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Session 1 

The Future is Here: Risk Adjustment Reimbursement

It's clear that the shift from fee-for-service to value-based reimbursement in the healthcare industry, particularly in Medicare Advantage and Accountable Care Organizations, is driving a significant demand for highly trained professional coders and auditors. The importance of thorough documentation and accurate coding in this transition cannot be overstated. Gain an understanding of the rapid growth in risk-adjusted reimbursement, its current impact, and the projected decade-long expansion as outlined by Centers for Medicare & Medicaid Services (CMS), while also being aware of new regulations from the current administration, particularly those pertaining to heightened audit standards.

Session 2 

Empowering Autonomous Coding with Artificial Intelligence

Examine the lessons learned by Penn Medicine after they adopted a cutting-edge, customized electronic health record that advanced autonomous coding in the emergency department. This presentation delves deeply into multifaceted processes including:

  • Documentation optimization
  • Meticulous compliance review and approval
  • Dual coding
  • Information technology validation
  • Comprehensive coder education
  • Securing leadership buy-in across five different hospitals in the health system

Presented by Tami Montroy, MS, RHIA, CCS and Sherine Koshy, MHA, RHIA, CCS

Session 3

Look into the Future: The Promise of ICD-11 to Transform Data Capture

Explore the upcoming landscape of ICD-11 and its potential to revolutionize data capture. This session offers an insightful glimpse into ICD-11's structural layout, its enriched content, and the distinction between the foundation component and linearization. Uncover the innovation behind cluster coding and learn about the latest developments in the US's transition to ICD-11, including updates from the National Committee on Vital and Health Statistics.

Presented by Sue Bowman, RHIA, CCS, MJ, FAHIMA

Session 4

Advance Your Career: Explore Auditing 

This comprehensive session delves into the world of coding auditing: a thriving career option with a promising employment outlook. Receive an overview about this field, learn routine tasks and processes, acquire fundamental skills, and examine the core responsibilities that have elevated the importance of this key role. Kickstart your journey to becoming an inpatient or outpatient coding auditor and pave the way for your professional advancement.  

Presented by Cari Greenwood, RHIA, CCS, CPC, CICA 

Session 5

Unveiling Effective Documentation for the 2023 MDM Table

Delve into the critical role of precise documentation within the framework of the updated 2023 Medical Decision Making (MDM) Table. Our real-world scenarios will demonstrate how to use this framework to progress from subpar to superior documentation. To complement your learning experience, you will receive a handout with the most important steps to follow to align with the MDM Table that you can keep at your desk for reference.

Presented by Betty Hovey, BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I


Session 6

Current Procedural Terminology (CPT®) Policy Update 

Learn about the new revisions to the CPT code set for 2024. The session will include an overview of E/M revisions, as well as highlights from across all the areas of the CPT code set.

Presented by Zachary Hochstetler, MBA, MPP, CPC

CPT® five-digit codes, nomenclature, and other data are the property of the American Medical Association.

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