Agenda

PHIMA 82nd Annual Virtual Conference

Up to 25 CEUs

Click here to download the printable agenda.

All sessions are pre-recorded.
Access instructions will be provided on August 24, 2020 and you will have 60 days to access the session recordings purchased.

Full Registration – 25 CEUs
Monday Only – 11 CEUs
Tuesday Only – 16 CEUs

Monday, August 24, 2020 - Pre-Recorded Sessions
11.0 CEU available

KEYNOTE SPEAKER: Building Resiliency: Skills to Assist in Change and Transformation for Success in Life – Part 1
Rosemarie Perla, MS, MA, PCC – Perla Coaching & Consulting

Social Science has discovered the skills of Resiliency are essential for living a successful life. Resiliency skills support us in managing change and in transforming into the person we want to be. Resiliency includes: Practicing Optimism and Compassion, Rewriting your story, Understanding what you can/cannot control, Support Others, Remember your Comebacks, Take Stress Breaks, Get Out of Your Comfort Zones

DOMAIN: Organizational Management and Leadership (1.5 CEU)
Rosemarie
Advancing the Use of Data in Health Information Management
Keith Olenik, MA, RHIA, CHP - Pivot Point Consulting

Data is impacting our lives without a doubt and the volume of data we have available to us is growing at an exponential rate. How we utilize all of this data is critical to the success of any business. We have an opportunity to help the healthcare industry turn this data into information and ensure there is integrity and value. HIM professionals have a unique skillset based on our educational background that sets us up to accept this challenge and tackle the volumes of data that can and will be turned into valuable information.

This presentation will provide an overview of how big data is impacting our lives with a focus on healthcare. Description of big data key concepts and how it is impacting the workplace. Information will be provided on the skills required to work with big data and the future job opportunities.

DOMAIN: Informatics, Analytics and Data Use (1.0 CEU)
Keith
Empowering People to Impact Health: 2020 AHIMA Report to the CSAs
Valerie J. Watzlaf, PhD, MPH, RHIA, FAHIMA - AHIMA Board of Directors

Make AHIMA’s mission your mantra too. Learn about AHIMA’s 2020-2023 strategic plan and how you can help move the mission forward.

DOMAIN: Evolving Topics (1.5 CEU)
Valerie
From CDI to CD-Q-I: Modernize Your CDI Program for Quality Outcomes
Geoff New, MBA, RHIA, CHFP, CRCR and Scarlett Denman, BS, RHIT, RAC - OSS Health

Traditional CDI programs which focus on Medicare MS-DRG payers and the capture of co-morbidities are now being tasked with broadening their scope to continue to portray their value to an organization. Technological advances, changing hospital reimbursement and public transparency around quality outcomes are all forcing CDI modernization. Through the presentation of a case study of building a modern CDI program at a specialty hospital, this session will demonstrate best practices for creating a CD-Q-I program – one focused on high-quality documentation that supports both clinical and financial success. Specifically, the case study will cover the successful development, design, and implementation of the CDQI program, including identification of documentation opportunities, development of all tools, reporting, processes, and executive summaries, demonstration of the positive value and return from documentation improvements, and planning for an OP CDQI program.

DOMAIN: Clinical Foundations(1.0 CEU)
Geoff
Scarlett
HCCs from Inpatient to Outpatient…and Beyond
Kim Felix, RHIA, CCS, Jeanie Heck, BBA, CCS, CPC, CRC and Allison Van Doren, RN, BSN, CCDS, CDIP, CRC - Intellis

This presentation seeks to guide the learner through the impact of capturing hierarchical condition category (HCC) throughout the patient care continuum. We will explore the impact of HCC coding from the outpatient perspective through to the inpatient setting. The role of providers, coders, and clinical documentation specialists in this risk focused methodology will be explored at length. The speakers will discuss how the coding systems work by highlighting the interaction of weights and overriding categories while defining source documents and appropriate identification of documenting providers.

