MeHIMA 2019 Fall Conference

Harvest the Knowledge of HIM

November 7-8, 2019
7:30 AM - 4:15 PM ET

Agenda

Thursday, November 7, 2019

7:30 AM - 8:15 AM

Registration and Continental Breakfast

8:15 AM - 8:30 AM

Welcome, Announcements

8:30 AM - 9:30 AM

The Pathology of Renal Failure: Causes and Conditions

Deborah Saber

CEU: 1.0 – Clinical Foundations

Learn About Your Speaker, Deborah Saber

Dr. Debbie Saber received her B.S.N. from Vanderbilt University, M.S. in Nursing Administration from DePaul University, and Ph.D. in Nursing from the University of Central Florida; she maintains her certification in critical care nursing (CCRN-K). Dr. Saber has over 25 years of practice experience in a variety of critical care environments that include medical, surgical, neurological, cardiac, and pediatric. She also worked in nursing management and industry using her critical care knowledge and skills. Currently, she holds a position as an Assistant Professor at the University of Maine School of Nursing and works as an evidence-based practice/research director at Eastern Maine Medical Center. Dr. Saber teaches Pathophysiology and Adult Health III at the University of Maine.

9:30 AM - 10:30 AM

OIG, CERT and RAC REVIEWS

Maggie Fortin

Maggie will discuss a variety of Medicare Claim Reviews that have been in scope for CMS contractors this last year specifically affecting both facility and professional providers of medical services in the New England area. She will review the issues in detail and offer recommendations for identifying and resolving the concerns identified by these Federal auditors.

CEU: 1.0 – External Forces

Learn About Your Speaker, Maggie Fortin, CPC, COC, CHC

Maggie is a healthcare senior manager at Baker Newman Noyes, specializing in Medicare operational areas including claims, customer service, provider education, secondary payor issues, provider reimbursement, and business systems. She has been with the firm since 2005, having previously worked as a director of operations for a regional Medicare fiscal intermediary. 

Maggie has written numerous providers communication bulletins, serves on the UB-04 Committee, and has been a representative to the New Hampshire Hospital Association, Critical Access Hospital Work Group. She also is noted as a contributing editor in the HcPro Hospital Auditing and Monitoring Toolkit. In addition, Maggie has provided education services on all components of institutional provider billing and reimbursement.

Maggie has earned the designation of Certified Professional Coder with the American Academy of Professional Coders and a certification in healthcare compliance through the Health Care Compliance Association. She is also an ICD-10-CM/PCS approved trainer through the American Health Information Management Association.

Business Activities:

  • Member, American Association of Healthcare Administrative Management
  • Member, Healthcare Financial Management Association
  • Member, State Uniform Billing Committee
  • Member, Maine Association of Patient Account Management
  • Member, Health Care Compliance Association

Thought Leadership:

Clarification of Clinic Billing for Critical Access Hospitals, January 2014, BNN Briefing

10:30 AM - 10:45 AM

Networking Break

10:45 AM - 11:45 AM

The Basics of the Revenue Cycle

This session will address each portion of the revenue cycle and what is entailed in each. How do you fit into the revenue cycle? What are your struggles in the revenue cycle? This session should be interactive as we review the steps of the revenue cycle.

Laurie Johnson

CEU: 1.0 – Performance Improvement

Learn About Your Speaker, Laurie M. Johnson, MS, RHIA, FAHIMA

Ms. Johnson is currently a Senior Consultant with Revenue Cycle Solutions, LLC and is the Chair of PHIMA Revenue Cycle and Coding Committee.   She has over 35 years of healthcare experience including health information management and revenue cycle consulting.  She has worked with national consulting firms and vendors holding various positions including Manager, Director of HIM Audit Services, Director of HIM, Director of ICD-10 Content Development, Value Engineer and Manager in a Big Four Management Consulting company.  Areas of expertise include Interim Director of Health Information Management (HIM), HIM Departmental Assessment, Case Management/Utilization Review Departmental Assessment, Chargemaster, Facility Auditing (MS-DRG, APR-DRG, and APC) and Education.  Ms. Johnson is a graduate of the University of Pittsburgh.

