Getting a Handle on Condition Code 44 and How It Impacts Providers

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Getting a Handle on Condition Code 44 and How It Impacts Providers

Product Code: YHHA061219

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Getting a Handle on Condition Code 44 and How It Impacts Providers

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Presented on: Wednesday, June 12, 2019 | 1:00 p.m. – 2:30 p.m. Eastern

Presented by: Dawn Crump, CHC, SSBB, MA; and Tracey Tomak, RHIA, PMP

Provider confusion about when to use condition code 44 hasn’t gone away, and not using it correctly still causes problems in health systems that affect billing, compliance, and patients. Because condition code 44 requires short turnarounds before patient discharge, processes and policies need to be in place for capturing necessary documentation for accurate billing.

In this 90-minute webinar, Dawn Crump, CHC, SSBB, MA, and Tracey Tomak, RHIA, PMP, will walk listeners through condition code 44, providing an overview of the rules and regulations, and explain who is impacted on the administrative side as soon as the patient comes in. They will go through the process of using condition code 44 so providers know which departments—from billing to compliance and documentation—should be involved and when. They will help listeners get a handle on the tight time frame required to use condition code 44 and to ensure accurate and timely documentation and proper billing. Using case studies, they will provide lessons learned in order to improve condition code 44 processes.

At the conclusion of this program, participants will be able to:

  • Describe how condition code 44 affects both patients and multiple departments within the health system.
  • Develop and implement policies and procedures for capturing necessary documentation.
  • Understand the workflows needed to use condition code 44 correctly in the required time frame.

Agenda

  • Condition code 44 recap
    • An overview of the rules and regulations
    • A refresher on when to use condition code 44
  • Impact and timing
    • How this affects the patient and the financials
    • What departments need to be involved in the process and what their particular role is when refining the condition code 44 procedure at your facility
    • Using a process flow chart to get a handle on what needs to be done, when, and by whom, including:
      • Physicians
      • Billing
      • Compliance
      • Documentation
  • Case studies: Lessons learned from the trenches
    • Examples of what to do and what not to do
    • Data on overall use of condition code 44 and how often the code is being used
  • Live Q&A

Who Should Listen?

  • Utilization review professionals
  • Utilization review committee staff
  • Case management professionals
  • Finance
  • Billing managers and staff
  • Compliance staff
  • Revenue integrity directors and manager
  • Revenue integrity staff
  • CDI managers and staff
  • Chargemaster coordinators
  • HIM directors and managers
  • HIM staff
  • Revenue cycle directors and managers
  • Revenue cycle staff
  • Physician advisers

Meet the Speakers

Dawn Crump

Dawn Crump, CHC, SSBB, MA, is the senior director of revenue cycle and denial management solutions at Intersect Healthcare in Towson, Maryland. She has more than 20 years of urban and rural healthcare industry experience.

 

Tracey Tomak

Tracey Tomak, RHIA, PMP, is the senior director of project management and client engagement at Intersect Healthcare in Towson, Maryland. She has more than 20 years of experience in revenue cycle, with a focus on hospital coding, charge capture, and denials management.

Continuing Education

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Commission for Case Manager Certification (CCMC)
QUIZ REQUIRED FOR ON DEMAND

This program has been submitted to The Commission for Case Manager Certification for approval to provide board certified case managers with 1.5 clock hour(s).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.