2. INFORMATION GOVERNANCE

2A. INFORMATION GOVERNANCE: REFLECTIONS ON THE FIRST YEAR

Lauren Thacker, MS, RHIA, CHDA Senior Data Manager Arthur G. James Cancer Hospital & Richard J. Solove Research Institute

Kathy Froehle Senior Business Systems Analyst - Information Technology OSU Wexner Medical Center

This session will provide the audience with practical application of employing a Data Governance strategy at their organization or department. Attendees will learn from the experience at The Ohio State University Wexner Medical Center as they consider adopting a Data Governance program or strategy at their own center, or department. The session is appropriate for those across all stages of developing an IG strategy.

2B. ADVANCING INFORMATION GOVERNANCE – IG SUCCESS STORIES PANEL

Information governance is a key in the future of HIM but leaders have been slow getting started. This panel will focus on use of AHIMA’s IG Adoption Model for healthcare and how use of the model enabled them to get the discussion started and create the path for information governance in their organizations. The act of just assessing an organization’s IG maturity can lead directly to executive support, awareness across the organizational leadership team, and a road map for starting and succeeding with initial projects. Hear from organizational leaders who have used the tool and learn how to overcome obstacles to lead the program in your organization.

3. PRIVACY & SECURITY

4. RECORD MAINTENANCE

4A. AMENDMENT OR CHART CORRECTION?

Ruby Sosa, RHIA, CHPS EMPI Supervisor, OhioHealth

Tammy Cunningham, RHIT EMPI Manager, OhioHealth

With more hospitals and entities turning to Electronic Medical records, we continue to encounter issues transitioning from the paper world. One with the integrity of the medical record. Another is due to associates not being clear on if a discrepancy is an amendment or a chart correction. With no clear direction it has added to the confusion. Amendment deadlines can be are being missed. Corrections can be are being delayed. All potentially affecting the care of the patient.

4B. DUPLICATE MEDICAL RECORDS … WHAT YOU DON’T KNOW CAN HURT YOU

Letha E. Stewart, MA, RHIA Director of Customer Relations QuadraMed

This presentation will review our Diagnose, Treat, Prevent, and Maintain model and discuss case studies from different customers to illustrate how they achieved and continue to maintain a clean MPI to support their internal initiatives – now and in the future. Participants will leave with a checklist of specific actions they can take to reduce patient identity errors.

4:00 PM – 5:00 PM

WINE & CHEESE RECEPTION

Relax after a fulfilling day of sessions while enjoying an exhibitor reception with complimentary food and drink. Browse the many exhibits and participate in the exhibitor raffles – all while networking with vendors and colleagues!

3A. BEST PRACTICES IN PRIVACY INCIDENT RESPONSE AND MANAGEMENT

Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB Vice President - Privacy, Compliance and HIM Policy MRO Corporation

This presentation will discuss the current environment and statistics related to healthcare breach, review the need for Covered Entities and Business Associates to develop sophisticated incident response plans, and shed light on best practices for assembling an incident response team, review critical steps for the first 24 hours following a breach, discuss communications strategies for patient notification and outline various approaches for specific incident types.

3B. THE RIGHT TO ACCESS, USE AND DISCLOSE MEDICAL RECORDS IN OHIO: COMPLIANCE CHALLENGES AND PITFALLS FOR 2018

Lisa Pierce Reisz, JD Partner, Vorys

Although patients have a fundamental right to access their own medical records under both HIPAA and Ohio law, many providers struggle to navigate the various regulatory schemes that govern access rights in Ohio. This session will analyze the following compliance challenges and pitfalls related to access rights under HIPAA and state law:

• Right to Access Under HIPAA

• Ohio’s Right to Access after Griffith v. Aultman

• Right to Access v. Authorizations under HIPAA

• Personal Representatives and the Right to Access

• Fees for Records: What can I charge to provide a copy of a record?

• Disclosures under 42 C.F.R. Part 2

• Responding to Subpoenas

CE CREDITS: PROGRAM = 5 .0 / EXHIB ITS = 1 .0

Tuesday20

8:00 AM – 9:00 AM

REGISTRATION & CONTINENTAL BREAKFAST IN EXHIBIT HALL

9:00 AM – 11:30 AM

STRATEGIES FOR SAVING YOUR SANITY®

Dr. Mike Thomson President Thomson ETC., Inc.

The title says it all! “Dr. Mike” Thomson will pull back the curtain and unleash his trademarked tips, secrets & strategies on “how” to save your sanity in the Health Information Management field. This session will turbo-charge whatever you’re doing right now and give you the tools for the Right Mindset - Mental Toughness - Lasting Resilience and the Life Balance that leads to Sustainable High Performance at work, home and life. Fasten your seatbelt for a high energy keynote you will not forget!

