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Education Programs

Educational Programs

• NEW! 
  Provider Forum with CMS and Diversified Collection Services - New Jersey's Recovery Audit Contractor - July 16, 2009
  This August, many New Jersey Part A and Part B providers will face the implementation of the Recovery Audit Contractor program. Diversified Collection Services is the contractor for New Jersey. PRG Schulz is a subcontractor to DCS and will likely handle home health RAC audits. The Centers for Medicare and Medicaid Services and DCS are holding a members only educational forum at NJHA designed for key staff who will be involved in the RAC audit process from acute care hospitals, rehabilitation hospitals, long term acute care hospitals, skilled nursing facilities and home health and hospice agencies.
  

• September 15, 2009 / December 8, 2009
  A MYRIAD OF ISSUES: Medicare’s Maze of Rules and Regulations - Strategies for Staying Ahead of the Curve
  Now in its fifth year, NJHA Information Services has developed this program to be periodically updated and offered quarterly throughout 2009. Each program will provide a comprehensive overview of new and revised Medicare rules and regulations. Our expert staff will analyze, research and decipher the coding and billing rules and present them in a straightforward and organized manner – cutting to the chase and presenting in simple terms what you really need to know. We also offer strategies and ideas on who in your hospital needs to be involved in implementing the changes. We will distribute actual transmittal text, sample policies and procedures as appropriate and other information that will facilitate compliance with the numerous regulations. 
  
• Quality Documentation – Quality Coding: A Guide to E&M Compliance
  This program, designed for physician, clinical, and coding staff, will offer practical information    and examples relating to your Evaluation & Management coding and will enhance your hospital’s ability to attain thorough documentation, accurate coding, and overall E&M compliance.  For additional information, please contact Tim Keough, tkeough@njha.com or Maureen Barrie, mbarrie@njha.com (609) 936-2200 .

Educational Programs that are offered periodically at NJHA and are available to you on site at your facility include:

CODING

• Coding for the Outpatient Encounter
  An overview of Medicare’s outpatient prospective payment system; the importance of accurate coding; medical necessity; basic orientation to the code selection and assignment process; an introduction to the ICD-9-CM and CPT-4 manuals
  
• ICD-9-CM Diagnosis and CPT-4 Coding Basics
  Basic orientation to the code selection process; an overview of the ICD-9-CM and CPT-4 manuals; medical necessity and the principles of coding
  
• Intermediate ICD-9-CM Diagnosis and CPT-4 Coding
  An advanced session relating to code selection and code placement; the significance of the primary diagnosis; the importance of coding all underlying diagnoses; compliance issues and medical necessity
  
• Advanced ICD-9-CM Diagnosis and CPT-4 Coding
  A session to aid in the coding of complex diagnostic and procedural cases; physician documentation, OIG targeted DRG pairs and tools for achieving data quality. Includes exercises and group discussion.
  
• CPT System by System
  Workshops designed to provide education on CPT coding, one section at a time.
  
• CCS Review Workshops
  Advanced session geared toward preparing seasoned coders to sit for the CCS examination.

BILLING AND COMPLIANCE

• Understanding the Full Circle Process - A Guide to Medicare Compliance -2009  (.pdf file size 80KB, 4 pgs.)       
  This program is intended to provide hands-on admissions, registration and coding and billing personnel with an appropriate level of information and instruction relating to compliance standards. This program explains the significance of every aspect of the claims development process: from the initial physician order, through to the patient interview process, to the documentation and coding of a record, and finally to the billing and collection of an account. Compliance issues addressed in this program include medical necessity, the significance of the advance beneficiary notice, Medicare's three-day window rule, Medicare secondary payer provisions and an overview of the UB-04.

• Medical Necessity and the Advance Beneficiary Notice NJHAIS has designed an educational program to assist your registration staff and your physician's practice management staff in understanding the significance of medical necessity and Medicare's requirement relating to the Advance Beneficiary Notice. This 2-hour training program is available to you on-site at your facility and will be tailored to incorporate your hospital-specific registration processes, policies relating to medical necessity and forms.
  

• Medical Necessity and the Advance Beneficiary Notice
  
• Integrating Compliance Into Your Daily Operational Procedures
  An understanding of compliance issues; the importance of the development of a compliance plan; the importance of operational policies and procedures; an overview of the Medicare program - rules and regulation
  
• Understanding the Full Circle Process - A Guide to Medicare Compliance for Physician Office Managers
  An overview of the importance of the information obtained during the patient intake process; the significance of the data elements of the CMS-1500; understanding the Medicare program; compliance issues