Ingenix Clinical Assessment Solutions and the Des Moines AAPC Chapter would like to invite you to a 4 hour Coding Class “FFS (Level 2) Presentation”focused on chronic condition coding for the Medicare population with specific information pertaining to ICD-9 coding. This class has been approved by the AAPCand offers 4 Continuing Education Credits for each attendee completing the class. Each course provides hands-on practice for attendees. Clinical Assessment Solutions also supplies coding tips and tools to each attendee.

CODING CLASS INFORMATION
DATE / Thursday, August 4th, 2011
TIME / 12:30 PM to 4:30 PM
LOCATION / Dr. Virginia Thompson Auditorium
Iowa Methodist Medical Center
Education and Learning Center
1415 Woodland Avenue
Des Moines, IA 50309
HOST / Ingenix Clinical Assessment Solutions
REGISTRATION / Please send your name, affiliated practice / group and contact information by July 27th to:
COST / MATERIALS / No Cost. Reminder: Please bring your ICD-9 Code Book.
Lunch will be on “attendee’s own”, may bring quiet lunch,AFTERNOON SNACKS & BEVERAGE provided by the AAPC Des Moines Chapter

Location & Parking Directions: FROM I-235 Eastbound and Westbound:

• Exit I-235 at Keo Way South and follow south to 12th St.

• Turn right on 12th St. and follow the road up the hill to the Iowa Methodist campus.

• Follow the road around the perimeter of the campus and park in the ramp (P) on the west side of the campus.

TO THE CONFERENCE CENTER:

Take the SOUTH elevators in the parking ramp to the ground (G) level.

For additional information or questions, you may contact:
Ralph Taeger
515-727-2068

Ingenix |

This training and information presented is informational purposes only and does not replace the professional judgment and expertise of the individual performing coding based on numerous factors including, but not limited to, documentation in the medical record and other industry recognized coding guidance. Because codes and coding requirements and standards can and do change, the coder is reminded to verify the currency and acceptability of the codes and coding methods used.

For a list of Ingenix global office locations, please refer to our website.

Ingenix and the Ingenix logo are registered trademarks of Ingenix. All other brand or product names are trademarks or registered marks of their respective owners. Because we are continuously improving our products and services, Ingenix reserves the right to change specifications without prior notice. Ingenix is an equal opportunity employer.

© 2009 Ingenix. All Rights Reserved IN025

4 hr FFS (Level 2) Presentation Summary - 2011

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HCC Risk Adjustment Model

ABC’s of federal reimbursement; what health plans need

Risk Adjustment methodology

Interpreting the RAF

HCC Risk Adjustment model overview

Disease interactions

RAF coding example talking points
How documentation & coding impacts RAF

Potential gaps in data collection

What health plans need & Mandate from CMS

Foundation for Reimbursement

The anatomy and structure of E&M codes

E&M MDM Relevance to Coding & Documentation

Lessons Learned From Chart Review

Case study: Ms. Rodriguez (Medicare FFS vs. Medicare Advantage)
The Difference – FFS vs Medicare Advantage Reporting

Conditions that impact the severity of disease

The superbill

Illness burden defined by ICD-9 under HIPAA

General ICD-9 Coding Concepts

Coding chronic kidney disease (CKD)
Coding stroke & late effects of stroke

Coding hypertension & chronic kidney disease

Coding hypertensive heart disease

Coding underlying diseases & manifestations

Coding pressure ulcers

Coding malignant neoplasms

Coding acute and old healed MI

Coding protein calorie malnutrition

Coding substance abuse & dependence

Coding traumatic vs. pathological fractures

Coding complications of medical & surgical care

Coding methicillin resistant staphylococcus aureus (MRSA)

Medical Record Documentation

The SOAP format

Documentation requirements

Electronic Medical Records (EMR)

What health plans need (review)