11:30 AM – 12:45 PM

BOXED LUNCH & RAFFLES IN EXHIBIT HALL

Enjoy lunch and participate in the exhibitor raffles while browsing through the wide variety of exhibits.

*IMPORTANT NOTE: Be sure to check YES on your registration form if you want a boxed lunch!

11:45 AM – 12:15 PM

STUDENT NETWORKING LUNCH SESSION

Attention all students! Enjoy your boxed lunch while hearing from OHIMA leadership about great resources available and ways you can get involved.

11:30 AM – 12:45 PM

RESEARCH POSTER SHOWCASE

Research by Ohio HIM professionals, new graduates and students will be on display until 1:00 pm on Wednesday. Researchers will be available for questions during the competition judging which will take place during this time.

CONCURRENT SESSIONS: 12:45 PM – 2:00 PM & 2:30 PM – 3:45 PM

Choose one session from each timeslot.

1. LEADERSHIP

1A. IT’S ALL ABOUT LEADERSHIP & CHARACTER®

Dr. Mike Thomson President, Thomson ETC., Inc.

Leadership & Character can be dull topics BUT not with Dr. Mike. Dr. Mike will help you understand that there is no such thing as Health Information Management ethics (I know what you’re thinking, BUT the answer to this one will blow you away).

2. TECHNOLOGY

2A. OUR JOURNEY TO AUTOMATED PRIVACY MONITORING THROUGH MACHINE LEARNING AND DEFINED POLICY

Jill Choi, MBA, RHIA, CHPC Director - HIM, Privacy Officer, Nationwide Children’s Hospital

Tiffany Perrine, CHPC Privacy Program Manager, Nationwide Children’s Hospital

Ryan Youngerman VP Operations, Maize Analytics

Can you determine if an employee is accessing a record for the right reasons? If you receive a complaint about inappropriate access, are you able to respond and resolve quickly? In this session, you will:

• Learn how machine learning and targeted algorithms can automatically audit appropriate accesses and shine a spotlight on the suspicious ones.

• Learn how to translate your current, manual efforts into a use case for automated privacy monitoring with quick payback.

• Understand the components of an effective privacy monitoring program.

2B. BOSS, WE HAVE A SECURITY INCIDENT! TABLE TOP EXERCISE

Robert Brzezinski, CHPS, CISA, CISM Consultant, Bizwit LLC

This session is a simulated cyber incident response table top exercise to build participants awareness around current cyber security threats, and assessing participants cyber security emergency preparedness and response. Participants will work together as teams to prioritize and manage their response efforts to multiple security incident scenarios. This exercise will “test” participant’s privacy, security / technical, management and incident response knowledge and skills.

• Why your character eulogy will never lie

• Why street-smart ethics is not for wimps

• Why you should worry more about the pop quizzes in life versus the final exams

• Why making good choices EVEN when no one is watching is HUGE

• Six Pillars that you need as your base

• How to use the T.E.A.M. model in everything you do and so much more.

Dr. Mike doesn’t just talk about Leadership & Character, he makes it come alive!

1B. ASK DR. MIKE - INSIDE THE STRATEGIES FOR SAVING YOUR SANITY® STUDIO...

Dr. Mike Thomson President, Thomson ETC., Inc.

This session takes Dr. Mike’s keynote to a whole different level. You’ll get to see how Dr. Mike solves work, home & life problems using his trademarked strategies. In Dr. Mike’s no-fluff, just answers “Edutainment” style, he will walk you through “how” he helps people obtain Unlimited Success at work - home - and in life. This session is like sitting in on one of Dr. Mike’s LIVE interactive radio or television shows. This session will fit up fast!

3. QUALITY

3A. PRODUCTIVITY BENCHMARK: HOW DO YOU MEASURE UP?

Gary Kilb, RHIT Coding Manager, himagine solutions

Many healthcare systems are struggling to determine new ICD-10 productivity standards. How do you know how you are doing vs. peer hospitals? What does “good” really look like? This session will provide data from over 1100 coders and 250 health systems that will provide valuable performance insights to department leaders. Productivity statistics based on hospital size, academic vs. community, rural vs. urban, and patient type will be covered in detail to help you determine the best standards for your facility. At the conclusion of the session attendees will be able to:

• Understand the post ICD-10 national coding productivity trends based on data from 1100+ coders and over 250 healthcare organizations across a variety of coding types and hospital segments.

• Gain insights on the elements within healthcare organizations that are affecting productivity based on the aggregated data.

