OASIS Training & ICD-10 Intermediate Coding

Ultimate Coding & OASIS Training Virtual Series:
OASIS Training & ICD-10 Intermediate Coding

Presented on: On-Demand

Presented by: Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C, Director of Education, Coding and OASIS Division, for SimiTree Healthcare Consulting

Make the most out of Ultimate Coding and OASIS Training: The Virtual Series by combining two programs!

This seminar package gives you both popular courses from the Ultimate Training Series: OASIS & ICD-10 Intermediate Coding!

OASIS Training:

Learn how to properly answer the most challenging OASIS items while reinforcing your core OASIS competencies without sacrificing productivity.

OASIS accuracy is the key to documentation compliance, positive outcomes scores and full and proper reimbursement. Attend this full-day, intermediate-level OASIS training on the most challenging items – those questions that continue to create confusion and put your agency at risk when answered incorrectly. Expert speaker Arlynn Hansell includes opportunities to pause the recording to work through OASIS scenarios, which she discusses in depth to ensure retention and comprehension.  

During the training, you will:

• Dive into the most challenging OASIS items and guidance, including Section GG, J1800, and J1900.
• Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in timely fashion.
• Correctly apply OASIS conventions to item-specific scenarios while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
• Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds and trauma wounds, and how to report their healing status.
• Ensure accuracy in the reporting of cognitive patterns, including the neuro/emotional/behavioral items to ensure appropriate POC development and risk adjustment of outcomes.
• Work through the ADL items (M1800 - M1860) to ensure you're accurately reporting the patient's functional status, or risk PDGM Functional Impairment Level Points and inaccurate outcome scores.
• Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.
• Understand the interaction of certain OASIS and coding items and how they impact the PDGM payment system

ICD-10 Intermediate Coding:

Learn how to sequence the most common home health diagnoses in ICD-10 and understand the FY2022 code and guideline changes. Expert speaker Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

More specifically, this training will cover:

• Coding conventions and guidelines: Delve into the assumptions that can and cannot be made in ICD-10.
• COVID-19, including how to code active manifestations of COVID-19 vs late effects, including post COVID long-haulers condition; and when to assign Z86.16 instead of U07.1.
• Documentation, OASIS, and coding: Learn how they work together to affect payment in the PDGM system and create a compliant record.
• Fractures, including traumatic and pathological fractures.
• Z codes versus a complication code: Work through scenarios to learn how to properly assign these codes.
• Wounds, including pressure ulcers, infected and non-healing surgical wounds, stasis ulcers and trauma wounds.
• Diabetes: Learn how to choose the right code from five code categories, and review the differences in coding diabetic manifestations.
• Cardiopulmonary, including hypertension, heart failure, and COPD versus asthma with COPD exacerbation versus emphysema.
• CVA & late effects: Learn how to apply the 7th character to indicate sequela, as well as how to code dominant vs. non-dominant.
• Symptom codes, including how and when to use them in PDGM.
• Mental health codes, including how to accurately code anxiety and depression, and substance abuse.
• Nervous system coding, including assigning the correct codes for post-polio syndrome, Alzheimer’s disease, Parkinson’s, MS, pain and seizures.
• Neoplasms & anemia, including surgical aftercare for neoplasms, and the key changes in coding anemia associated with malignancy, and anemia resulting from chemotherapy, immunotherapy and radiation therapy.
• GI/GU, including how to report kidney disease (CKD), colitis and obstructions.
• Poisoning and adverse effects: Learn how to report these diagnoses in ICD-10 when you will no longer be required to use the external cause codes (V00-Y99) – comparable to the E codes in the current set.
• Review the differences between sepsis, SIRS, and septic shock, and identify correct infection verbiage for accurate coding.

Required material: All participants must have a 2022 ICD-10-CM coding manual OR the Home Health Coding Center to participate. We recommend DecisionHealth’s 2022 Complete Home Health ICD-10-CM Diagnosis Coding Manual or DecisionHealth’s Home Health Coding Center

At the conclusion of this virtual training, the participant will:

1. Learn the specific OASIS-D1 items and updated guidance effective January 2021

2. Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion
3. Correctly apply OASIS conventions to item-specific scenarios, while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more
4. Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds
5. Ensure accuracy in the reporting of neuro/emotional/behavioral items
6. Work through ADL items to ensure you're accurately reporting the patient's functional status
7. Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care
8. Understand the interaction of certain OASIS items and the new Patient-Driven Grouping Model (PDGM) payment system
9. Focus on the assumptions within the coding conventions and guidelines
10. Describe how documentation, OASIS, and coding all work together to affect payment in the PDGM payment system and create a compliant record 
11. Discuss scenarios for assigning Z codes versus a complication code
12. State the difference between sepsis, SIRS, and septic shock, and identify correct infection verbiage for accurate coding
13. Identify when surgical aftercare is needed for neoplasms versus the diagnosis itself
14. Demonstrate how to choose the right code when dealing with all the possible manifestations of diabetes
15. Identify the complexities of combination coding of hypertension, heart failure, CKD, and COPD versus emphysema
16. Learn to choose the right code to identify sequelae of a CVA
17. Identify the difference between poisoning and adverse effects, and how to code these diagnoses in ICD-10

Agenda

All registrants receive access to the online learning, downloadable slides, and relevant accompanying materials.

In the OASIS seminar you will:

• Hammer home the most challenging OASIS items and guidance, including Section GG, J1800 and J1900 (falls).
• Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion. Learn how to answer M0102 (date of physician ordered SOC) and M0104 (date of referral) in challenging situations.
• Correctly apply OASIS conventions to item-specific scenarios while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
• Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds, and how to report their healing status.
• Ensure accuracy in the reporting of neuro/emotional/behavioral items (M1700–M1745) to ensure appropriate POC development and risk adjustment of outcomes.
• Work through the ADL items (M1800–M1860) to ensure you're accurately reporting the patient's functional status, lest you risk PDGM functional impairment level points and inaccurate outcome scores.
• Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.

In the ICD-10 Intermediate Coding seminar you will cover:

• Coding conventions and guidelines: Delve into the assumptions that can and cannot be made in ICD-10
• Fractures, including traumatic and pathological fractures and their relation to joint replacements
• Z codes: Learn when to assign aftercare codes in home health
• Wounds, including pressure ulcers, infected and non-healing surgical wounds, stasis ulcers, and trauma wounds
• Diabetes: Learn how to choose the right code from among five code categories and review the differences in coding diabetic manifestations in ICD-10
• Cardiopulmonary, including hypertension, heart failure, and COPD versus asthma with COPD exacerbation versus emphysema
• CVA and late effects: Learn how to apply the 7th character to indicate sequelae, as well as how to code dominant vs. non-dominant
• Neoplasms and anemia, including surgical aftercare for neoplasms, and the key differences in coding anemia associated with malignancy, and anemia resulting from chemotherapy, immunotherapy, and radiation therapy
• GI/GU, including how to report kidney disease (CKD) and obstructions
• The difference between coding for poisoning and coding for adverse effects
• How PDGM clinical groups and comorbidity adjustments apply, presented through interactive scenarios

REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2021 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.