Phys ysicia ician Clinica ical Document umentati tion on Imp - - PDF document

1

Quarterly erly

Phys ysicia ician

Clinica ical Document umentati tion

• n Imp

mprovem ement ent

Putting the Pieces Together: Financial Stability

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Continuin nuing Educa cati tion

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Continuin nuing g Educa cati tion

HTHU provides over 300 courses online, over 100 Webinars a year, and various live training conferences and workshops. Accredited Education from the International Association for Continuing Education & Training (IACET). (Who accepts the IACET CEU? Full list at www.iacet.org)

• American Association of Respiratory Therapy
• American Board of Medical Microbiology
• American Society for Clinical Laboratory Science
• American Society for Quality
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• Board of Certified Safety Professionals
• The Child Care Development Associate National Credentialing

Program

• Clinician’s View (Occupational, Speech, and Physical Therapy)
• Federal Emergency Management Agency
• Georgia, Massachusetts and Ohio Board of Nursing
• Georgia Professional Standards Commission
• Human Resources Certification Institute (for their Professional

in Human Resource Designation)

• National Association of Rehabilitation Professionals in the

Private Sector

• National Association of Social Workers
• National Board for Certification in Occupational Therapy,
• Inc. (NBCOT)
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(EMT)

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Engineers

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Therapy (NBCOT)

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Physician ician Clin inical ical Documen entatio tation Impr mprovemen ement t Series ies

Welcome & Introductions Stephanie Love, HomeTown Health, LLC Watch an Auditor Audit

• Dr. James Dunnick, The

Dunnick Group, LLC Upcoming Events & Resources Stephanie Love, HomeTown Health, LLC

AGENDA

Physic ician an Clinical al Documenta entation

• n Improv
• vement

ement Series es

Program Goals

Clinical Documentation Improvement programs are critical to rural hospitals in providing complete and accurate patient

• documentation. The purpose of the Physician Clinical

Documentation Improvement Series is to provide physician- to-physician training in common areas of clinical documentation improvement (CDI) in order to support physicians in improving their documentation, identifying the value of their role in CDI programs, and identifying

• pportunities for improvement.

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Disclosure of Proprietary Interest

The Dunnick Group does not have any proprietary interest in any product, instrument, device, service,

• r material discussed during this learning event.

The education offered by The Dunnick Group in this program is compensated by the HRSA Small Hospital Improvement Program (SHIP) grant from multiple participating states, including Iowa, Georgia and Florida.

Physician ician Clin inical ical Documen entatio tation Impr mprovemen ement t Series ies

Speaker Biography

James Dunnick, MD, FACC, CHCQM, CPC, CMDP Physician – Boarded in Cardiologist Certified medical coder Certified in Electronic Medical Records Certified in Quality and Utilization Published author Email: jdmd62@gmail.com Website: www.dunnickgroup.com

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Quarterly erly Physic ician ian CDI I Series ies:

Watch and Au Auditor r Au Audit: t: Vulnerab erabiliti ties es & Oppo portun tunities es in the Medica cal Record

Presen sented ed by Dr. James mes Dunnick ick

A portion of these materials were produced in partnership with the Iowa Department of Public Health for the Iowa Small Hospital Improvement Program (SHIP) Grant FY 18Contract #5888SH01 and the Georgia State Office of Rural Health for the Georgia Small Hospital Improvement Grant FY 18.

Disclaimer

1. Do NOT assume I am correct, I make mistakes. 2. Read and self educate. 3. Government manuals, online resources. 4. Obtain professional teaching, from more than one source. 5. Consultant opinions vary. 6. Auditor opinions will vary. 7. States vary. 8. Payers vary. 9. Rules change. This is meant as general and initial information only.

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Ident ntify fy ways to find your areas of documentation weakness. Describe how an auditor approaches a chart. Recall the difference in auditors and audits. Ident ntify the cost of non- compliance.

Learni ning ng Outcome mes

When you have completed this training, you should be able to:

1 in n 5 rural al hospi pitals tals at high gh risk sk of closin

• sing,

, ana nalys lysis is fi finds nds

Manag agem emen ent t con

• nsu

sultancy ltancy firm m Navi vigant ant

• operating margin, days cash on hand and debt-to-capitalization

ratio

• cited payer mix degradation; declining inpatient care driving excess

capacity; inability to leverage innovation, Medicare payment reductions; the age of many rural facilities and a lack of capital to invest

Beckers Hospital review Kelly Gooch Feb. 20, 2019

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A SUMMARY OF THE 2018 ANNUAL REPORTS

Social Security and Medicare Boards of Trustees

• Steven T. Mnuchin,

Secretary of the Treasury, and Managing Trustee

• f the Trust Funds.

Alex M. Azar II, Secretary of Health and Human Services, and Trustee.

