Hospice Documentation Strategies for ICD-10 Success - On-Demand

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Hospice Documentation Strategies for ICD-10 Success - On-Demand

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Hospice Documentation Strategies for ICD-10 Success - On-Demand

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Available ON-DEMAND

Presented by:
Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-approved ICD-10-CM trainer

For the past three years, hospices have seen fluctuating coding expectations in Medicare’s final payment rules for the industry. Today, CMS expects hospices to code each patient’s terminal illness, along with any additional healthcare conditions that the individual experiences as his or her disease progresses. Compliance with this requirement, which is more stringent than past versions, has been complicated by the recent kickoff of ICD-10 and a rapidly evolving regulatory climate. Thanks to a dearth of hospice-specific training resources on these fronts, many providers throughout the industry are struggling to develop documentation approaches that satisfy today’s stepped-up coding and reimbursement requirements. 

HCPro’s 90-minute webcast “Hospice Documentation Strategies for ICD-10 Success” will fill in these educational gaps. Expert Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-approved ICD-10-CM trainer, will identify the ICD-10 codes and conventions that are often sidelined by insufficient clinical documentation, offering hospice clinicians and their colleagues the tools they need to develop documentation best practices that reflect the quality care they provide—and to promote the ongoing receipt of earned reimbursement. 

At the end of the program, participants will be able to: 

  • Identify and correct common documentation issues that lead to poor coding 
  • Demonstrate a comprehensive understanding of documentation practices that foster coding success by completing Test Your Knowledge cases 
  • Produce consistent, specific documentation that captures key coding information, including laterality and a comprehensive set of relevant diagnoses 



  • Analyze the current state of documentation within your organization and across the industry 
    • Understand the role that medical directors, nurse practitioners, and clinicians play in fostering organizationwide success under ICD-10
    • Identify common areas of vulnerability that lead to poor coding of comorbidities, such as wound coding terminology, specificity in arthritis cases, and aftercare coding requirements
  • Train professional staff to document for coding success
    • Learn clinical documentation best practices that promote effective coding, such as structuring the medical record with easy-to-reference sections for coders
    • Develop an effective clinical narrative for different settings and levels of care
    • Tailor documentation approaches to satisfy the specific and sometimes disparate coding requirements for the top terminal diagnoses in hospice, including cancer/neoplasms, chronic heart failure, chronic obstructive pulmonary disorder, and renal failure
    • Discuss specific methods for addressing a fracture for a terminal patient
    • Understand when to add or change a diagnosis as a patient’s disease progresses
    • Determine whether to classify a condition as a primary or secondary diagnosis based on the coding updates issued through the fiscal year 2016 hospice wage index final rule
  • Determine the requisite level of specificity and laterality for common cancer and non-cancer diagnoses
    • Understand the tie-in between today’s adherence to these key ICD-10 conventions and tomorrow’s level of reimbursement under burgeoning pay-for-performance models
    • Learn how coding lapses can translate into penalties under the False Claims Act
    • Acquire strategies for reviewing documentation for consistency and accuracy
    • Work through four specificity- and laterality-focused Test Your Knowledge cases to apply key concepts to real-world scenarios
  • Navigate the ICD-10-CM Official Guidelines for Coding and Reporting for special coding cases and conventions
    • Review chapters for signs, symptoms, & ill-defined conditions; mental disorders; and diseases of the nervous system
    • Correctly reference the Alphabetic Index and Tabular List to achieve the greatest specificity for key diagnoses
  • Live Q&A 


Who Should Attend 

  • Coders 
  • Clinical staff 
  • Medical directors/NPPs 
  • Admissions staff 
  • Billing staff 

Meet the Speaker 

Joan L. Usher, BS, RHIA, COS-C, ACE, AHIMA-approved ICD-10-CM trainer, is president of JLU Health Record Systems in Pembroke, Massachusetts. Usher has more than 27 years’ experience as a consultant and is a nationally recognized expert in the field of ICD-9 & ICD-10-CM coding and health information management (HIM). She has taught ICD coding in hospice and home health for 17 years and has educated more than 15,000 people nationwide. Usher is a past president of the Massachusetts Health Information Management Association. Under her leadership, Massachusetts received four national awards from AHIMA in continuing education programs, support for accredited HIM education, legislative advocacy, and electronic communications. Usher has been on the board of directors for the Hospice & Palliative Care Federation of Massachusetts from 2008 to 2015. 

Usher is one of Beacon Institute’s experts for our Ask-the-Expert membership benefits. She also provides a monthly ICD-10 coding column for our Homecare DIRECTION newsletter and speaks during many of Beacon Health’s webcast series. She has contributed to numerous national publications and is the author of HCPro’s ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment and ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation. 

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.

No problem. The On-Demand version is also 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 this 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.