Affiliations: 

  • Fellow of the American Health Information Management Association (HIM)
  • Past-President of the Pennsylvania Health Information Management Association (PHIMA)
  • Member, Western Pennsylvania Health Information Management Association
  • Member, AHIMA CDI Practice Council
  • Member, AHIMA Coding Thought Leadership Advisory Council

11:45 AM - 1:00 PM

Lunch

1:00 PM - 2:00 PM

Managing the Revenue Cycle Through Data

This session discusses the key performance indicators of the revenue cycle. The KPIs are important to measure success as well as identifying areas for continuous improvement. How does your department calculate KPIs for the revenue cycle? Is your revenue cycle performing well? Where should you focus improvement activities?  

Laurie Johnson

CEU: 1.0 – Performance Improvement

Learn About Your Speaker, Laurie M. Johnson, MS, RHIA, FAHIMA

Ms. Johnson is currently a Senior Consultant with Revenue Cycle Solutions, LLC and is the Chair of PHIMA Revenue Cycle and Coding Committee.   She has over 35 years of healthcare experience including health information management and revenue cycle consulting.  She has worked with national consulting firms and vendors holding various positions including Manager, Director of HIM Audit Services, Director of HIM, Director of ICD-10 Content Development, Value Engineer and Manager in a Big Four Management Consulting company.  Areas of expertise include Interim Director of Health Information Management (HIM), HIM Departmental Assessment, Case Management/Utilization Review Departmental Assessment, Chargemaster, Facility Auditing (MS-DRG, APR-DRG, and APC) and Education.  Ms. Johnson is a graduate of the University of Pittsburgh.

Affiliations: 

  • Fellow of the American Health Information Management Association (HIM)
  • Past-President of the Pennsylvania Health Information Management Association (PHIMA)
  • Member, Western Pennsylvania Health Information Management Association
  • Member, AHIMA CDI Practice Council
  • Member, AHIMA Coding Thought Leadership Advisory Council

2:00 PM - 3:00 PM

The Impact of NCCI Edits on Ancillary Departments

Lori Purcell

The National Correct Coding Initiative (NCCI) is a mystery to many ancillary departments. Learn how to interpret NCCI edits and avoid over- or under-payment.

CEU: 1.0 – Clinical Data Management

3:00 PM - 3:15 PM

Networking Break

3:15 PM - 4:15 PM

The More I Learn About Coding, the More I Realize How Much I Don’t Know

Lori Purcell

In-depth look at a few common, complex, and evolving areas in coding. Areas reviewed include interpreting “with” in ICD-10, latent autoimmune diabetes in adults (LADA), alcohol- and drug-induced disorders, and chronic obstructive pulmonary disease (COPD).

CEU: 1.0 – Clinical Data Management

Learn About Your Speaker, Lori Purcell

Lori Purcell is the Educational Consulting and Training Specialist at nThrive working with clients to develop education solutions.  With over 25 years of experience, she is a coding and documentation specialist dedicated to improving and monitoring the quality of coding to secure appropriate reimbursement. Prior to joining nThrive, she served as Director of Coding Compliance for Capella Healthcare and was a Senior Consultant for Quorum Health Resources Learning Institute where she trained thousands of coders in diagnostic and procedural coding.  

Friday, November 8, 2019

7:30 AM - 8:15 AM

Registration and Continental Breakfast

8:15 AM - 8:30 AM

Welcome and Announcements

8:30 AM - 9:30 AM

Business Meeting

MeHIMA Board

9:30 AM - 10:30 AM

Documentation Risks

Amie Costello RN, BSN, CPHQ, CPHRM, CPPS – Risk Manager

Healthcare workers documentation is a necessary part of patient care regardless if you are on paper or electronic. When documentation is incomplete, your patient’s safety, and physicians liability is at risk. How and what is documented will decide if the care can be defended when a complaint or claim is made by the patient or family.

