Hospice has a long history of only coding a single diagnosis as the terminal diagnosis for those patients who will receive end of life care under the Medicare and Medicaid Hospice Benefit. Over the last two years, CMS has increased pressure on hospice organizations to fully comply with the Official Guidelines for Coding and Reporting Diagnoses, including more robust coding to “paint the picture” of each patient served to show how they meet the requirements that they have a terminal condition with an expected life expectancy of 6 months or less, if their medical conditions continue on the current trajectory. These changes have caused a paradigm shift in nearly every process within the hospice agency. To add further burden to hospice agencies and professionals, the implementation of ICD-10-CM will occur on October 1, 2014, requiring their agencies to further evaluate their entire operation, learn an entirely new coding system and implement several policy and procedural actions to remain operational through the transition to this new coding system.
During this session with our expert speaker Judy Adams, you will learn about the official key regulations sources that mandate and support these changes, such as the Medicare Hospice Conditions of Participation; Benefit Integrity and Reimbursement manuals, and 2014 Hospice final wage index rule. You will also receive some sample tools comparing major differences between ICD-9-CM and ICD-10 CM, recommended actions that must be taken to prepare for the transition from ICD-9-CM to ICD-10-CM and some sample code comparisons for selected cancer and non-cancer diagnoses.
Who should attend? The session is appropriate for Hospice administrative personnel such as clinical directors, supervisors, patient care coordinators and team leaders, quality, educational, and compliance staff responsible for ensuring that the hospice is compliant with all regulations and requirements related to accurate coding under the Medicare and Medicaid hospice benefit. Clinical, clerical and coding staff who will be an active participant in the hospice coding process.
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.