Coding Education

Upcoming Programs

July 11, 2024 Unique Challenges of Wound Care Coding

There has always been a challenge when it comes to Wound Care Coding. During this session, we will review the ins and outs from the Diagnosis(es) to the CPT code, as well as documentation requirements. Please join us to learn what the challenges are, and what they mean for your healthcare system.

 Past Programs Available  

The Identification and Management of Sepsis - Presented on April 4, 2024

Sepsis has been used to deny payment by some payers. The remedy? Accurate Documentation. There has been many years of discussion on Sepsis, and the evidence based clinical definition to use Sep-2 vs. Sep-3. This presentation will shed some light on the identification of the management of Sepsis.

The National Correct Coding Initiative (NCCI) Overview - Presented on January 4, 2024

This presentation focuses on NCCI edits and how to assign the appropriate modifier for correct coding and billing. It also defines and outlines the different CPT modifiers and global surgery rules. In discussing scenarios, this presentation will facilitate your understanding in resolving various edits as they apply to procedures. The content provides education that is extremely valuable to outpatient coders and auditors in the facility and physician arena; as the NCCI edits are very confusing, especially for surgery accounts, too. In doing so, this will save you substantial time and direction for all coding and billing questions that you have.

2024 I-10 CM & PCS, Guidelines and MCC/CC Updates - Presented on September 28, 2023

CMS has released the final FY 2024 I-10 code changes revealing 395 new CM diagnosis codes, 78 new PCS procedure codes and more than 97 diagnosis codes added to the CC/MCC lists. This session reviews the highlights of the significant CM and PCS changes, MCC/CC modifications and Guideline updates that affect you and your staff beginning October 1, 2023. Learn what the changes will be, and what they mean for your healthcare system.

Taking the Sting Out of Injection and Infusion Coding - Presented on July 6, 2023

CPT Coding the injections and infusions can be painful to comprehend, as they are complicated in nature and function. Coders need to understand WHY the service is taking place, WHAT was administered, HOW it was given, and HOW long it took. The hierarchy and timelines are challenging documentation components, and the coding process requires as much precision as the actual injection/infusion administration itself! In this session, learn definitions, time requirements, documentation rules, and drug details to eliminate the sting of injection/infusion coding.

Coding Complications in I-10: It's Complicated - Presented on April 6, 2023

The phrase, “…unless otherwise instructed by the classification,” was added to the Guidelines after ICD-10 was implemented. It doesn’t seem like a profound statement, but it has great implications when assigning ICD-10 diagnosis codes as well as influencing our query considerations and use. This session emphasizes the significant refinement and reorganizing of the complication codes within the ICD-10 system and instruct distinctions among those options for accurate code assignment.

Don’t Let Fracture Care Coding Break Your Concentration - Presented on January 5, 2023

Fractures are very common injuries but can be quite intimidating when coding depending on the type of treatment or the number physicians involved. To code correctly, documentation will need to support the type of treatment as well as unique tasks furnished by each physician. Packages usually result in smiles, but in fracture care, the global package can cause indigestion, so join this session to breakdown your fracture coding concerns and instill more confidence when coding for both the facility and professional components.

2023 I-10 CM & PCS, Guidelines and MCC/CC Updates - Presented on September 22, 2022

CMS has released the final FY 2023 I-10 code changes revealing 1,179 new CM diagnosis codes, 340 new PCS procedure codes, and more than 150 diagnosis codes added to the CC/MCC lists. This session reviews the highlights of the significant CM and PCS changes, MCC/CC modifications, and Guideline updates that affect you and your staff beginning October 1, 2022. Learn what the changes will be and what they mean for your healthcare system. 

Successful Strategies for Coding Audits - Presented on July 7, 2022

Complex coding rules, federally mandated regulations, and contracted payer contracts not only cause headaches for today's health care administrators, but one missing or wrong CPT code can alone cause thousands of dollars in lost revenues. In today's climate of regulation oversight, decreased reimbursement, and increased denials, a chart audit will not only adhere to compliance regulations, but enable your team to identify possible revenue risks and maximize reimbursement potentials. You might want to grab a bottle of Ibuprofen while creating or maintaining your chart audit protocol, but your input and involvement can have a positive impact on the process as well as its outcome. Adequate compliance oversight can prevent your risks and headaches, so join us to build upon successful strategies for coding audits.