• https://www.ssa.gov/OACT/TRSUM/index.html
• R. Alexander Acosta,

Secretary of Labor, and Trustee. Nancy A.Berryhill, Acting Commissioner of Social Security, and Trustee.

Medicare

Two trust funds

• The hospital insurance trust fund (HI)
• Supplemental medical insurance trust fund (SMI)

HI………MC Part A (hospital, home health, SNF, hospice) SMI……MC Part B and D

• Part B (physician, out patient hospital, home health) and
• Part D (drugs and cost sharing for low-income enrollees)
• https://www.ssa.gov/OACT/TRSUM/index.html

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Medicare

The Trustees project that tot

• tal

al Medicare icare cos

• sts

ts (including both HI and SMI expenditures) will l grow w from approximately 3.7 percent of GDP in 2017 to 5.8 percent of GDP by 2038* Medicare spending growth projected 5% in 2016 and 7.1% thru 2025

*CMS News February 15, 2017 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries

Medicare

The Trustees project that HI tax income and other dedicated revenues will fall short of expenditures in all future years.

https://www.ssa.gov/OACT/TRSUM/index.html

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Medicare is in Trouble The Government is not kidding about cost containment.

Medical Need

• 323,000,000 people USA
• 100,000,000 obese people
• 86,000,000 pre diabetics
• 30,000,000 diabetics
• 3,000,000 baby boomers

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Medicare is in Trouble Payers are in trouble The Government is not kidding about cost containment. The payers are not kidding about cost containment.

Payers - 3rd party or CMS

How do they stay solvent?

• Increase monthly premiums
• Increase co pays and deductibles
• Reduce services – cover fewer procedures and medicine options.
• Recoup
• up prior

r payments ts

• Ad

Add fines es

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The great motivator

THE PAYERS

The Motivator

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THE AUDITOR

The Evaluator

Who is doing the audit? Why are they doing the audit? How are they doing the audit?

THE AUDITOR

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Who is doing the audit? Is this an Internal Audit?

The Auditor

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Who

• is doing the audit?

Is this an Internal Audit? Is this s an Exter ernal al Audit? dit?

The Auditor

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Who

• is doing the audit?

Is this an Internal Audit? Is this an External Audit? Is this a RAC C Audit? it?

The Auditor

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Who

• is doing the audit?

Is this an Internal Audit? Is this an External Audit? Is this a RAC Audit? Is this s a ZPIC C Audit? it?

The Auditor

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Who

• is doing the audit?

Is this an Internal Audit? Is this an External Audit? Is this a RAC Audit? Is this a ZPIC Audit? Is the FBI wa walk lkin ing out with th your com

• mputer

ers? s?

The Auditor

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Who is doing the audit? Why are they doing the audit?

THE AUDITOR

Audit for Results? Audit to Teach?

The Audit

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Who is doing the audit? Why are they doing the audit? How w are they doing the audit?

THE AUDITOR

How w are they doing the audit?

• Bottom Up
• Top Down
• Bounce

The Audit

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THE AUDITOR THE ADMINISTRATIVE LAW JUDGE

The Judge The punisher

The Office of the Inspector General (OIG)

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THE PROVIDER THE FACILITY The Employees

The Punishee

• Civil False Claims Act
• MC/MC False Claims Act
• Criminal False Claims Act

AND D MOR ORE

• Corporate integrity agreement (CIA)
• Exclusion list

ECONOMIC PENALTIES

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US Department of Health and Human Services

Recent ent Updates: es: 1-6-20 2019 Comp mplet ete CIA List # | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

https://oig.hhs.gov/compliance/corporate-integrity-agreements/cia-documents.asp

PAMC; California State Law

Meet Seismic standards Deadline Jan 1, 2030 PAMC could not meet the 100 million cost Announced closing date of December 11, 2017 June, the hospital's owners paid $42 million to settle allegations of “Improper financial relationships with physicians”

• Beth Jones Sanborn, Managing Editor
• Heathcare Finance, Oct 25, 2017

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Penalties

CMS termin minat ates es Idaho ho hospital ital's s Medicare icare con

• ntr

trac act* t* Flor

• rida

da Hospi spital tal fined ed 85 millio lion Detr etroi

• it

t Area ea Hospital ital System m to Pay $84.5 .5 Millio lion** 2017 an EHR com

• mpan

any wa was s fined ed 155 millio lion doll llar ars s and CIA*** A***

• Falsif

ified ied certific tificat ation ion standar dards ds

* Written by Ayla Ellison (Twitter | Google+) | July 27, 2018

**Department of Justice Office of Public Affairs August 2, 2018 ***Written by Julie Spitzer | July 31, 2018 Becker’s Hospital Report

