Showing posts with label audit. Show all posts
Showing posts with label audit. Show all posts

Thursday, April 26, 2018

Advanced Risk Adjustment and HCC Coding


Are you looking for the best education available in risk adjustment?

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Join us for a day of risk adjustment, catch up with colleagues over lunch, and get the best tools in the industry for FREE!

Do you need CMEs or CEUs? We have that too!

All Workshops are approved by the American Medical Association, American Academy of Family Practice and the American Academy of Professional Coders.

Register your team ( 3 or more) today to save 10% on Tampa and Ft. Lauderdale.

Take advantage of Early Bird pricing for Fall Workshops and Save $100!


Improve the Accuracy of your Risk Scores...


Overview:
What is changing for risk adjustment in 2019? New ICD-10 codes and HCC categories are coming. What should your team be doing now to prepare?
Review the different risk adjustment models and their impact on medical practice management for 2019 and beyond.
Discuss the impact of shifting from RAPS to EDS. What does this mean for office based claims?
Take a deep dive into HCC Coding and Documentation.
Review real documentation examples to see what validates, what doesn’t, and why. 
Learn how to leverage frontline staff to be successful in the world of risk adjustment and value-based payments.

Who Should Attend?
Medical Coders and Billers
Providers, Managers and Frontline Staff
CDI Specialists
Executive Leaders
ACO, MSO and IPA Teams
Rural Health Centers
Health Alliance Members
Medicare, Medicaid and Commercial Plans


Fort Lauderdale, Florida
CYPRESS CREEK EXECUTIVE CENTER
1451 W. Cypress Creek Road, Fort Lauderdale, FL, 33309

Wednesday - May 9, 2018
9:30 AM - 3:30 PM
SOLD OUT

Thursday November 8, 2018
9:20 AM - 3:30 PM
Early Bird Pricing $100


Tampa, Florida
HILTON GARDEN INN TAMPA RIVERVIEW
4328 Garden Vista Drive, Riverview, FL 34747

Wednesday - October 24, 2018
10:00 AM - 4:00 PM
Early Bird Pricing $100

Visit www.ermconsultinginc.com for more details



Thursday, July 4, 2013

VA inspected many times; results shared

Written by

Joe Battle

As the director of the G.V. (Sonny) Montgomery VA Medical Center, I wish all of our veterans and their families, service men and women, VA employees and volunteers a happy and safe Fourth of July holiday. We commemorate the Declaration of Independence on this day as our statement of shared values and beliefs which manifests itself in the young men and women who have served our country honorably for 237 years.
I spend my waking moments thinking about how the G.V. (Sonny) Montgomery VA Medical Center can better serve our veterans, and I think of recent events and how some folks are questioning our commitment. The past few months have seen some challenging times at the Jackson VA.
Recent publicity has captured the attention of oversight organizations charged with ensuring that health care facilities are taking care of their patients and providing a safe working environment for its employees. We welcome these organizations as a check to ensure we are providing the best quality of care to our veterans in a safe and clean environment. I’d like to share some results.
On April 1-9, an inspection team from the Occupational Health and Safety Administration visited and reviewed employee training records, inspected the equipment sterilization process, observed the sterilization process and spoke with employees. After almost 10 days, there were two minor findings — a power cord was “daisy-chained” together, which was corrected on the spot, and some employee training was not completed within a calendar year, which OSHA requires, but was completed within a fiscal year, which the VA requires. We retrained the employees while the inspector was still on site.
A few weeks later, on May 3, we had an initial (unannounced) survey by The Joint Commission for Accreditation of Healthcare Organizations for our new Psychosocial Rehabilitation and Recovery Center. That inspection yielded one indirect finding — an emergency light in the building had not been tested. We tested it on the spot.
Then, on June 3-4, TJC visited us again. This time to conduct a “mini” full survey of the hospital based on the Office of Special Counsel complaints which were filed. The survey team, consisting of a doctor and nurse, from the VA’s Office of Medical Inspector, reviewed records, spoke to employees and interviewed veterans. The result was only one indirect finding regarding precharted documentation on a quality log.
So, in short, we have had three major (unannounced) inspections over the past three months from oversight organizations in the health care industry and employee safety. The findings did not impact patient care.
While these are good results, we know we’re not finished. Recently, two more OSC complaints have been filed, one related to pharmacy and one related to credentialing and privileging of staff. When the results of these reviews are known we will quickly address any opportunities for improvement.
I have heard that a few wish to see the VA or the Jackson VA shut down. I am disappointed by such thoughts, and such actions would not serve veterans in Mississippi. I believe the VA is specifically equipped to meet the full array of services our veterans need. I want every eligible veteran in the state of Mississippi to use their earned medical benefits and be comfortable using the VA Medical Center. The (Sonny) Montgomery VA Medical Center has an annual operating budget of $350 million which significantly impacts the economic base of our community while employing more than 2,000 people. I want employees and veterans to know that my door is open to ideas, which will improve patient care.
Much has been accomplished during the past year. We were selected to be one of 15 National Pilots in Mental Health exploring partnerships with community mental health organizations to increase access for veterans. We’ve housed 244 homeless veterans and are providing them with critical health care and other support, we’ve co-sponsored two very successful job fairs and on Aug. 26 we’re opening our new women’s clinic. Female veterans are our fastest growing population, and I want the 9,000 plus women veterans in our catchment area to know that the G.V. (Sonny) Montgomery VA Medical Center is here for you.
While all these changes are good for veteran care, we recognize that we always will have work to do. This is a place of honor. More than 44 percent of our employees are veterans. Every eligible veteran in Mississippi deserves nothing less than our full devotion to their care. It is our commitment to this nation.

As we move forward, we will continue to embrace the tenets of ICARE (integrity, commitment, advocacy, respect and excellence) and seek to improve every facet of our health care. So on this July 4, we will be thinking of our veterans and their families. And if you’re traveling down Woodrow Wilson, you will see the G.V. (Sonny) Montgomery VA Medical Center, on the high ground, where all the American flags are flying.