Home Health CM

Understanding Home Health Case Mix & Patient Driven Groupings Model (PDGM)

60 Minute Webinar

$149.00

This webinar will review the components of the home health patient driven groupings model that the coder must understand. It is essential that coders understand clinical groupings & morbidities which may affect payment. This course is appropriate for coders, intake staff and clinicians.

Objectives:

  • Understand the PDGM payment system, case mix and the relationship to accurate coding
  • Review the five variables for case mix index
  • Utilize Test Your Knowledge cases for practical coding experience
CEUs:  3    3 AHIMA    3 AAPC
Included in eLearning Library. Price per person. Group rates available.

Comprehensive Home Health Coding Education
A 4-part Webinar Series 90 minutes each

Accurate coding under PDGM will require an increased skill set and knowledge of ICD-10 coding guidelines and conventions. With a change in the no-pay RAP requirements, the timing and accuracy of coding plays a more important role for 2021. This program provides a comprehensive overview of home health coding. This 4‐part webinar series (90 minutes each) will include Test Your Knowledge cases to demonstrate practical learning.

Four major areas are covered:

  1. Code structure & Conventions
  2. Coding Guidelines
  3. Primary & Other Diagnoses
  4. Chapter Specific – Diagnostic Information (Including many Test Your Knowledge cases)

Learning Objectives

  • Overview of coding conventions & guidelines necessary for proper code assignment & sequencing.
  • Understand where common mistakes are made by coders.
  • Comprehensive review of Chapter Specific Guidance.

Session 1 of 4

  • In-depth review of Official Guidelines for Coding & Reporting including code structure and conventions
  • Review Diagnostic Chapters Coding Guidelines & Common Diagnoses (Infectious – Neoplasms (A-D codes))
    • Certain Infectious & Parasitic Diseases
      • Including changes to C-diff, MSRA, VRE, severe sepsis
      • COVID Coding Guidelines
    • Neoplasm Coding
      • Using the neoplasm table acceptably
      • Current malignancy versus a personal history
      • Adverse effects of chemotherapy
  • Practice situational coding exercises, Test Your Knowledge, which includes identification of clinical grouping and comorbidity adjustment

Session 2 of 4

  • Review of Diagnostic Chapters Endocrine – Circulatory (E-I codes))
    • Endocrine, Nutritional and Metabolic Diseases
      • Understanding the nuances of “type’, “with” and “NEC’ convention
      • When to code secondary diabetes
      • Diabetic complication sequencing
    • Mental, Behavioral & Neurodevelopmental Disorders
      • Dementia & Delirium
      • Depression, anxiety, specific BH diagnoses
    • Diseases of the Nervous System
      • Review of Alzheimer’s coding, other common neuro diagnoses
    • Diseases of the Circulatory System
      • Sequelae of cerebral infarctions, specificity for types of heart failure & heart disease, Hypertensive disease
  • Practice situational coding exercises, Test Your Knowledge, which includes identification of clinical grouping and comorbidity adjustment

Session 3 of 4

  • Review of Diagnostic Chapters (Respiratory –Genitourinary (J-N codes))
    • Diseases of the Respiratory System
      • Including proper coding of COPD, emphysema and asthma
      • Vaping Coding Guidelines
    • Diseases of the Digestive System
      • Discussion of specificity, aftercare and complications
      • Review of correct ostomy coding
    • Diseases of the Skin & Subcutaneous Tissue
      • Correct coding of ulcers: pressure, DTI, non-pressure and stasis
    • Diseases of Musculoskeletal System & Connective tissue
      • Coding arthritis types which impact case mix
      • Fracture coding for pathological and traumatic fractures
      • Fractures with joint replacements including complications
    • Diseases of the Genitourinary System
      • CKD stages, hypertensive disease
  • Practice situational coding exercises, Test Your Knowledge, which includes identification of clinical grouping and comorbidity adjustment

Series 4 of 4

  • Review of Diagnostic Chapters (Symptoms – Aftercare (R-T codes))
    • Symptoms, Signs & Abnormal Clinical and Laboratory Findings Not Elsewhere Classified
      • When to utilize Signs & Symptom coding
      • What to do with Return to Provider (RTP) coding
    • Injury, Poisoning and Certain Other Consequences of External Causes Coding
      • Coding traumatic and surgical wounds
      • Utilizing 7th character “A” versus “D”
      • Wound complications: dehiscence, post-op wound infection, non-healing surgical wound, cellulitis
      • Traumatic fracture coding
    • Factors Influencing Health Status & Contact with Health Services
      • Aftercare Coding Best Practice
    • COVID-19 Coding
  • Practice situational coding exercises, Test Your Knowledge, which includes identification of clinical grouping and comorbidity adjustment

