2018 Hospice Coding Update

Event Information
Product Format
Prerecorded Event
Judy Adams, RN, BSN, HCS-D, AHIMA approved ICD-10-CM Trainer
90 minutes
Product Description

Comply  with 2018 Hospice Coding Requirements

The Centers for Medicare & Medicaid Services (CMS) continues to ratchet up the level of detail that hospice needs to include when coding hospice patients in 2018. CMS has steadily increased the coding requirements for hospice coding during past years. CMS currently requires hospice to code all active diagnoses for patients, both those related to the reason for hospice care and those conditions that are other comorbidities that exist but are not directly related to the terminal condition of the hospice patient.

Join this informative session with clinical and regulatory compliance consultant Judy Adams, RN, BSN, to review a selection of new codes for 2018 that are of particular interest to hospice. Judy will look at a variety of case scenarios for a variety of hospice situations, with a special emphasis on situations where there is not a clear definitive diagnosis as the primary reason for hospice care; and situations that have generated additional questions about code selection and sequencing that support coverage of hospice care.

The session will provide you an opportunity to learn about the recent clarifications related to coding guidelines and updates from the Coding Clinic that impact hospice coding as well as the latest new codes available. You will be able to improve your coding accuracy and confidence in ICD-10-CM coding within the hospice setting, decrease lost revenue due to inadequate support for your hospice claims, and improve interdisciplinary coordination and collaboration.

Session Highlights

This session will cover:

  • Changes in the 2018 Official Guidelines for Coding and Reporting
  • Updated information released by Coding Clinic over the last year that impacts code selection and sequencing
  • New codes that are most likely to impact hospice patients, such as the new codes within the circulatory system, which include codes for acute MI, secondary pulmonary hypertension and the new heart failure codes  
  • Top hospice diagnoses for 2016 (most recent full year of data)
  • The role of local coverage determination policies, diagnoses and documentation to support covered hospice care
  • The importance of thorough assessments to support hospice care
  • Coding topics that tend to have the most questions related to how to code them, with emphasis on:
    • Patients without a clear definitive primary diagnosis to support hospice care
    • The appropriate use of symptom codes
    • The meaning of instructional notes within the tabular list of the coding manual

Session Agenda

  • Revised guidance: Assigning diagnoses from reports
  • New codes in 2018 for neoplasm
  • Endocrine, nutritional and metabolic disorders: New 2018 codes
  • Additional diabetes clarifications in 2018
  • New 2018 codes for mental, behavioral and neurodevelopmental disorders
  • New codes for nervous system and diseases of the eye
  • New guidelines for coding vision loss
  • Acute Myocardial Infarction: How it's coded, and the new codes for it
  • Details about Post-Infarction Angina
  • New codes: Pulmonary hypertension
  • 2018 respiratory coding changes
  • 2018 updated guidelines for non-pressure ulcers
  • Sample case scenarios

Who Should Attend

  • Hospice nurses
  • Coders
  • Medical directors
  • Quality improvement and compliance officers
  • Supervisors or patient care coordinators with responsibility to directly code or approve the coding for particular patients

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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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