Coding Education

HIAlearn – Coding Staff Development & Training

Unmatched industry expertise

Ensuring the educational development of your coding staff is of utmost importance. Whether you need additional focused education based on review findings or the tools to foster ongoing coder development, HIA has you covered with the latest coding updates and regulatory changes. Much of our material is approved by AHIMA and/or AAPC for CEUs. View our extensive HIAlearn library here.

HIAlearn Offerings

Education may take many avenues, including on-site visits, audio recordings and online education modules. Training can consist of one-on-one, group sessions or self-paced. Programs can be tailored to fit any time frame, from a few hours to monthly training and monitoring of new coding staff. We utilize a Learning Management System (LMS) to house coding education sessions. Individual participants are provided a username/password to access the LMS from a designated website.

 

Education Counts

Our 70-years of combined teaching experience has taught us that academic instruction fused with practical application creates a comprehensive learning experience that benefits our team and yours.

Pat Maccariella-Hafey

Pat Maccariella-Hafey

Executive Director of Education

Beth Martilik

Beth Martilik

Assistant Director of Education

Kim Carrier

Kim Carrier

Director of Coding Quality Assurance

Part 4 – New 2019 CPT Codes: Lymphatic, Digestive, Urinary and Nervous System

Part 4 – New 2019 CPT Codes: Lymphatic, Digestive, Urinary and Nervous System

This is Part 4 of a five part series on the new 2019 CPT codes. In this series we will explore the CPT changes for FY 2019 and include examples to help the coder understand the new codes. There is 1 new lymphatic code, 2 new digestive system codes with 3 deletions, 3 new urinary system codes with one deletion and 7 deleted nervous system codes with 2 revisions.

Part 3 – New 2019 CPT Codes: Cardiovascular System

Part 3 – New 2019 CPT Codes: Cardiovascular System

This is Part 3 of a five part series on the new 2019 CPT codes. In this series we will explore the CPT changes for FY2019 and include examples to help the coder understand the new codes. There are 9 new cardiovascular CPT codes added with 2 deletions and 3 revisions.

Query Tip: Avoiding a Leading Query – Don’t Be Directive

Query Tip: Avoiding a Leading Query – Don’t Be Directive

A query question that is directive in nature, indicating what the provider should document, rather than asking for his/her professional determination of clinical facts, constitutes a leading query. The provider should not be made to feel obligated to document anything.

Query Tip: Query for Pathology Results

Query Tip: Query for Pathology Results

Tissue findings interpreted by a pathologist are not equivalent to the attending physician’s medical diagnosis based on the patient’s clinical condition. If the attending physician has not indicated the significance of an abnormal finding within a pathology report…

Query Tip: What is Conflicting Documentation?

Query Tip: What is Conflicting Documentation?

Conflicting documentation occurs when health care providers call the same condition different things. When none of the documented conditions are clearly ruled out by the physician, coders may find it necessary to query for the most appropriate diagnosis.

Most Common DRG’s with Recommendations 2018: Part 5

Most Common DRG’s with Recommendations 2018: Part 5

In part 5 of our series, we look at DRG 64—Intracranial hemorrhage or cerebral infarction with MCC. For this DRG recommendation the majority (almost all) were recommended to DRG 65 (Intracranial hemorrhage or cerebral infarction with CC) with deletion of the reported MCC.

Most Common DRG’s with Recommendations 2018: Part 4

Most Common DRG’s with Recommendations 2018: Part 4

The majority of the recommendations from DRG 190 (Chronic obstructive pulmonary disease w/MCC) was to DRG 189 (Pulmonary edema and respiratory failure) with re-sequencing of respiratory failure as the PDX or adding as a new code and sequenced as PDX.

Most Common DRG’s with Recommendations 2018: Part 3

Most Common DRG’s with Recommendations 2018: Part 3

The majority of the recommendations from DRG 853 (Infectious & parasitic disease with O.R. procedure with MCC) were to DRG 871 (Septicemia w/o MV 96+ hours with MCC) with deletion or revision of the PCS code. Some of these required physician query.