• Learn about alternative coding models that can enhance productivity standards based on peer level data.

• Develop and implement a customized blueprint

• Tackle productivity challenges within your organization.

3B. CODING CONSIDERATIONS FOR QUALITY-BASED OUTCOMES IN OHIO MANAGED CARE

Amber Detty, MA Manager - Clinical, Quality and Risk Adjustment Analytics, Buckeye Health Plan

Melissa Reeves, RHIT, CPC Coding Analyst, Buckeye Health Plan

Nikki Groce, CPC Coding Analyst, Buckeye Health Plan

It is becoming more and more important to ensure that HIM professionals understand the effects of proper coding on quality-based outcomes as more payers and providers enter quality-based arrangements. The session will guide the clinical HIM professionals through why coding is important for both providers in quality-based arrangements and for payers as well as the process for medical record reviews for various quality-based projects. This session will focus on general coding considerations for quality-based outcomes as well as provide several specific examples of quality-based coding projects developed by Buckeye Health Plan.

4. REIMBURSEMENT

4A. SIMPLIFYING MACRA, MIPS & APMS FOR HIM

Bonnie Cassidy, MPA, RHIA, FAHIMA, FHIMSS Managing Director of Clinical Financial Integration Advisory Services nThrive

With the adoption of value-based reimbursement (VBR), HIM professionals need to lead the information governance initiative across the continuum of care. There is an increased urgency to understand what is needed to control the financial impact of value-based reimbursement. The premise of VBR is simple; providers need to deliver the best care to improve patient outcomes. And, provider payments are now based on the value of the care they deliver. This presentation will demystify Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); discuss the two payment track options and how it impacts HIMS: Merit-Based Incentive Payment System (MIPS) / Alternative Payment Model (APMs); demonstrate how vital the role of clinical documentation integrity is to the new programs of MIPS and APMs.

5. STUDENTS & NEW GRADUATES

5A. IT’S YOUR CAREER…MANAGE IT

Raymond Gooch, CPC President, Spectrum Career, LLC

Serendipity plays far too great a role in such a critical part of our lives. Perhaps you’ve been in the same position forever with nowhere to go. Maybe a friend tells you about a position that’s perfect for you. The company you’re working for has a new client or a new project … and in their eyes, you’re just right for the team. It could be that there is simply “more month at the end of the money” and you make a career move based solely on dollars. Exhausting! Sound familiar? These are indications that someone else is calling the shots in your career. It’s high time you take back the control and begin moving in a direction you want to go. If you’re thrilled with where you are in your career and wouldn’t change a thing, Congratulations! This probably isn’t for you. However, if any of these situations hit a little too close to home, it’s time to listen carefully. In this session, we will be talking about how to:

• Define yourself instead of allowing others to “put you in a box”.

• Expand your limits … if you can do your job with both hands tied behind your back, you aren’t being challenged.

• Develop curiosity … who says you have to stay in your cubical?

• Connect with other professionals … it’s often who you know that gets you where you want to go.

• Take control of your own future … never stop learning!

Join in this session to find out the first few steps that will open up a whole new future … YOURS!

5B. B.Y.O.B - BUILDING YOUR OWN BRAND

Cortnie Simmons, MHA, RHIA, CCS, CDIP, PMP Director of Strategic Coding Operations, R1 RCM

What was once called a reputation is now called a brand, and we are told that anyone can have one. As you commit to greater involvement in the evolution and management of your professional destiny, you have to look at your career with the same consideration for objectivity and strategic development that an established corporation uses for its sustained growth. Creating a vision for your professional future and implementing that vision well can lead to a better job, better contacts, industry recognition, and more. During this session we will discuss the importance of building your own professional brand and the tools, steps, and resources that can be used for success.

4B. BRIDGING THE GAP BETWEEN CODING AND REVENUE INTEGRITY

Nancy Hirschl, BS, CCS Vice President, HIM Services Streamline Health

This session will explore the current state of changing payment models for healthcare providers and discuss how providers need to adapt their approach to coding quality to ensure revenue integrity in a value-based market. This session will explore: various regulatory developments impacting healthcare; different risk adjusted models: full risk, shared risk, and shared savings; Medicare and HHS risk adjustment; the expanded role of coding in establishing value/quality; DRGs, HCCs, Star Ratings; steps organizations can take to reinforce coding quality.

3:45 PM – 4:45 PM

HAPPY HOUR WITH THE EXHIBITORS

The OHIMA Exhibit Hall closes on Tuesday afternoon! Therefore, take advantage of this opportunity to network with the exhibitors before they leave. Enjoy complimentary food and drink after a day of thought-provoking sessions.