DOMAIN: Data Structure, Content and Information Governance(1.0 CEU)
Kim
Jeanie
Allison
Managing DRG Mismatches: The Collaboration Between CDI and Coding
Kathy DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA - UASI

This engaging session will provide an analysis of DRG mismatches and strategies for monitoring and management of this process. The issue of DRG mismatches is not new, however; it has become more significant with the implementation of ICD-10 and this presentation will focus on the financial and operational issues surrounding this. The discussion will include the needed collaboration between Coding and CDI to positively impact the DRG mismatch process and improve the overall accuracy of DRG assignment and reimbursement.

DOMAIN: Revenue Cycle Management (1.0 CEU)
Coming Soon
Outpatient CDI: One Size Doesn’t Fit All
Kathy DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA - UASI

There is not a one-size solution to Outpatient CDI and this presentation will provide an evaluation of the differences between CDI in the hospital outpatient setting and CDI in the clinic or provider setting. The discussion will include a detailed looked at the different needs for OP CDI depending on the specific setting, which includes the use of data analytics to drive decision-making. Within that, review of required staff skill sets needed for each setting as well as suggested staffing ratios will be discussed. Finally, within each setting, will be an evaluation of the required clinical and coding knowledge, recognizing that these may vary based on the specific needs of the organization. Throughout the session, specific illustrations of OP CDI will be included, through the use of case examples.

DOMAIN: Clinical Foundations (1.0 CEU)
Coming Soon
Standards are Sexy: How Policy, Standards, Data and Workflows are Transforming US Healthcare
Alix Goss - DynaVet Solutions/Imprado

Transformation of the US healthcare system to achieve healthcare value and optimal population health is a national priority. Legislative, regulatory and private sector efforts are concurrently pursuing new strategies to support administrative simplification, clinical delivery, community engagement, public health, and research objectives to keep pace with rapidly-evolving business models and technologies. Approaches to capturing, protecting and appropriately sharing interoperable data is paramount. This session will discuss initiatives shaping national policy and standards for health information data and the impacts on clinical and administrative processes.

DOMAIN: Informatics, Analytics and Data Use (1.0 CEU)
Coming Soon
Virtual Exhibit Hall - 2.0 CEU

Tuesday, August 25, 2020 - Pre-Recorded Sessions
16.0 CEU available

KEYNOTE SPEAKER: Building Resiliency: Skills to Assist in
Change and Transformation for Success in Life – Part 2

Rosemarie Perla, MS, MA, PCC – Perla Coaching & Consulting

Social Science has discovered the skills of Resiliency are essential for living a successful life. Resiliency skills support us in managing change and in transforming into the person we want to be. Resiliency includes: Practicing Optimism and Compassion, Rewriting your story, Understanding what you can/cannot control, Support Others, Remember your Comebacks, Take Stress Breaks, Get Out of Your Comfort Zones

DOMAIN: Organizational Management and Leadership (1.0 CEU)
SPEAKER
Back to the Basics: Release of Information
Angela Rose, MHA, RHIA, CHPS, FAHIMA - MRO

As Release of Information becomes more complex with new regulations and guidelines, questions surrounding appropriate policies, procedures and processes increase. Attend this session to hear the latest information on Release of Information and ask an industry expert your toughest questions.

DOMAIN: Information Protection: Access, Disclosure, Archival, Privacy and Security (1.0 CEU)
SPEAKER
Clearing the Confusion: Court Ruling on the Misuse of Patient-Directed Record Requests
Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB - MRO

This presentation engages attendees in an essential conversation regarding the recent court ruling on the misuse of patient-directed record requests. In what is being seen as a strong rebuke to years of regulatory overreach, the United States District Court for the District of Columbia entered an order on January 23, 2020 that invalidates provisions of the 2013 Omnibus Rule to the Health Information Portability and Accessibility Act (“HIPAA”) and 2016 guidance issued by United States Department of Health and Human Services Office (“HHS”) on the fees that may be assessed to patients for copies of medical records. Attendees will take home advice on how to operationalize the new ruling, and learn how the ruling impacts provider organizations, third-party requesters, and the healthcare industry in general.