Queries: Asking the Right Question - Presented on April 7, 2022

Since the implementation of I-10, there are more classifications, code choices, and external demands for specific/detailed clinical documentation. As healthcare reimbursement methodologies evolve, reliance on unspecified information may jeopardize provider payments and quality metric scores. Therefore, HIM and CDI teams need to employ documentation improvement strategies to ensure proper payments, minimize denials, better represent the patient's clinical conditions and treatments, and ensure publicly-reported quality scores are accurate.

This session will briefly review the query expectations, but will mainly serve as your query coach. You will learn how to transpose your weak queries into high functioning questions that not only respond to guidelines, but allow physicians to better understand the query process and have great potential to increase query response rates.

Join us to learn more about the essential query components as well as improve your query writing techniques.

Z Codes: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) -
Presented Jan 12, 2022

CM Z codes provide additional information about a patient encounter, and most have sequencing instructions. Confusion often occurs about if or when to report as well as its designated sequencing intent. Social Determinants of Health (SDoH) fall in Chapter 21, so this session speaks to the significance of SDoH, as well as other circumstances that can influence your patient’s health status. To strengthen the Coder’s knowledge as well as to ensure appropriate reporting, this session emphasizes all Z code categories, their definitions, sequencing expectations, as well as their use in various settings.

2022 CM and PCS Updates - Presented on September 22, 2021

CMS has released the final FY 2022 I-10 code changes, revealing a total of 159 new, 20 revised, and 32 deleted CM codes. This session reviews the highlights of the significant CM and PCS changes, as well as MCC/CC and Guideline changes affecting you and your staff effective October 1, 2021.

Risk Adjusted Coding and Hierarchical Condition Categories (HCC) -  Presented on July 7, 2021

When Medicare Advantage (MA) Plans were developed, so too was a process to determine or predict healthcare needs based on the MA enrollee’s health. Hierarchical Condition Categories (HCC) are defined as a risk adjusted reporting model to calculate risk scores that can in turn, predict future health care costs. MA plans are paid by CMS through a risk adjusted formula, so there are incentives for the health care provider (hospital/clinic/physician) to be reimbursed on a risk adjusted model as well. This session provides the HCC background, demonstrates HCC impact, and assists your team to determine if HCC coding is in your future.

Clinical Documentation Integrity (CDI) in a Rural Setting - Presented on April 7, 2021

Code assignments are assigned based on the level of Medical Record Documentation, and often these code assignments trigger hospital and physician reimbursements...but these days, more than reimbursement is at stake for all health care settings. This session emphasizes the significance CDI and explains how your setting can benefit when adopting the CDI culture as a key strategy. You will learn essential CDI definitions, its benefits, and typical objectives; the key elements of a vital CDI program; and obtain direction and tools to jump start your CDI culture. 

CPT Genitourinary Coding - Presented on January 6, 2021

There are various items to consider when coding genitourinary procedures in CPT, so this session will walk through the GU anatomy as well as highlight the basic terms that are essential to understand and assign appropriate CPT codes. After this foundation is established, more advanced concepts and hands-on examples will be shared to secure a better understanding of GU related procedures.

2021 CM and PCS Updates (57 min)   – Presented on September 23, 2020

CMS has released the final FY 2021 I- 10 code changes, revealing a total of 490 new, 47 revised, and 58 deleted CM codes. This session will review the highlights of the significant CM and PCS changes, as well as MCC/CC and Guideline changes affecting you and your staff effective October 1, 2020.

2021 Evaluation and Management Updates (124 min) -  Presented on July 1, 2020

Major changes are coming to EM services provided in any physician practice. January 1, 2021 seems to be in the far future, but given the magnitude of changes and staff involved, your team needs to be ready and prepared to adjust to the revised system. There’s no time like the present to inform your clinic staff of the 2021 Guidelines and changes. Please invite your teams to learn about the new definitions, expected outcomes, and implementation recommendations.


Linkage to CM (68 min) Presented on January 8, 2020

#1 Cardinal-Rule for Coders:  Do not assume a relationship between two conditions unless documentation or guidelines support.  Many of these rules continue life since I-9, while some have changed or given birth in I-10.  Due to the complexity of our scenarios and consequential principal assignment or reimbursement effect, this session reviews some thought-provoking examples, assist to interpret, and encourage how to react to questionable relationships you might find in your documentation.