CE CREDITS: PROGRAM = 5 .0

Wednesday21

9:00 AM – 10:30 AM

JOINT EFFORT - PART 1

Knee and shoulder joint procedures are some of the most challenging cases that both inpatient and outpatient coders face. This presentation will explain various knee and shoulder procedures from a surgeon’s perspective. Attendees will gain knowledge on surgical processes as well as anatomy for knee and shoulder joints during this physician led presentation.

10:30 AM – 11:45 AM

JOINT EFFORT - PART 2

Dianna Foley, RHIA, CCS, CDIP, CHPS Coding Education Coordinator, OHIMA

OHIMA’s Coding Education Coordinator, Dianna Foley, will walk you through some real-world case studies for shoulder and joint procedures, both inpatient and outpatient, supplementing the Part 1 presentation. She’ll unravel the mystery of proper code assignment, and clue you in to relevant Coding Clinic/CPT Assistant information.

11:45 AM – 12:45 PM

BOXED LUNCH

Boxed lunches will be available for those who indicate on the registration form that you would like a boxed lunch.

1. INPATIENT CODING

1A. CDI: THE CODER AS THE LAST, BEST HOPE FOR THE RIGHT DRG

Erica Remer, MD, FACEP, CCDS Independent Consultant Erica Remer, MD, Inc

If the story doesn’t make sense, there is probably something missing. When documentation is suboptimal, DRG assignment may be faulty. This session will reveal how to recognize you are being led down a primrose path, with the goals of averting coding and clinical validation denials, and optimizing quality metrics and reimbursement. Dr. Erica Remer, a seasoned clinician with coding, CDI, and ICD-10 expertise, will go over cases and give practical tips on how to identify clues to ensure you are making the best DRG choice possible.

1B. THE HEART OF THE MATTER: COMPLEX CARDIOLOGY CODING

Daphne Chandler, RHIT, CCS Inpatient Manager Aviacode

Becky Campbell, MBA, MHA Director, Coding Business Unit Aviacode

Attend this session to learn how to better code complex cardio patients! The speakers will discuss applicable coding guidelines, coding conventions, coding clinic, associated with code selection for a variety of cardiovascular cases including hypertension, heart failure, myocardial infarction, congenital heart defects, bypass, pacemaker insertion, valve replacement and more!

CONCURRENT SESSIONS: 12:45 PM – 2:00 PM & 2:15 PM – 3:30 PM

Choose one session from each timeslot.

CODINGDAY

NEW this year: There will be a morning coding general session and then afternoon coding concurrent sessions. Afternoon sessions include Inpatient, Outpatient,

Specialty Coding, and Revenue Cycle tracks. Choose what sessions most interest you!

2. OUTPATIENT CODING

2A. THE CASE OF THE ELUSIVE ENDOSCOPY CODES

Dianna Foley, RHIA, CCS, CDIP, CHPS Coding Education Coordinator OHIMA

Be on the lookout! Endoscopy codes are allegedly eluding appropriate assignment, leading to audits and/or denials. Suspects are known to employ disguises in order to escape detection. Join the briefing to learn valuable information in their capture. The briefing will address: Name (diagnoses); Location (esophagus, stomach, intestines {large/small}); Modus operandi (snare, guide wire, bands, injections); Known Associates (modifiers); Methods of disguise (Medicare G-codes). Sharpen your detective skills! Don’t let the correct endoscopy code make a break for it and get away.

2B. 2018 CPT AND OPPS UPDATES

Amy Pritchett, BSHA, CCS, CPMA, CPC-I, CPC, CDEO, CANPC, CASCC, CEDC, CRC, CMRS, CMPM, CDMP, C-AHI, AIHC Manager - Coding Change Healthcare

Join us for a chapter-by-chapter review of all CPT changes, additions and deletions for 2018 — with a particular focus on the changes in pathology and laboratory CPT, ASC, E&M, anesthesia and base procedures. We will also briefly review the OPPS updates for 2018.

3. SPECIALTY CODING

3A. CODING PEDIATRIC NEUROLOGY PROCEDURES

Catrena Smith, CCS, CCS-P, CPCO, CPC, CIC, CPC-I, CRC, CHTS-PW Coding Manager KIWI-TEK

During this session, we will discuss the correct CPT coding for several procedures commonly performed in the field of Pediatric Neurology. We will also review common diagnosis codes associated with those procedures along with tips to help coders gain a better understanding of this specialty.

3B. AVOID THE PITFALLS: PROPER CODING & CHARGING IN THE EMERGENCY DEPARTMENT

Mike Rosenfeld, CPC Director, Coding Assessments RevCycle+

Learn of the potential audit pitfalls of improperly coding injection, infusion and hydration services. Review actual case studies to help your organization avoid the risks associated with over (or under) reporting these services. Additionally, various leveling methodologies will be discussed to help you realize better consistency with facility E&M level assignments.

