2022 PHIMA Fall Conference

CE Credits: 5.0 CE credits for all day participants

Registration/Coffee

Welcome!

Lesia Peck, MS, RHIA, PMP, CHDA, CHPS, CPHIMS, FAHIMA

Building Bridges: Teambuilding and Connection in a Remote Workplace

Kelly Walton, RHIT, CCS

This presentation will discuss the need for connection in our remote world. Now more than ever, teambuilding and connection can not only improve outcomes for the business but also for ourselves. I will be sharing ways to create an atmosphere of collaboration, connection and celebration using my tested methods as an HIM leader of both US and India based teams. I will also share real-life stories of both outstanding team outcomes and individual successes. They can exist together.

1.0 – Domain VI: Organizational Management and Leadership

Break

Navigating the Privacy Changes to Reproductive Health Information

Darin Challacombe, Ph.D., SHRM-CP, CRIS
Elizabeth McElhiney, MHA, CHPS, CPHIMS

The U.S. Supreme Court’s recent ruling reversing the 1973 Roe v. Wade decision has forced many states to consider updating their legislation on the topic of abortion. The polarizing nature of this ruling means that covered entities and their practices will be in the cross-hairs of additional state and federal legislation. State legislation may mean health agencies’ designated record sets (DRS) must include (or exclude) information relating to pregnancy or reproductive health. These potentially new regulations could create additional sensitive information categories for electronic medical record (EMR) systems to manage, and, especially, for release of information (ROI) professionals to navigate. This presentation will discuss this, along with some helpful ways to ensure your EMRs are set up and staff is trained to manage this ever-changing landscape.

1.0 – Domain V. Health Law and Compliance

Rethinking Revenue Management with Automation

Jeff Becker

Since the start of the Covid-19 pandemic, hospitals and health systems are struggling to maintain profitability. A crippling labor shortage, rising supply costs, increasingly complex contracts, and steadily increasing denials rates are all playing their part in this struggle. In response, the healthcare industry is starting to look towards revenue management innovation in the form of automation. Artificial intelligence (AI) and robotic process automation (RPA) technology is being implemented to help healthcare providers overcome staffing shortages and maximize revenue capture. In this session, you will learn how AI and Automation are being deployed across the front, middle, and back office to reduce costs, improve access to care, and accelerate reimbursement.

Learning Objectives:

• Explore how autonomous workflows are affecting front, middle, and back office teams
• Examine the top emerging trends in use cases for automation in revenue management
• Discuss the 5 steps needed for healthcare leaders to move towards a more autonomous revenue management

1.0 – Domain IV. Revenue Cycle Management

Break for Lunch

Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste and Abuse

Bryan Beaudoin, PMP, CHFP, CPHRM
Adrian Czapla, CPC

This presentation will first outline top clinical documentation and coding compliance risks facing provider organizations. It will then discuss how to leverage both claims data and payor data to proactively identify these risks within our own organization and tailor your audit to most effectively address them. Lastly, the presentation will outline best practices for collaborating with provider and operational leadership to effectively address them.

1.0 – Domain III. Informatics, Analytics, and Data Use

Break

OIG Work Plan: A CDI-Focused Examination of Compliance Priorities

Leigh Poland, RHIA, CCS

The Office of Inspector General (OIG) regularly focuses its auditing efforts on high-dollar, high-quantity clinical conditions at risk of being incorrectly documented and/or coded. Understanding the OIG focus areas can help CDI programs protect their organizations against compliance risk, educate providers, and conduct internal auditing to ensure their organizations do not become a post-payment statistic. Participants will learn the new, updated, and ongoing target areas applicable to Medicare Parts A and B that have been selected for elevated enforcement. New target areas will be specifically discussed, and attendees will walk away with recommendations for assessing and reducing post-payment risk associated with OIG target areas.

1.0 – Domain VII. Clinical Foundations

Wrap-Up/Closing Remarks

Lauren Gess