Join us to learn ways to improve documentation in your practice.

  • Describe Liability and Standard of Care
  • Review frequent allegations made against healthcare workers
  • Recognize the liabilities associated with poor documentation
  • Identify what should and should not be documented in a patient medical record
  • Review common charting mistakes and how to avoid them

CEU: 1.0 – Clinical Data Management

Learn About Your Speaker, Amie Costello

Amie Costello is a Risk Manager at Medical Mutual Insurance Company of Maine. Amie holds a Bachelor of Science degree in Nursing and has over 22 years of experience in healthcare, specializing in ED and ICU. In 2012, she transitioned from the bedside to focus on patient safety, quality and risk management. Amie is a Team STEPPS Master Trainer and holds certification as a Professional in Healthcare Quality (CPHQ), Healthcare Risk Management (CPHRM) and in Patient safety (CPPS). She is a member of the American Society for Healthcare Risk Management (ASHRM) and the membership chair for Northern New England Society for Healthcare Risk Management (NNESHRM). Amie has worked collaboratively on many local and state initiatives to help advance safe effective care in Maine.

10:30 AM - 10:45 AM

Networking Break

10:45 AM - 12:00 PM

Venturing Outside Your Comfort Zone

Rose T. Dunn, RHIA, MBA, CPA, CHPS, FHFMA, FACHE – Chief Operating Officer – First Class Solutions, Inc.

It explores opportunities available for HIM professionals and steps one must take to achieve their goals.

CEU: 1.0 – Management Development

Learn About Your Speaker, Rose T. Dunn

Rose Dunn is a health care executive with more than 45 years of experience in the health care industry. She began her career in St. Louis, MO at Barnes Hospital, now the flagship of the BJC Health System, where she served on the management team for 13 years. During the last 8 years of her time with Barnes she served as Vice President for ancillary services, food and nutrition, quality and the 400+/- residents and fellows at this 1,200-bed teaching hospital. She implemented Barnes utilization review program and home care agency. After Barnes she took a position in Managed Care with MetLife Health and a Chief Financial Officer role at St. Anthony’s Health Center’s dual facility health system.

At the end of 1989 she joined First Class Solutions, Inc. and launched the healthcare consulting practice which now employs approximately 40 team members who serve acute care facilities of all sizes, 90+ SNFs, and multiple provider practices. Her role as Chief Operating Officer, requires her oversight of the team and supporting clients with operational assistance.

Rose has been active in several national associations and served as the elected President of the American Health Information Management Association as well as the interim CEO. She also is active in ACHE, HFMA, HIMSS, and AICPA.

Ms. Dunn received her Bachelor of Science in Health Information Management and her Masters Degree in Business Administration from St. Louis University. She is a Fellow in the American College of Health Care Executives, the Healthcare Financial Management Association, and the American Health Information Management Association. Rose is certified in privacy and security as well as Franklin-Covey’s 4 Disciplines of Execution.

She serves on the Citizens MIS Advisory Board for the City of Chesterfield and has also served on the Board of the Vestibular Disorders Association and Advisory Board of the St. Louis Red Cross. Rose currently is a member of HIMSS Long Term Care and Post-Acute Committee and President of the St. Louis Chapter of ARMA International. She has authored more than a dozen texts and 200 articles.

12:00 PM - 1:00 PM

Lunch

1:00 PM - 3:00 PM

HCCs: Nuts and Bolts

Rose T. Dunn, RHIA, MBA, CPA, CHPS, FHFMA, FACHE – Chief Operating Officer – First Class Solutions, Inc.

Coding books are not required, but could benefit those in the audience.