4. REVENUE CYCLE

4A. DENIALS MANAGEMENT - YES! HIM/CODING CAN DO THAT....

Lisa Knowles, RHIT, CCS HIM, Privacy, Education and Compliance Officer Harmony Healthcare

The recognition of the HIM profession and what we bring to the table continues to grow. One of those areas is every revenue cycle’s weak spot - Denials Management. In this session, the natural synergy between effective management of Denials and its relationship to HIM/Coding is explored, outlined, and why HIM/Coding leaders are so effective in managing it will be discussed. You leave the session feeling energized and knowing that we continue to bring more to our healthcare systems, facilities and continue to expand our value to the revenue cycle system. In her current position, Lisa is consulting to top academic medical facilities across the country assisting in denials management and centralizing their Denials Management teams for efficiency and higher returns.

4B. THE HOWS AND WHYS OF RISK ADJUSTMENT

Susan White, PhD, RHIA, CHDA Adminstrator - Analytics OSU - James Cancer Hospital

The goal of this session is to open the ‘black box’ of risk adjustment models and help non-statisticians understand how they work and when it is appropriate to use them. This session will include a review of the various risk adjustment models that are used in value base purchasing, alternative payment models and hospital rankings. The mechanics of the risk adjustment models will be presented so that HIM professionals will gain a better understanding of the impact of coding and documentation on risk scores and performance measurement.

CE CREDITS: PROGRAM = 5 .0

Wednesday21

Do you feel like there is not enough time in a day? Do you feel like you work many hours but never seem to accomplish enough? Attend our PROCESS EXCELLENCE track to learn how to increase productivity, better manage your time and resources and improve processes. This track is sponsored by The Ohio State University’s Center for Operational Excellence and is appropriate for all levels of HIM professionals — from new professionals to the seasoned directors.

2:00 PM – 3:15 PM

PERSONAL KANBAN

Tim Krall Process Improvement Manager JPMorgan Chase & Co.

Office workers everywhere face a challenge distinct from the world of manufacturing: With knowledge work often invisible, the value stream isn’t understood and work often isn’t pushed or pulled. This can lead to working for days, even weeks, and feeling like nothing has been completed; missing collaboration opportunities with colleagues; and last-minute “firefights” destined to fall short in quality and cause rework. In this session, Krall explores why knowledge workers struggle with productivity and introduces a tool to overcome it: The “personal Kanban” concept, popularized in Jim Benson and Tonianne DeMaria Barry’s book Personal Kanban: Mapping Work | Navigating Life. In addition to learning how they can visualize knowledge work by building personal or team Kanban boards, attendees will gain insight on why unfinished work haunts us and why, despite our best intentions, we underestimate the effort and time it takes to complete projects.

8:00 AM – 9:00 AM

REGISTRATION & CONTINENTAL BREAKFAST IN EXHIBIT HALL

9:00 AM – 10:30 AM

USING GREAT PROCESSES TO SOLVE COMPLEX CHALLENGES

Peg Pennington, COE Executive Director Center for Operational Excellence - The Ohio State University

In a world of increasing complexity – shortened lead times, global competition, and increased regulation – we arguably should expect more system failures, or system “accidents.” In this presentation, Pennington focuses on how operationally excellent companies respond to system complexity to build sustainable, high-quality and robust processes that not only meet but exceed customer expectations. Attendees will walk away with a comprehensive picture of the unique role the lean management system plays in reducing complexity.

10:30 AM – 11:45 AM

OPERATIONAL EXCELLENCE — PEOPLE, PROCESS AND PERFORMANCE

Ken Robinette Vice President of Operational Excellence Cardinal Health

In this session, we will review the history of management techniques, highlighting the strengths and weakness of each method. Following which Robinette will reveal the foundational rules for excellence in healthcare management and how to align these rules and your management style to a Lean Management system.

11:45 AM – 12:45 PM

BOXED LUNCH

Boxed lunches will be available for those who indicate on the registration form that you would like a boxed lunch.

12:45 PM – 2:00 PM

PATIENT CENTRIC HEALTHCARE DELIVERY MODELS - HOW TO EMPOWER CARE PROVIDERS?

Aravind Chandrasekaran, PhD Associate Professor & Associate Director Center for Operational Excellence - The Ohio State University

This session will provide numerous case studies on how to initiate and sustain organization wide changes to the design and delivery of health care using inputs from evidence-based medicine and patient feedback. We will look at examples from both inpatient and outpatient delivery settings. Attendees will learn more on how backend, administrative strategies can empower their frontline caregivers, and create a continuous improvement culture within their organization.

