Webcasts
Webcasts
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The Summer Workshop Series
Click here to register for Part Six: Heart Failure And Shock (MS-DRG 291, 292, 293)
Part Five
Top MS-DRG’s At Risk: Respiratory Neoplasms
Respiratory Neoplasms, MS DRGs 180 – 182, have historically been identified as problematic DRGs. For example, in 1989, the National Validation Study conducted by the HHS-OIG concluded that Respiratory Neoplasms were amongst the short hospitalization DRGs with relatively high unnecessary admission rates. Furthermore, since MS-DRGs 180 – 182 cover a wide range of diagnoses but have well defined exclusion criteria; they have the potential of being incorrectly coded. As a result, Respiratory Neoplasms was a top target MS DRG during the RAC demonstration study and is expected to maintain that status in the permanent program.
Part Four
Top MS-DRG’s At Risk: Inpatient Wound Care
Inpatient wound care coding has always been a hot button issue. During the RAC demonstration project, the audits recovered nearly $18 million in overpayments for two DRGs (263 and 217). Earlier in 2007, the Office of Inspector General (OIG) issued two reports relating to wound care services and Medicare payments, directing coding and HIM professionals should review each report and re-assess their organization’s coding and reimbursement of these services. With the RACs audits being carried out on a larger scale, it is expected that hospitals and healthcare providers across the nation would be targets for increased overpayment recoupment.
Part Two
Top MS-DRG’s At Risk: Respiratory Diagnosis with Ventilator Support > 96 Hours
The 2nd Workshop in our Best Practices Series is on Respiratory system diagnosis with ventilator support 96+ hours (MS-DRG 207). This Workshop is divided into three separate but equally useful areas – properly documenting Respiratory system diagnosis with ventilator support, properly coding for Respiratory system diagnosis with ventilator support, and how to appeal a Respiratory system diagnosis with ventilator support coding or medical necessity take back. Physician experts in clinical documentation, DRG coding and validation experts, and Medicare Appeal experts will provide valuable insight, tips, techniques, and takeaways the will prove useful moving forward in our new audit culture.
Part One
Top MS-DRG’s at Risk: Septicemia/Severe Sepsis (6/9/10)
The Summer Workshop Series kicks off with Septicemia/Severe Sepsis (MS-DRG’s 870,871,872) and is divided into three separate but equally useful areas – properly documenting Septicemia/Severe Sepsis, properly coding for Septicemia/Severe Sepsis, and how to appeal a Septicemia/Severe Sepsis coding or medical necessity take back. Physician experts in documentation, DRG coding experts and Medicare Appeal experts will provide valuable insight, tips, techniques, and takeaways the will prove useful moving forward in our new audit culture.
Other Recent Webcasts
Data Mining for RAC and Billing Integrity Risk: An Academic Medical Center Perspective (5/25/10)
Writing the Ultimate Appeal Letter (12/13/09)
Denise Wilson, Director of Training, Support, and Appeal Services at Intersect Healthcare, Inc, shares strategies on how to construct winning appeal letters. Denise will address the use of:
• Payment and reimbursement guidelines
• Evidence-based clinical practice guidelines
• Judicial law citations
• Emphasis on comorbidities and complications