Audit-Proof Your Diagnosis Coding for Home Health

Event Information
Product Format
Prerecorded Event
Judy Adams, RN, BSN, HCS-D, AHIMA approved ICD-10-CM Trainer
Conference Date
Wed, Mar 17, 2010
60 Minutes
Product Description

MACs, RACs, and ZPICs

Home health agencies must ensure that their diagnosis coding can withstand the rigors of audits and review by a multitude of reimbursement and regulatory bodies.

In recent years home health agencies have generally received very few requests for medical records and audits. However, with the advent of new Medicare Administrative Contractors (MACs), Recovery Auditor Contractors (RACs) and Zone Program Contractors (ZPICs), home health claims will receive increased audit scrutiny to ensure that the claim was paid appropriately.

Join Judy Adams to zoom in on the key requirements that support accurate ICD-9-CM diagnosis coding. Judy will also give you instruction on basic principles for the selection of diagnosis codes for home health episodes.

PLUS: Case examples that illustrate the best selection and sequencing of diagnosis codes for sample home health situations.

Here's a sample of what's covered in this session:

  • The role of diagnosis coding in determining reimbursement and quality outcomes
  • Official sources for coding information, guidance and direction
  • The keys to establishing and supporting diagnosis coding in the home health setting
  • Diagnosis coding and the home health prospective payment system - Do it right
  • The right way to document and support diagnosis codes
  • Mini scenarios that put it all together
  • Monitor your agency’s performance and compliance related to diagnosis coding.

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About Our Speaker

Judy Adams - Home Health Coding Expert

Judy Adams, RN, BSN, HCS-D, HCS-O, has been involved in health care in numerous health care setting over the span of her career. She has been involved in nearly every aspect of home health care over the last three decades including direct clinical care, supervision, administration and quality improvement.

In 2009, she opened her own education and consultation company with a primary focus on...   More Info
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