CEU: 2.0 – Clinical Data Management

Learn About Your Speaker, Rose T. Dunn

Rose Dunn is a health care executive with more than 45 years of experience in the health care industry. She began her career in St. Louis, MO at Barnes Hospital, now the flagship of the BJC Health System, where she served on the management team for 13 years. During the last 8 years of her time with Barnes she served as Vice President for ancillary services, food and nutrition, quality and the 400+/- residents and fellows at this 1,200-bed teaching hospital. She implemented Barnes utilization review program and home care agency. After Barnes she took a position in Managed Care with MetLife Health and a Chief Financial Officer role at St. Anthony’s Health Center’s dual facility health system.

At the end of 1989 she joined First Class Solutions, Inc. and launched the healthcare consulting practice which now employs approximately 40 team members who serve acute care facilities of all sizes, 90+ SNFs, and multiple provider practices. Her role as Chief Operating Officer, requires her oversight of the team and supporting clients with operational assistance.

Rose has been active in several national associations and served as the elected President of the American Health Information Management Association as well as the interim CEO. She also is active in ACHE, HFMA, HIMSS, and AICPA.

Ms. Dunn received her Bachelor of Science in Health Information Management and her Masters Degree in Business Administration from St. Louis University. She is a Fellow in the American College of Health Care Executives, the Healthcare Financial Management Association, and the American Health Information Management Association. Rose is certified in privacy and security as well as Franklin-Covey’s 4 Disciplines of Execution.

She serves on the Citizens MIS Advisory Board for the City of Chesterfield and has also served on the Board of the Vestibular Disorders Association and Advisory Board of the St. Louis Red Cross. Rose currently is a member of HIMSS Long Term Care and Post-Acute Committee and President of the St. Louis Chapter of ARMA International. She has authored more than a dozen texts and 200 articles.

3:00 PM - 3:15 PM

Break

3:15 PM - 4:15 PM

HCCs: Nuts and Bolts

Rose T. Dunn, RHIA, MBA, CPA, CHPS, FHFMA, FACHE – Chief Operating Officer – First Class Solutions, Inc.

Coding books are not required, but could benefit those in the audience.

CEU: 1.0 – Clinical Data Management

Learn About Your Speaker, Rose T. Dunn

Rose Dunn is a health care executive with more than 45 years of experience in the health care industry. She began her career in St. Louis, MO at Barnes Hospital, now the flagship of the BJC Health System, where she served on the management team for 13 years. During the last 8 years of her time with Barnes she served as Vice President for ancillary services, food and nutrition, quality and the 400+/- residents and fellows at this 1,200-bed teaching hospital. She implemented Barnes utilization review program and home care agency. After Barnes she took a position in Managed Care with MetLife Health and a Chief Financial Officer role at St. Anthony’s Health Center’s dual facility health system.

At the end of 1989 she joined First Class Solutions, Inc. and launched the healthcare consulting practice which now employs approximately 40 team members who serve acute care facilities of all sizes, 90+ SNFs, and multiple provider practices. Her role as Chief Operating Officer, requires her oversight of the team and supporting clients with operational assistance.

Rose has been active in several national associations and served as the elected President of the American Health Information Management Association as well as the interim CEO. She also is active in ACHE, HFMA, HIMSS, and AICPA.

Ms. Dunn received her Bachelor of Science in Health Information Management and her Masters Degree in Business Administration from St. Louis University. She is a Fellow in the American College of Health Care Executives, the Healthcare Financial Management Association, and the American Health Information Management Association. Rose is certified in privacy and security as well as Franklin-Covey’s 4 Disciplines of Execution.

She serves on the Citizens MIS Advisory Board for the City of Chesterfield and has also served on the Board of the Vestibular Disorders Association and Advisory Board of the St. Louis Red Cross. Rose currently is a member of HIMSS Long Term Care and Post-Acute Committee and President of the St. Louis Chapter of ARMA International. She has authored more than a dozen texts and 200 articles.