DOMAIN: Information Protection: Access, Disclosure, Archival, Privacy and Security (1.0 CEU)
SPEAKER

Coding Queries: Tips for Writing Compliant Queries

Sandra L. Brewton, RHIT, CCS, CICA, CPC, AHIMA Approved ICD-10-CM/PCS Trainer


DOMAIN: Data Structure, Content and Information Governance (1.0 CEU)
Coming Soon
Combat Denials with Machine Intelligence
Elliot Holt - nThrive

Healthcare effectiveness and efficiency is at the forefront of conversations on a daily basis be it from the patient, the physician or the C Suite perspective. The US healthcare system is expensive and wasteful and ranked near the bottom of the Bloomberg list of Healthcare Efficiency Scores in 56 economies *. So, what can we do about it? The answer is simple. Introduce AI and Machine Learning to streamline complex and inefficient processes to bolster physician productivity, increase patient satisfaction and improve your bottom line. This presentation will provide a high-level overview of Artificial Intelligence and Machine Learning and practical uses to achieve organizational efficiency as well as financial and quality outcomes.

DOMAIN: Evolving Topics (1.0 CEU)
SPEAKER
CSA Excellence Series: Join the House of Health Information and Build AHIMA and Your Future
Valerie J. Watzlaf, PhD, MPH, RHIA, FAHIMA - AHIMA Board of Directors

AHIMA is building the House of Health Information, in three impact areas. We are leading the charge in access, connection, and integrity. This presentation will provide you with tools to help you build your career, as well as help AHIMA build the House of Information.

DOMAIN: Evolving Topics (1.0 CEU)
SPEAKER
Cybersecurity: Protecting Your Healthcare Enterprise
Anthony Murray, CISSP - MRO

In today’s digital world, cybersecurity is imperative to protecting your healthcare enterprise. This presentation will cover topics such as cyber threats and information security management, understanding your enterprise’s security model and how to engage relevant parties, as well as preventative measures to reduce overall risk.

DOMAIN: Information Protection: Access, Disclosure, Archival, Privacy and Security (1.0 CEU)
SPEAKER
Denials Management in the ED
Rhonda Granja, BS, CPC, RMC, CMC, CMOM, CMIS - RevCycle+

Learn how to craft an effective playbook for handling the increasing numbers of denials seen in the Emergency Department. This presentation will cover how to assess your risk, organizational capacity, and prioritizing resources.

DOMAIN: Revenue Cycle Management (1.0 CEU)
SPEAKER
Empowering Patients with Online ROI Request Submission
Jeff Seidl, Swellbox and Nicole Shunk, RHIT - Penn State University Health Services

Patient access to medical records is a hallmark of modern health care. However, many health systems still require patients to print, fax, scan, or mail their ROI forms in order to request records. In addition to being a hassle for patients, these processes also lead to unnecessary follow-ups by HIM staff. In 2018, Swellbox collaborated with X4 Health to digitize AHIMA’s model right of access form. The result was the Record Request Wizard, a plugin that launches from health system websites and enables patients to submit their photo ID directly from their webcam. After its unveiling at the 2018 Biden Cancer Summit, the Request Wizard earned the endorsement of AHIMA, policymakers, health plans, and providers.

DOMAIN: Data Structure, Content and Information Governance (1.0 CEU)
SPEAKER
SPEAKER
Inside the Hack: How Hackers are Breaking into Networks and Why a Ransomware Attack Has Been The Lynch Pin In Hospital And Clinic Closures
Bruce McCully, CISSP - Healthcurity

In 2018, hundreds of clinics and hospitals nation-wide have gone offline (often for weeks at a time) from ransomware attacks. In 2019, cyber criminals have honed their targets on healthcare—specifically rural. These attacks have led to decreased quality of care and (in some instances) bankruptcies and closures. What have we learned this year? We have to change our approach in rural health to cybersecurity, data management and disaster preparedness. We’ve been too reactive for far too long. We need to rethink how we’re managing and protecting our networks by changing how we approach our big cybersecurity problem. My message to you—to beat a hacker you’ve got to start thinking like one. By looking at your systems through the eyes of a hacker, you will be better equipped at protecting your facility from growing cyberattacks and data breaches. In this talk we will walk through facilities like yours through the lens of hacker trying to get in.