HIAlearn – Coding Staff Development & Training

Unmatched industry expertise

Ensuring the educational development of your coding staff is of utmost importance. Whether you need additional focused education based on review findings or the tools to foster ongoing coder development, HIA has you covered with the latest coding updates and regulatory changes. Much of our material is approved by AHIMA and/or AAPC for CEUs. View our extensive HIAlearn library here.

HIAlearn Offerings

Education may take many avenues, including on-site visits, audio recordings and online education modules. Training can consist of one-on-one, group sessions or self-paced. Programs can be tailored to fit any time frame, from a few hours to monthly training and monitoring of new coding staff. We utilize a Learning Management System (LMS) to house coding education sessions. Individual participants are provided a username/password to access the LMS from a designated website.

 

Education Counts

Our 92-years of combined teaching experience has taught us that academic instruction fused with practical application creates a comprehensive learning experience that benefits our team and yours.

Pat Maccariella-Hafey

Pat Maccariella-Hafey

Executive Director of Education

Part 4 – New 2019 CPT Codes: Lymphatic, Digestive, Urinary and Nervous System

Part 4 – New 2019 CPT Codes: Lymphatic, Digestive, Urinary and Nervous System

This is Part 4 of a five part series on the new 2019 CPT codes. In this series we will explore the CPT changes for FY 2019 and include examples to help the coder understand the new codes. There is 1 new lymphatic code, 2 new digestive system codes with 3 deletions, 3 new urinary system codes with one deletion and 7 deleted nervous system codes with 2 revisions.

Part 3 – New 2019 CPT Codes: Cardiovascular System

Part 3 – New 2019 CPT Codes: Cardiovascular System

This is Part 3 of a five part series on the new 2019 CPT codes. In this series we will explore the CPT changes for FY2019 and include examples to help the coder understand the new codes. There are 9 new cardiovascular CPT codes added with 2 deletions and 3 revisions.

Beth Martilik

Beth Martilik

Assistant Director of Education

Query Tip: Avoiding a Leading Query – Don’t Be Directive

Query Tip: Avoiding a Leading Query – Don’t Be Directive

A query question that is directive in nature, indicating what the provider should document, rather than asking for his/her professional determination of clinical facts, constitutes a leading query. The provider should not be made to feel obligated to document anything.

Query Tip: Query for Pathology Results

Query Tip: Query for Pathology Results

Tissue findings interpreted by a pathologist are not equivalent to the attending physician’s medical diagnosis based on the patient’s clinical condition. If the attending physician has not indicated the significance of an abnormal finding within a pathology report…

Query Tip: What is Conflicting Documentation?

Query Tip: What is Conflicting Documentation?

Conflicting documentation occurs when health care providers call the same condition different things. When none of the documented conditions are clearly ruled out by the physician, coders may find it necessary to query for the most appropriate diagnosis.

Kim Carrier

Kim Carrier

Director of Coding Quality Assurance

Most Common DRG’s with Recommendations 2018: Part 5

Most Common DRG’s with Recommendations 2018: Part 5

In part 5 of our series, we look at DRG 64—Intracranial hemorrhage or cerebral infarction with MCC. For this DRG recommendation the majority (almost all) were recommended to DRG 65 (Intracranial hemorrhage or cerebral infarction with CC) with deletion of the reported MCC.

Most Common DRG’s with Recommendations 2018: Part 4

Most Common DRG’s with Recommendations 2018: Part 4

The majority of the recommendations from DRG 190 (Chronic obstructive pulmonary disease w/MCC) was to DRG 189 (Pulmonary edema and respiratory failure) with re-sequencing of respiratory failure as the PDX or adding as a new code and sequenced as PDX.

Most Common DRG’s with Recommendations 2018: Part 3

Most Common DRG’s with Recommendations 2018: Part 3

The majority of the recommendations from DRG 853 (Infectious & parasitic disease with O.R. procedure with MCC) were to DRG 871 (Septicemia w/o MV 96+ hours with MCC) with deletion or revision of the PCS code. Some of these required physician query.

See how HIAlearn
will benefit you

Overcome common coding challenges identified during audits and coding staff performance reviews with HIAlearn Action Plans.

See how HIAlearn
will benefit you

Overcome common coding challenges identified during audits and coding staff performance reviews with HIAlearn Action Plans.

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