Mouth, Throat and GI Endoscopic Procedures

Topic
Adenoidectomy
Tonsillectomy
Post-tonsillectomy hemorrhage
Frenulotomy
Frenulectomy
Fillings and crowns
Dental implants
Dental cleaning under anesthesia
Removing (pulling) teeth
Dental trauma
Palatoplasty
Furlow Double-Z palatoplasty
Paryngoplasty
Laryngoscopy
Excision of aryepiglottic fold
Expansion laryngoplasty
Cricoid cartilage stenosis
Laryngomalacia with airway obstruction
Esophagogastroduodenoscopy (EGD)
Bleeding ulcer
Esophageal stricture dilation
Colonoscopy
Feeding tube insertion
Nasogastric tube
Percutaneous endoscopic gastrostomy (PEG)
Stamm gastrostomy
Witzel gastrostomy
Jejunostomy
Percutaneous gastrojejunostomy (G-J Tube insertion)
Feeding tube changes and removal


Gastrointestinal Open or Laparoscopic Procedures

Topic
Open Approach
Laparoscopic (Percutaneous Endoscopic) Approach
Laparoscopic-assisted open Approach
Converted Procedures
Laparoscopic Sigmoidectomy
Laparoscopic-Assisted Transanal Pull-Through
Laparoscopic serial colon biopsies with laparoscopic-assisted anal pull-through
Nissen Fundoplication Procedure
Pyloric Stenosis
Pyloromyotomy
Anal Sphincterotomy
Duodenal Obstruction
Duodenal Atresia
Annular Pancreas
Duodenoduodenostomy
Other Duodenal Obstruction
Ladd Syndrome (malrotation)
Intussusception and Volvulus
Omphalomesenteric Duct Remnant
Right Hemicolectomy
Left Hemicolectomy
Partial Colectomy
Total Colectomy
Total Proctocolectomy
GI Bypass: Colostomy
GI Bypass: Brooke Ileostomy
GI Bypass: Koch (K) Pouch
GI Bypass: Ileoanal (J) Pouch
GI Bypass: S and W Pouches
Ostomy Take-Down
Moving an Ostomy Opening
Take-Down of Diverting Colostomy
Gastrocutaneous Fistula Closure
Gastroparesis
Gastric Stimulator Insertion


Gastrointestinal: Hepatobiliary Procedures

Topic
Liver Transplant
Pancreatic Transplant
Hepatobiliary Biopsies
Liver Biopsy – Percutaneous
Liver Biopsy – Open or Laparoscopic
Percutaneous Core Needle Liver biopsy
Segmental Liver Resection
ERCP (Endoscopic Retrograde Cholangiopancreatography)
Extirpation and Dilation of Ducts
Percutaneous Drainage Tube
Cholecystectomy
Cholangiogram
Extirpation of cystic duct stones
Cystogastrostomy
Laparoscopic Cholecystectomy
Intraoperative Cholangiogram
Biliary Atresia
Kasai Procedure (Hepatoporto-enterostomy)
Bypass of left hepatic duct to jejunum
Bypass of right hepatic duct to jejunum

 

The level of effort to complete this course, start to finish, is equivalent to 3 CEUs and should take you approximately 3-9 hours to complete. Remember: You have access to the course materials for the full 16-week enrollment period and we encourage you to re-review any materials that are helpful to you.

Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 3 CEUs.

AHIMA: 3 CEUs
This course has been approved for continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

AAPC: 3 CEUs
This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • WebinarPlus™ multimedia and interactive online course promotes engagement with challenging materials while offering independent self-study.
  • Teaching methods including audio and video files, diagrams, and animations to accommodate different learning styles. Where appropriate, the Merck Manual Professional Version supplements course materials with in-depth descriptions of diagnoses and/or procedures.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Financing available through PayPal Credit.
  • Price listed is per person/per course. Group rates available upon request.

Special pricing available for groups. Train your entire team!

How Many In Your Group? Group Discount %
1 Retail Price
2-4 5% Discount
5-20 10% Discount
21+ Contact Us for Your Custom Price Quote:
[email protected]

Joan L. Usher, BS, RHIA, HCS-D, ACE
AHIMA Approved ICD-10-CM Trainer

Joan is President of JLU Health Record Systems, a leader in Health Information Management and coding solutions. A nationally recognized expert in the field of health information management, Joan has taught coding for over 25 years and has educated over 20,000 people nationwide. She is author of the JLU Rapid Reference Coding Guide, an easy-to-use coding guide in ICD-10 for common home health diagnoses, and author or editor of numerous courses, books and articles on coding, reimbursement methods, clinical documentation improvement, and health record requirements.

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