PROCESS EXCELLENCE

DETECT THE DIFFERENCE! The 2018 OHIMA Annual Meeting sessions will offer a vast variety of topics ranging from Reimbursement, Information Governance, Leadership, Privacy & Security, Coding, Quality, Technology and much more!!

LOOK FOR CLUES and register by the Early Bird Deadline (2/27/18) to be included in the Easton Gift Card raffle, which will be held each morning. In addition, visit the Exhibit Hall booths to be entered in the many raffles to win fabulous prizes donated by generous exhibitors.

INVESTIGATE Wednesday’s updated program! There is something for everyone! For coding professionals, there will be a morning Coding General Session and then afternoon Coding concurrent sessions – breakouts include Inpatient, Outpatient, Specialty Coding, and Revenue Cycle tracks. Choose what sessions most interest you! Not interested in Coding? Then join us for the Process Excellence track! Learn how to increase productivity, better manage time and resources and improve processes. See Wednesday’s program for details.

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Highlights

SOLVE THE MYSTERY by attending all 3 days of our Annual Meeting & Trade Show – worth up to 17 CEUs! Plus, all active OHIMA Members who register for all three days will receive a $60 discount! All sessions have been approved by AHIMA for 5 CEUs each day with 1 additional CEU per day if you spend at least 1 hour in the Exhibit Hall each day. As a state branch of AHIMA, all sessions are also approved for CE credit by the AAPC.

FIND YOUR SOLUTION! The Exhibit Hall will be on Monday and Tuesday this year! Take some time to browse the many exhibits and network with vendors. 1 additional CEU can be claimed on each Monday and Tuesday if you spend a minimum of one hour each day in the Exhibit Hall.

MAGNIFY YOUR PROFESSIONALISM and have your professional headshot taken by our photographer! Registered attendees can be photographed on Monday afternoon.

BE THE MASTER INVESTIGATOR and share your published or non-published HIM research in our Research Poster Showcase! Student, graduate and professional level research will be displayed in 2018 in an electronic format throughout the show. Judges will evaluate research and select a winner on Tuesday.

Hilton Columbus at Easton

(614) 414-5000

Arrival Date: ____________________________ Departure Date: ______________________Check-in time: 4:00 pm Check-out time: 12:00 noon

Name: ____________________________________________________________________

Address: ___________________________________________________________________

__________________________________________________________________________

Day Phone: ________________________________________________________________

Sharing Room With: _________________________________________________________

Requested Room Type (tax not included):

Deluxe Room – 1 king bed ($202) Deluxe Room – 2 double beds ($202)

OHIMA 38th Annual MeetingMarch 19 – 21, 2018

If using this form to reserve your accommodations, the Hilton Hotel must receive it no later than 2/15/18. Be sure to identify yourself with OHIMA to receive the convention rate. Mail to: Hilton Hotel, 3900 Chagrin Drive, Columbus, OH 43219Reservations received by the hotel after 2/15/18 or after the room block has been filled are subject to availability and may not be available at discounted rate.

Guaranteed by one of the following:

American Express/Optima Diner’s Club Discover

Carte Blanche Mastercard Visa

Amount: $ ____________________________________________________

Credit Card #: ______________________________ Exp. Date __________

Signature: ____________________________________________________

HOTEL RESERVATIONS FORM

REGISTRATION

Registration and name badges are required

for admission to the sessions and Exhibit Hall.

Registration fees cover continental breakfast,

lunch (if selected when registering), program

materials, admittance to the OHIMA Exhibit Hall,

speaker expenses, and any planned social events.

If paying by check, complete the registration

form in this program and send with check

payable to OHIMA. Mail to: OHIMA, PO Box

30966, Gahanna, OH 43230.

To pay by credit card, you

must register ONLINE. Visit the Annual Meeting

section of our website at www.ohima.org and

follow the registration links using our secure

server through PayPal.

Registration and payment must be postmarked

or submitted online NO LATER than February

27, 2018 to qualify for the early bird discount. All

registrations must be prepaid, purchase orders

are not accepted. You may register after 2/27/18

or onsite at the meeting, but must pay the late

fee charges. For those registering onsite, a $15

processing fee will be added to the total fee.

To qualify for the $60 discount, you must be

an active OHIMA member registered for all

three days. Full conference registration rates for

active members: Early Bird (by 2/27/18) = $285;

Late (after 2/27/18) = $330. Non-members and

member categories that are already discounted

do not apply.

