anderson health information systems, inc. 714-558-3887 office @ahis.net 940 w. 17 th street, suite b...
TRANSCRIPT
![Page 1: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/1.jpg)
Anderson Health Information
Systems, Inc.
714-558-3887Office @ahis.net
940 W. 17th Street, Suite BSanta Ana, CA 92706
![Page 2: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/2.jpg)
Medicare Documentation Requirements
![Page 3: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/3.jpg)
Medicare
• Medicare diagnosis needs to be consistent with covered services & MDS.
![Page 4: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/4.jpg)
Certs / Re-Certs
![Page 5: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/5.jpg)
Advanced Beneficiary Notice
![Page 6: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/6.jpg)
Daily documentation
![Page 7: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/7.jpg)
• Supporting documentation should be consistent and reflective of MDS responses
• Standard of practice requires documentation of care and services delivered and resident’s response to care and services provided
![Page 8: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/8.jpg)
ICD-9-CM Coding
![Page 9: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/9.jpg)
Purpose of ICD- 9-CM Coding
• Gather statistical data• Reporting diagnoses and provides a
method for sequencing diagnosis to support reimbursement
• Ensure compliance with Federal Reporting Standards for diagnoses
• Provide insight into the types of residents and conditions
• Health Research
![Page 10: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/10.jpg)
Types of codes used in LTC
• Aftercare – used when the initial treatment of a disease or injury has been performed and the patients still requires continued care to heal or recover.
• Late Effects – a late effect is a residual condition that remains and requires medical evaluation, rehab treatments and/or nursing care after the initial illness or injury.
![Page 11: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/11.jpg)
Types of Codes -3
• History of – (Hx) – history codes are acceptable on any Medical record regardless of reason for admission/encounter.
• A history code is distinct from a “status” code in that history codes indicate that the patient no longer has the condition and “status” codes indicated a present state.
• There are two types of history V-codes, personal and family.
![Page 12: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/12.jpg)
Types of Codes -3
• History of – (Hx) – history codes are acceptable on any Medical record regardless of reason for admission/encounter.
• A history code is distinct from a “status” code in that history codes indicate that the patient no longer has the condition and “status” codes indicated a present state.
• There are two types of history V-codes, personal and family.
![Page 13: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/13.jpg)
Quality Assurance Process
![Page 14: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/14.jpg)
Data Collection, Trending and
Analysis
![Page 15: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/15.jpg)
Care Plan Documentation
0%
20%
40%
60%
80%
100%
120%
Current Short term careplans Updated
2009
2007
0% 20% 40% 60% 80% 100%
IDT Notes
D/C Planning
SS Assessmens
Dietary Assessments
Activity Assessments
2007
2009
100%
0%
80%
Relates toProblem
Individualized Measurable
Care Plan Goal
0% 20% 40% 60% 80% 100%
How to assess
Non Pharmacological Interventions
Minimize effects on ADLs
Assess for effectiveness of med
Updated with changes
Care Plan Approaches
![Page 16: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/16.jpg)
HIPAA Compliance
Reviews
![Page 17: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/17.jpg)
HITECHACT
![Page 18: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/18.jpg)
Breach Notification
Requirements
![Page 19: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/19.jpg)
“Red Flags”
![Page 20: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/20.jpg)
RACRecovery Audit
Contractors
![Page 21: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/21.jpg)
Regulatory Updates
![Page 22: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/22.jpg)
Inteview Tools
Skills Competency Reviews
![Page 23: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/23.jpg)
Work Flow and
Systems Analysis
![Page 24: Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706](https://reader036.vdocuments.site/reader036/viewer/2022070410/56649f055503460f94c1a6bc/html5/thumbnails/24.jpg)
•On Site Training
•Workshops
•Webinars