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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