AAPC MANHATTAN NY CHAPTER ICD-10-CM SEMINAR
AAPC MANHATTAN NY CHAPTER ICD-10-CM SEMINAR
ICD-10-CM Training Work: 8:00 AM – 5:30 PM
Educational Time 8.00 Hrs – 8.0 CEU’s
PRE-PAID FEE REQUIRED TO REGISTER
The Manhattan Chapter is pleased to provide to its members this special seminar/workshop to help toward ICD-10 implementation. The workshop will help attendees gain a strong foundation and firm understanding of how codes will change, recognize how documentation must become more specific, and the need to better understand A & P and disease processes, to help interpret effectively medical records and assign proper ICD-10 codes sets. It will also prepare you, through real case examples, for the proficiency assessment test required to maintain certification.
AGENDA
Valerie Fernandez MBA, CPC, CPC-H,CPMA
AHIMA Approved ICD-10 Trainer
I. Opening Remarks
II. Using the ICD-10 Code Book
III. Sepsis Severe Sepsis Septic Shock
IV. Ulcers
V. Hypertension
VI. Diabetes
VII. Asthma
VIII. Acute Blood Loss Anemia
IX. Abnormal Findings
X. Respiratory Insufficiency and Pulmonary Insufficiency
Break: 10:00 AM -- 10:15 AM
I. Chapters: 11, 13,6,19,21
II. Septic Joint
III. Clinical Documentation Tips
IV. Myocardial Infarction
V. Chapters: 1 through 7, 10,12,14,15,16,17,18
Lunch: (on your own) 12:15 PM -- 1:00 PM
I. Anesthesia
II. Cardiovascular Medicine
III. Demonstrating Medical Necessity
IV. Diseases of the Nervous System
V. Documentation Requirements
VI. Handling Code Edits
VII. Claim Forms
VIII. Professional Billing
IX. Classification System
X. Impact on Healthcare Providers
Break: 2:45 PM – 3:00 PM
I. Insurance Carriers
II. Neurology
III. Musculoskeletal System
IV. Orthopedic Degenerative Diseases
V. Orthopedic Injuries
VI. Specificity and Laterality
VII. Impact on Physician Offices
________________________
Comments:
Session is interactive
Be sure to bring ICD-10-CM Code Book and notebook
Slides will not be distributed
This seminar is designed to prepare you to begin coding in ICD-10-CM. You must be diligent about expanding on the information provided during this session.
Additional efforts by attendee after this seminar include:
➢ Review and highlighting of all coding guidelines at the beginning of the ICD-10 CM code book as well as review of guidelines for each chapter
➢ Review of medical records and translating diagnosis in to ICD-10-CM
➢ Margaret Drummond Coding Practice Exercises Book
➢ Lou Ann Schraffenberger Basic ICD-10 CM/ PCS Coding Exercises Book
➢ Access CODAPEDIA Nancy McGuire offers FREE on line sessions at
➢ Access CMS website for pertinent topics related to the transition to ICD-10-CM
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➢ Purchase of an ICD-10-CM coding exercise book
➢ Access all available information about ICD-10-CM
➢ Netter Cards for studying Anatomy and Physiology
➢ Understanding ICD10 and PCS Work Text Mary J Bowie ISBN for 13 = 978-1-133-961-03-01
There are 2 options for certification in ICD-10-CM offered by the AAPC,
➢ The proficiency exam
➢ Multiple module on line review
Recording of this seminar is prohibited
INSTRUCTOR
VALERIE FERNANDEZ 417 E 72nd St Apt 5A NY NY 10021
Cell: 862-668-4042
e-mail: kagilani@
Experienced Assistant HIM Director, Revenue Manager/Compliance Liaison with over 20 years expertise in coding, compliance, revenue maximization, fiscal management, administration, program planning and implementation, budget control, growth strategies, project management, and government regulatory compliance. Extensive healthcare experience encompassing coding, compliance and fiscal management of individually owned physician practices, health system affiliates as well as academic medical center departments. Contributing writer to Healthcare Business and Management Journal for ICD-10.