DOMAIN: Data Structure, Content and Information Governance (1.0 CEU)
SPEAKER
Lessons Learned from Payer Denials
Laurie Johnson, MS, RHIA, FAHIMA

This presentation covers the increasing trend of payer denials, clinical validation and topics that trigger payer denials. It also discusses some criteria that payers are using for clinical validation and some proactive steps that can be taken. In conclusion, best practices for denial management are covered.

DOMAIN: Revenue Cycle Management (1.0 CEU)
SPEAKER
Living in a Price Transparent World
Carol Skenes, CRCR - nThrive

Increasing federal and state regulations are causing many hospitals to struggle to stay up-to-date with ever-changing coding and compliance rules, as well as developing and maintaining a defensible and transparent pricing strategy. This presentation is designed to define the Chargemaster (CDM) and help you determine next steps to defend your CDM including written criteria, policies and procedures specific to common risk areas in addition to key industry trends that impact CDM structure, price transparency and revenue. We will also address next steps for you to consider when implementing an effective Internal Audit and Monitoring program to ensure compliance and optimize reimbursement long term.

DOMAIN: Revenue Cycle Management (1.0 CEU)
SPEAKER
Lock Your Backdoor: 4 Steps to Ensure Your Business Associates are Compliant
Bill Wagner, CHPS - KIWI-TEK

Business associates (BAs) pose an alarming risk to covered entities (CEs) and their protected health information (PHI). In fact, about 35 percent of fines and settlements imposed on CEs by the Office of Civil Rights (OCR) are a direct result of third-party BA violations.

The increased number of vendors that are considered BAs by the OCR creates a major liability for healthcare systems. While BAs are often long-time trusted partners, increased scrutiny and expanded BA definitions create significant privacy challenges.

In November 2018, the Ponemon Institute reported that among U.S. firms surveyed, 61 percent experienced a breach caused by third parties, which is up from the previous year at 56 percent. However, only 46 percent of firms surveyed say managing relationship risk is a priority. To date, only one BA has been directly fined by the OCR. All other BA violations have resulted in a fine or settlement on the CE.

With a recent increase in the enforcement of privacy and security rules by the OCR, healthcare providers face an increased risk related to their BAs and third-party vendors. Remember, the privacy and security of PHI is still the responsibility of the CE, regardless of where that information lives. Unfortunately, many organizations don’t have a comprehensive risk and compliance review process in place for their vendors to manage BAAs and enforce compliance.

Attendees to this session will:
  • Identify common risks related to third-party vendors and BAs with access to PHI
  • Examine the HIPAA legislation regarding security risk assessments for BAs and third-party vendors, and how this has led to increased oversight by the OCR
  • See actual examples of CE fines and settlements due to BA violations
  • Learn vendor risk management best practices for identifying, managing, and monitoring third-party and BA security risks


DOMAIN: Health Law and Compliance (1.0 CEU)
SPEAKER
PDPM: The New Normal
Mary Ann Leonard, RHIA, RAC-CT - Health Information Professionals

This presentation discusses the changes to the Medicare payment system for Skilled Nursing Providers, the Patient Driven Payment Model (PDPM), which became effective 10/1/19. It provides information the Medicare qualifying information and the factors which determine the assignment of the case mix group for the PDPM buckets and how these determinants payment fo services rendered to the Medicare Beneficiary.

DOMAIN: Revenue Cycle Management (1.0 CEU)
SPEAKER
Virtual Exhibit Hall - 2.0 CEU