Webinar: Diagnosis Coding for Hospices Deciphered
The Centers for Medicare & Medicaid Services (CMS) has indicated multiple times that hospices should follow ICD-9-CM coding guidelines. Specifically, hospices should be doing the following:
- Including the principal diagnosis and all related diagnoses on hospice Medicare claims
- Not utilizing adult failure to thrive and debility as the principal diagnosis (CMS expects a more specific diagnosis and will, at some point in the future, return to provider claims with either of these diagnoses as the principal diagnosis)
- Utilizing the most appropriate specific dementia diagnosis per the ICD-9-CM coding guidelines
The issues surrounding these hospice diagnosis requirements are a “hot topic” for hospice providers. NAHC and its affiliate -- the Hospice Association of America (HAA) -- are hosting a webinar for hospice providers designed to address these issues.
Because these issues are so important to hospices, the webinar is scheduled for June 25, 2013. Detailed webinar and registration information is below.
Deciphering ICD-9-CM Coding Guidelines for Hospices
CMS has said many times that hospices must follow coding guidelines and should be coding more than the one terminal diagnosis. Improved insight into coding guidelines will provide strategies and solutions for compliance with the regulatory mandates from CMS. The timelines for new edits denying primary diagnoses of debility and failure to thrive are unknown but will be announced soon. The education of referring physicians and adapting operations related to monthly claims submission to ensure a smooth transition should be undertaken now. Lisa will discuss the regulatory mandates and add insight into coding in hospice. Upon completion of the webinar, attendees will be able to:
- Describe how the terminal diagnosis and related diagnoses should be identified.
- Discuss the CMS decision to prohibit debility and failure to thrive as terminal illnesses and alternatives to debility and failure to thrive.
- Identify methods to improve compliance with coding guidelines and describe the patient's complex medical needs related to the terminal diagnosis.
About the Presenter: Lisa Selman Holman, JD, BSN, RN, HCS-D, HCS-O, COS-C AHIMA Approved ICD-10-CM Trainer/Ambassador Lisa is a veteran of home care with over 26 years spent in home health and hospice, both as an RN and as an attorney practicing exclusively in home care. She is the owner of Selman-Holman & Associates, LLC (a full-service home care and hospice consulting firm) and CoDR (Coding Done Right), an outsourcing company for home care and hospice coding. Lisa participates on the Board of Medical Specialty Coding and Compliance specialty board on OASIS and is the chair of the specialty board on home care coding. She has provided education to home health and hospice professionals since 1994.
Register Today Online here. Product registration is here.