2016 icd & drg regulatory update

Transcription

1 target audience 2016 icd & drg regulatory update SCHA William L. Yates Conference Center September 3, am 3 pm Compliance Officers Health Information Managers Auditors Chief Financial Officers Coders Quality Coordinators Business Office Managers Reimbursement Specialist Documentation Specialist meeting contacts Handouts, Continuing Education Credits & general session questions dpaschal@scha.org Special Diet/Disability Needs only (803) On-line Registration questions only should be directed to salvarez@scha.org program objectives Examine the impact of the regulatory updates to the individual hospital Identify changes in the Value Based Purchasing and Hospital Inpatient Quality Reporting Programs Present methods for physician education regarding the DRG changes that could be affected by documentation Research and study the financial impact of the 2016 DRG system on the individual hospital s bottom-line Examine regulatory changes related to present on admission (POA), and medical review criteria for inpatient admission Discuss ICD-10 s impact on MS-DRGs continuing education credits Attendees will receive certificates of 4 hours Continuing Education Credits following the completion of the on-line meeting evaluation distributed to attendees by SCHIMA. agenda 9:30 10 am...meeting Check-in 10 am Noon...Program Presentations Noon 12:30 pm...lunch 12:30 2:30 pm...program Presentations

2 register online! SCHA offers online registration for this meeting. To register online, visit the SCHA web calendar, select this meeting, and click Register Online. A registration and payment confirmation will be ed directly to you once you complete the registration process. If you experience problems or do not have a username/password, salvarez@scha.org. registration and fees The early registration fee expires 5 business days prior to the meeting. A late registration fee will be charged for registrations received after the early registration deadline. Online registration will close 5 business days prior to the meeting. Persons wishing to register after that time must complete a hardcopy of the registration form and fax to refund/cancellation Any registrant who cannot attend a meeting may send a substitute from the same organization. If possible, please notify SCHA of the substitution in writing by letter, or fax to The registration fee (less a $25 process fee) is refundable if SCHA is notified of the cancellation no later than August 27, 2015 (past that date there will be no refund). Refunds will not be made for no-shows. The cut-off date for registration is August 27, 2015 and registrations received after the 27 th will be processed as on-site registrations and will include a $30.00 late fee. special dietary needs If you have any special dietary needs, please contact Educational Services at (803) special note for the disabled The South Carolina Hospital Association wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of auxiliary aids and services. If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act, please write or call Educational Services at (803) work to be fit SCHA is committed to providing a safe and healthy work environment for its employees and guests, compliant with our Work to be Fit wellness program. Therefore, policies and standards for tobacco, nutrition, and physical activity have been implemented to support such a culture. Tobacco- SCHA encourages tobacco free people and places so tobacco use is prohibited at SCHA events and on SCHA grounds. Nutrition- SCHA provides a healthy food environment where the healthy choice is the easy choice. Healthy menu items that comply with the healthy food nutrition criteria will be available at each meal service. Please note, sugar sweetened beverages do not comply with the nutrition criteria and will not be readily available. Physical Activity- SCHA encourages the use of scheduled breaks for physical activity (stretching, walking, etc) to help maintain optimal health. A paved community walking trail is available adjacent to SCHA grounds.

3 featured speakers Kim Hardee, RHIT, CCS Kim is a Senior Associate in the Health Industries Advisory Practice of the PwC s Charlotte Office. She has 20 years of experience in healthcare as both a coder and consultant. She focuses on ICD-CM coding, DRG validation, case mix analysis, documentation improvement and illness severity and mortality risk profiling. In addition, she provides educational development and training for inpatient coding education and documentation integrity. She is an AHIMA ICD-10 Approved Trainer and participates in numerous ICD-10 assessments and education sessions as well as speaking engagements throughout the southeast. Carol A. Beehler, RN, NEA-BC, FACHE Carol is a manager in the Health Industries Advisory Practice of the PwC s Charlotte Office. She has over 35 years of industry experience in healthcare administration and operations in multiple facilities as a Vice President of Patient Care Services, COO of a Heart Hospital and CEO of a physician specialty practice. Her experience includes performance initiatives in disease management programs, care management, length of stay/utilization management, medical homes, clinical outcomes, documentation integrity, labor productivity, physician alignment, and regulatory compliance. She also focuses on process improvement in operations as well as case management/patient flow design, regulatory and compliance issues for health systems and long term care organizations. Carol has worked with several different clients in the regulatory area of documentation integrity and compliance review, utilization management, ICD-10 assessment/design, care management and throughput/patient flow initiatives as well as physician alignment and co-management programs.