OHIMA Board of Directors: OHIMA officers

and directors on the Executive Board have their

registration fee waived for the entire program.

Committee chairmen, project leaders, and

regional presidents have their registration fee

waived for one day of their choice. All board

members attending are required to mail in the

completed registration form or register online.

Students/Emeritus: To qualify for the STUDENT

rate, you must be an active student member

of AHIMA with Ohio as your chosen state

association. Note that “New Graduate” and “New

to AHIMA” membership statuses do not qualify

for the student rate. To qualify for the EMERITUS

rate (formerly ‘senior’), you must be designated

as an emeritus member of AHIMA with Ohio as

your chosen state association.

New to AHIMA: To qualify for the NEW TO

AHIMA rate, you must be designated as a new

member of AHIMA at the time of registration,

with Ohio as your chosen state association.

CANCELLATION POLICY

Registration fees will be refunded less a

$25 processing fee if notice is received by

Monday, 3/5/18. Cancellations received after this

date will not receive a refund. Substitution of

registrants is permitted — please contact OHIMA.

EXHIBIT HALL

The Exhibit Hall will be located in the Easton

Grand Ballroom and adjacent foyer areas on the

main floor. Visit www.ohima.org in the Exhibit

Hall section to view an up-to-date floor plan,

directory of participating exhibitors, and to take a

virtual tour in our New Product Showcase.

Exhibit Hours:

Monday: 11:45 am – 5:00 pm

Tuesday: 8:00 am – 9:30 am

11:15 am – 4:45 pm

One CE credit may be earned on each Monday

and Tuesday by visiting the exhibitors for a

minimum of one hour each day.

MEETING MATERIALS

We’ve gone green! All speaker materials will

be provided electronically in lieu of printed

handouts. You’ll receive access to the speaker

presentations to download from our website to

print prior to the meeting or save on your mobile

device. Materials will be posted online beginning

3/13/18 and will remain available at least six

weeks after the meeting. Access instructions will

be sent to your registered email address.

HOTEL RESERVATIONS

Lodging arrangements should be made directly

with the Hilton Hotel (614-414-5000). To receive

the OHIMA convention discount rate, make

your reservation prior to the deadline of 2/15/18

and tell the hotel that you are with the OHIMA

meeting. A reservation form for the hotel is

included below for your convenience. The hotel

must receive this form by the 2/15/18 deadline.

Or, if you prefer to make your reservation online,

follow the hotel links located at www.ohima.org

in the Annual Meeting section of our website to

access our customized reservation page.

Reservations requested after 2/15/18 or after

the room block has been filled are subject to

availability and may not be guaranteed at our

special convention rate. Thus, you are strongly

encouraged to make your reservations early.

MISCELLANEOUS

Business casual attire is suggested. Visit the

OHIMA web site at www.ohima.org for meeting

information and important updates.

For further information, contact: Lauren Manson, RHIA – Executive Director,

ohima@ohima.org or 614-795-7514.

G E N E R A L

Informationi

*Based on Exhibitor Evaluation Comments

Thank you to our show sponsors!*

E X H I B I T O R

PreviewAgfa HealthcareAHIMAAviacodeBlue & Co.Change HealthcareCharter Oak State CollegeChartFastChartMaxx by Quest DiagnosticsChartwise Medical SystemsComplete Coding ServicesDiversified Medical Records ServicesEDCO Health Information SolutionsElsevierExtreme NetworksFireproof RecordsFranklin UniversityGeBBS Healthcare SolutionsHealth Information Associateshimagine solutionsInDxLogic Inc.IntellisKiwi-TekKodak AlarisKT Coding & TranscriptionLexiCodeLibman EducationMaize AnalyticsMaxim Health Information ServicesMira Med Global Services/Mira Med On CallM*ModalMRO Corp.nThriveOvation Revenue Cycle ServicesPeak Health SolutionsPerry Johnson & AssociatesPickerson SolutionsQuadra Med EMPI DivisionQualCodeReimbursement Management ConsultantsRevCycle+RSM Coding ServicesScriptel Corp.Stat SolutionsThe College of St. ScholasticaThe Ohio State University Fisher College of BusinessThe Univeristy of FindlayTrust HCSUnited Audit Systems, Inc.Verisma SystemsVital Records ControlWalters Kluwer

*

*As of 12/15/17

USE THIS FORM IF PAYING BY CHECK. TO MAKE A PAYMENT WITH YOUR CREDIT CARD, REGISTER ONLINE AT WWW.OHIMA.ORG

Please print and complete as you want your badge to appear. Register one person per form. Email address is required to process your registration and grant access to speaker handouts.

