1. Anderson Health Information Systems, Inc. 714-558-3887 Office @ahis.net 940 W. 17 th Street, Suite B Santa Ana, CA 92706

2. Medicare Documentation Requirements

3. Medicare Medicare diagnosis needs to be consistent with covered services & MDS.

4. Certs / Re-Certs

5. Advanced Beneficiary Notice

6. Daily documentation

7. 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

8. ICD-9-CM Coding

9. 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

10. 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.

11. 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.

12. 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.

13. Quality Assurance Process

14. Data Collection, Trending and Analysis

16. HIPAA Compliance Reviews

17. HITECH ACT

18. Breach Notification Requirements

19. “Red Flags”

20. RAC Recovery Audit Contractors

21. Regulatory Updates

22. Inteview Tools Skills Competency Reviews

23. Work Flow and Systems Analysis

24. On Site Training Workshops Webinars