4 location SCHA William L. Yates Conference Center Center Point Road Columbia, SC The South Carolina Hospital Association is 100% tobacco free. This means while you are at SCHA, you will not be able to smoke or use tobacco products of any kind. This policy includes the land, building, and parking lot owned by SCHA. We also respectfully request that all cell phones be turned off during meetings. directions to meeting from charleston Go west on I-26 and take Exit 106B. Veer right at the first fork, and then take another right onto Burning Tree Road (frontage road). You will be facing Chuck E Cheese before you take this turn. Go approximately 1/3 mile. Turn left into Center Point onto Center Point Road. Take immediate left and the SCHA headquarters and parking will be on your left. from greenville/spartanburg Take I-26 East (toward Columbia). Take Exit 106 and turn left onto St. Andrews Road. Cross the bridge. Take a right at the traffic signal onto Burning Tree Road (frontage road). Go approximately ½ mile. Turn left into Center Point onto Center Point Road. Take immediate left and the SCHA headquarters and parking will be on your left. from florence Take I-20 West to I-26 West toward Spartanburg. Take the first exit -106B. Veer right at the first fork (you will see Chuck E Cheese) and take another right onto Burning Tree Road. Go approximately 1/3 mile. Turn left into Center Point onto Center Point Road. Take immediate left and the SCHA headquarters and parking lot will be on your left. from augusta, ga Take I-20 East to I-26 West toward Spartanburg. Take Exit 106B. Veer right at the first fork (you will see Chuck E Cheese) and take another right on to Burning Tree Road. Go approximately 1/3 mile. Turn left into Center Point onto Center Point Road. Take an immediate left and the SCHA headquarters and parking lot will be on your left. from charlotte, nc Go south on I-77 toward Columbia. Take SC-277 to I-20 West to I-26 West toward Spartanburg. Take the first exit 106B. Veer right at the first fork (you will see Chuck E Cheese) and then take another right onto Burning Tree Road. Go approximately 1/3 mile. Turn left into Center Point onto Center Point Road. Take immediate left and the SCHA headquarters and parking lot will be on your left.

5 registration form icd & drg regulatory update September 3, am 3 pm online registration You can register and pay for this meeting online at Online registration closes on August 27, please print Organization Address City State Zip Phone Fax fees SCHA Member Hospital Employee or SC AHIMA Member Registration $70.00 per person Non-member Registration $ per person Attention: A $30 late fee will be added to each registration received after 5 pm on Thursday, August 27, payment options Online registration is available for this meeting at If not registering online, a copy of the registration form should be faxed to SCHA at (803) CHECK Enclosed is a check in the amount of $ Checks should be made payable to SCHA and returned with a copy of the registration form by August 27. SCHA Education Services 1000 Center Point Road Columbia, SC F (803) DEADLINE FOR REGISTRATION: Registrations received after August 27, 2015 are considered late and subject to late registration fee listed above. Any registrations received after this date will NOT receive a confirmation prior to the meeting. SUBSTITUTION/REFUND/CANCELLATION: Any registrant who cannot attend may send a substitute from the same organization by resubmitting an updated registration form to SCHA with the name of the substitute. Notify SCHA of the substitution via fax to (803) The registration fee (less $25 processing fee) is refundable if SCHA is notified of cancellation no later than August 27, No refunds issued past this date. No refunds issued for no-shows.