Name: _______________________________________________ If OHIMA Active Member, AHIMA ID#: _________________

Phone: _______________________________________________ Email: _________________________________________

Address: _____________________________________________________________________________________________

City: _________________________________________________ State: __________________ Zip: ____________________

Employer: _____________________________________________ Job Title: _______________________________________

Do not include my e-mail address in attendee lists provided to the attendees and exhibitors.

Yes, I have obtained a new AHIMA credential within the past 12 months. Please indicate: _____________________________

Check here if you have a disability that requires special arrangements. Please contact us (ohima@ohima.org) to discuss your needs.

Make check payable to: OHIMA (Tax ID # 31-0918571)Send this form with payment to: OHIMA Annual Meeting, PO Box 30966, Gahanna, Ohio 43230Deadline: To qualify for the Early Bird Discount, registration and payment must be postmarked by FEBRUARY 27, 2018.

* 2018 Active AHIMA/OHIMA Member** To qualify for the New to AHIMA or Student/Emeritus rate: must be an active New to AHIMA, Student or Emeritus member of AHIMA,

with Ohio as your chosen state association.

Refer to the Program Agenda grid on page 1 and circle below the sessions you plan to attend so that room size can be determined.

Monday, March 19 Concurrent Sessions Choose only one session from each time slot.

1:00 pm 1A 2A 3A 4A

2:45 pm 1B 2B 3B 4B

Tuesday, March 20 Concurrent Sessions Choose only one session from each time slot.

12:45 pm 1A 2A 3A 4A 5A

2:30 pm 1B 2B 3B 4B 5B

Wednesday, March 21 Choose one full day session: CODING ONLY: Choose only one session from each time slot.

I. CODING 1A 2A 3A 4A

II. PROCESS EXCELLENCE 1B 2B 3B 4B

Postmarked: ____________ Check #: _______________ Date Entered: _____________For Office Use Only:

DAY MEMBER* NON-MEMBER* NEW TO AHIMA**STUDENT/

EMERITUS**AMOUNT

by 2/27 after 2/27 by 2/27 after 2/27 by 2/27 after 2/27 by 2/27 after 2/27

Monday, March 19Boxed Lunch Order: Yes No $115 $130 $140 $160 $70 $85 $35 $45

Tuesday, March 20Boxed Lunch Order: Yes No $115 $130 $140 $160 $70 $85 $35 $45

Wednesday, March 21Boxed Lunch Order: Yes No $115 $130 $140 $160 $70 $85 $35 $45

MEMBER FULL REGISTRATION BONUS! Active OHIMA members can deduct $60 from the total if registering for all 3 days! Full conference registration rates: EARLY BIRD = $285; LATE = $330 GRAND TOTAL

OHIO HEALTH INFORMATION MANAGEMENT ASSOCIATION Annual Meeting | March 19 – 21, 2018 | Hilton Easton, Columbus, Ohio

Registration Form

PO Box 30966Gahanna, OH 43230

PRESORTED STANDARDU.S. POSTAGE

PAIDColumbus, OH

PERMIT NO. 4535

VISIT THE OHIMA WEB SITE TO OBTAIN UP-TO-DATE FLOOR PLAN & SHOW INFORMATION.

WWW.OHIMA.ORG

FROM THE NORTHTake 71 South to 270 East to Easton Exit (Exit 33). Exit onto Easton Way and remain on Easton Way through two traffic lights. Turn right on Chagrin Drive and right into hotel parking lot.

FROM THE SOUTHTake 71 North to 670 East (to Port Columbus International Airport). Remain on 670 to 270 North (approximately 1 mile). Take Easton Exit (Exit 33) onto Easton Way and remain on Easton Way through two traffic lights. Turn right on Chagrin Drive and right into hotel parking lot.

FROM THE EASTTake 70 West to 270 North. Take Easton Exit (Exit 33) onto Easton Way and remain on Easton Way through two traffic lights. Turn right on Chagrin Drive and right into hotel parking lot.

FROM THE WESTTake 70 East to 71 North to 670 East (to Port Columbus International Airport). Remain on 670 to 270 North (approximately 1 mile). Take Easton Exit (Exit 33) onto Easton Way and remain on Easton Way through two traffic lights. Turn right on Chagrin Drive and right into hotel parking lot.

The Ohio Health Information Management Association (OHIMA) is Ohio’s professional health care organization of over 4,000 credentialed specialists in the field of health information management (HIM). OHIMA is committed to advancing the HIM profession through leadership in education, advocacy, membership engagement, and lifelong learning.

M A R C H 1 9 – 2 1 , 2 0 1 8

38th Annual Meeting & Trade Show

Directions

*Based on Exhibitor Evaluation Comments