Not a Quick Review of Query Practice Brief (63 min) – Presented on July 3, 2019

As the inception of CDI cultures expand, AHIMA and ACDIS have collaborated to provide a revised Query Practice Brief. Many concepts are the same, but there are several new aspects that Coders and CDI practitioners need to know. Please attend to become aware of the new features and obtain examples of when and how to articulate your query. Have your own Query Policy on hand to make notes of necessary modifications.

Target Audience: ✓ Coders (Inpatient, Outpatient and Professional) ✓ CDI practitioners

CM Coding: To Code or Not to Code (69 min) -  Presented on March 27, 2019

To code or not to code….that is the question many coders pose daily. This session will walk through the various situations and conundrums that commonly arise and give coding teams cause for pause. Coding Clinic has been called a coder’s “Bible”, but what do you do when that contradicts the Conventions? This session will reinforce the basics and give direction for those dicey encounters that cause R51, R45.4, and G47.00.

Target Audience: ✓ Coders (Outpatient and Professional) ✓ CDI practitioners

CPT Podiatry Coding (55 min) – Presented on January 3, 2019

Get a leg up on your podiatry coding by joining us for this comprehensive session which will describe common podiatry conditions and their associated procedures. Documentation requirements for medical necessity and NGS LCD coverage components will be reviewed for both clinic and hospital ambulatory surgeries. These types of procedures can be quite confusing, as they appear to include various codable functions, when actually only one CPT code will suffice. This session will guide you through challenging operative reports to provide confidence while coding these procedures.

Target Audience: ✓ Coders (Outpatient and Professional) ✓ CDI practitioners

CPT Wound Therapy Coding (60 min) Presented on July 12, 2018
Several changes to CPT codes and descriptions have been introduced within the last several years. As a result, wound care coding has various codes where depth extent and type of treatment are key to code assignment. Coding staff must be aware of these differences to successfully assign CPT codes for these services. Join us to learn more.

Target Audience: ✓ Coders (Outpatient and Professional) ✓ CDI practitioners

Diabetes Coding (73 min) Presented on March 21, 2018

It is reported that one in three individuals have diabetes, so with its prevalence, we need to ensure that we understand and adhere to all applicable Guidelines and Conventions. Implementation of ICD-10 resulted in expansions of the diabetes categories, but it's time to take another look at our references that provide direction for coding this very common - as well as complex - immunological condition. This diagnosis is seen on all encounter types, so join us to ensure quality coded data.

Target Audience: ✓ Coders (Inpatient, Outpatient, and Professional) ✓ CDI practitioners

CM Neoplasm Coding (66 min) Presented on December 7, 2017

The CM Neoplasm Guidelines are packed full of treatment specific directives. In addition, some sequencing directives and Conventions have changed since I-9. Stay on top of these I-10 guidelines and Coding Clinic entries by attending this 60 minute session guiding on basic Neoplasm directives, principal and secondary diagnoses code assignments, as well as informational treatment definitions. Coder’s knowledge will also be tested by applying learned lessons with polling questions.

Target Audience: ✓ Coders (Inpatient, Outpatient, and Professional) ✓ CDI practitioners

Ortho Coding: CM and CPT (87 min) Presented on June 21, 2017 

Ortho seems to be the most common specialty within our hospitals, and it follows that ortho questions outnumber any other topic through the RWHC Hotline. Therefore, the next quarterly 60 minute coding webinar will emphasize and review CM and CPT ortho related concepts. Consequently, the outpatient coder is the target audience, but the inpatient coder will likewise benefit from CM information.

Target Audience: ✓ Outpatient Coding Staff ✓ Inpatient Coders ✓ CDI practitioners

OB ICD-10 Coding (86 min) – Presented on March 16, 2017

Numerous changes in guidelines, conventions, and ICD-10 system have affected the way we report and sequence OB related codes. Pertinent Chapter 15 guidelines for reporting and sequencing multiple obstetrical complications will be reviewed using hands on examples. Session will also review common OB procedures and their basic coding principles.

Target Audience: ✓ Clinic Staff ✓ CDI practitioner