Education:
MBA, Human Resources/Organizational Behavior
Drexel University, Philadelphia, PA
BA, Elementary Education, University of South Florida
Tampa, FL
Certified Professional Coder, American Academy of Professional Coders,
AAPC, CPC, CPC-H, CPMA. Former President and Officer of Manhattan Chapter.
AHIMA Approved Trainer for ICD-10 CM and ICD-10 PCS
PhD candidate Public Service Leadership with a concentration in Healthcare
Professional Experience:
Hospital for Special Surgery Assistant Director Health Information Management May2014 – present
Supervising a staff of 35 offering efficient, effective service related to
• Coding and claim submission
• Release of Information
• Educating coders and monitoring implementation of ICD-10 with dual coding
• Preparing appeals with successful strategies to preserve and obtain reimbursement
• Collaborating with Patient Accounts to ensure clean claim submission
• Subject Matter Expert for EPIC implementation
Hospital for Special Surgery- ICD-10 Quality Assurance Manager January 2013 – April 2014
Planning for implementation of ICD-10 throughout the hospital and affiliated physician practices
• Gap Analysis
• Retrospective Reviews of coding and documentation for compliance
• Education and training for physicians and ancillary staff
• Coding Pattern Assessments
Valerie Fernandez, page 2
Hunter College Instructor September 2013-present
Teaching facility coding and billing in the Continuing Education Department
Weill Cornell Medical College Department of Neurological Surgery, Brain and Spine Center:
Revenue Manager June 2008 – January 2013
• Coding, billing and revenue management for 12 neurosurgeons, 2 neuroradiologists, 1 neuropsychologist and 11 clinical practitioners
• Exceed budget expectations consistently for 4 years closing each fiscal year with revenue at over 3 million above budget
• Coding and Compliance training with regular education to providers and ancillary staff
• Prospective review of all documentation prior to claim submission resulting in 3% error rate on annual internal audits
• Improved efficiency and effectiveness of collection through robust appeals and accounts receivable management
• Implementation of electronic super-bill and file maker pro based database to assist with appointments, billing and reconciliation as well as export of data based on specific criteria for research
The Brooklyn Hospital Center, Brooklyn, NY: Revenue Specialist September 2006 - June 2008
Review opportunities for increased revenue in the physician practices across specialties as well as for the hospital
• Monitor billing vendor activities- utilizing productivity reports, aging reports
• Establish metrics to monitor performance
• Monitor coding and compliance
• Update credentialing
• Investigate areas for increased revenue by adding services, capturing services, improving efficiency and updating technology
• Prevent patient attrition when changes occur within the physician practice
NYU-Hospital for Joint Disease, Department of Orthopedics, NYC, NY: Billing Manager
February 2004 – September 2006 Supervise 26 staff members in all aspects of operations in the Billing Department for 24 physicians.
• Member of project team developing constants for implementation of Groupcast practice management system (IDX physician service based application)
• Determine opportunities for revenue enhancement
• Provide education for the staff and physicians related to coding and carrier specific requirements
• Monitor coding performed by the providers to determine correct use of modifiers, diagnosis coded to the highest level of specificity and to eliminate unbundling
• Track rejection trends, implement policies and procedures to reduce rejections
• Ensure timely receipt of encounters from office and surgery services
• Ensure timely payment posting and deposits performing reconciliation weekly and monthly
• Implement policies and procedures to ensure prompt, accurate charge entry
• Monitor productivity of the collection staff comparing charges to payments and percentage of accounts over 90 days
• Provide monthly reports to the physicians detailing performance
• Meet regularly with the physicians to review outstanding accounts
Valerie Fernandez, page 3
MDx Medical Management, Senior Manager March 2003 - February 2004
• Supervise billing and collection for OB/GYN Department at Beth Israel Hospital, NYC, NY
Subway franchise, Englewood, NJ: Owner/Manager/Director August 2002 - February 2003
• Complete responsibility for all phases of operation of a quick service restaurant
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