E/M = EHR

EHR HR

• False code level prompts
• Medical necessity
• Efficiency vs Fraud
• Who may put what where
• Audit logs

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EHR

Patient safety issues

• Comments May Not Save in the Reason for Visit Panel Grid
• Historical Immunizations May Incorrectly Appear as Plan

Orders

• Gastroenterology Procedures May Not Appear on the GI

master Document

Penalties-Administrative

Florida Hospital Administrators in 1B fraud scheme

• Mr. A.C. Prison 10 years
• Mrs. O.B. Sentence t/f
• Mr. M.E. In prison awaiting trial

Written by Ayla Ellison (Twitter | Google+) | January 24, 2019 | Print | Email

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Penalties Administrative

Ex-hospital administrator faces up to 70 years in prison for role in kickback scheme

Written by Ayla Ellison (Twitter | Google+) | February 13, 2017 | Print | Email

Penalties-Providers

Louisian isiana a psychiatr hiatrist ist con

• nvi

victed ed of Medicare icare fraud d ($258 millio lion)*

• 7 years in prison

Cardiol diologist ist convi victed ed of 350 fa false se claims aims ($238,2 ,230)* )**

• Pay back $721,960
• 1.7 years in prison

Cardiol diologist ist indic icted ed for unnecessar sary proc

• cedu

edures es and testin ting***

***

• Hospital

ital fa faces es 15 law w suits ts

*On August 25, 2014, Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division announced **Written by Ayla Ellison (Twitter | Google+) | August 02, 2018 | Print | Emai ***lSecurities and Exchange Commission filing Written by Ayla Ellison (Twitter | Google+) | February 13, 2015

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Penalties Inadvertent

NC Hospital-Extrapolation

• Audited 263 claims (MC billing requirements); 187 were accurate;

71% passed.

• 76 charts failed; $250,000 over payment
• Extrapolation; $697,000

Penalties Inadvertent

• 458 bed NFP hospital, 86 of 170 chart audits failed.
• Resulted in the hospital receiving $1.3 million in
• verpayments over a two year period
• Extrapolating from the sample results, the OIG estimated

the hospital received $22 million in overpayments from Medicare during the audit period.

Ayla Ellison (Twitter | Google+) - 3 hours ago Print | Email

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Penalties Inadvertent

Family Practice Physician $162,676 Pediatrician 336,298 Coders Fined

Audit

Quick E/M

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What at is E/M? M?

Three key E/M components

• A. Histor
• ry
• 1. History present illness
• 2. Past medical family social history
• 3. Review of systems
• B. Physic

ical al Exam

• 1. 1995-Body areas or organ systems
• 2. 1997- General or specialty specific
• C. Medic

ical al Decision ision Makin ing

• 1. Problem points
• 2. Data points
• 3. Risk

What is E/M? ?

Three key E/M components

• A. Histor
• ry
• 1. Histor
• ry presen

ent t illne ness

• 2. Past medical family social history
• 3. Review of systems
• B. Physical Exam
• 1. 1995-Body areas or organ systems
• 2. 1997- General or specialty specific
• C. Medical Decision Making
• 1. Problem points
• 2. Data points
• 3. Risk

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What Is E/M HPI?

History of present illness: Has components called elements 8 elemen ments: ts: Location Timing Severity Duration Quality Modifying factors Context Associated symptoms or signs

What Is E/M?

Level of HPI Problem-focused Brief (1-3) Expanded PF Brief (1-3) Detailed Extended (4-8) Comprehensive Extended (4-8)

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MAGIC WORDS

• John is a 55 year old Hispanic male who has noticed chest pain. His wife saw him

grimacing and rubbing his chest and wanted him seen. Her brother died of a heart attack last summer. John does not seem to know his family well but his father may have had some cardiac problems. I don’t have the feeling we have reliable details with this.

• He felt the discomfort was quite severe, a dull aching sensation, and this further

caused alarm. He has been putting off being seen due to a new job and not wanting to miss days of work.

• At work the company nurse gave him antacids and told him he may have an ulcer. She

sent him home and told him to obtain medical clearance prior to returning to work.

• He felt the antacids may have helped and is hoping this means his heart is all right.

Self Audit

HPI chest pain severe, dull aching antacids may have helped

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Self Audit

HPI Elements:

• Sever

erity ity- yes. . Sever ere

• Quali

ality ty- yes. . Dull l achin hing

• Loc
• catio

ation- yes. . Chest st

• Duration- no
• Associated sx’s and sym’s- no
• Modify

difyin ing fa factor

• rs- yes. Antac

acids ids may have e helped ed

• Timing- no
• Context- no

E/M

Level HPI

• PF Brief (1-3)
• EPF Brief
• Det

et Ext t (4-8)

• Com
• mp

Ext 99204/992 /99205

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Auditor Sees

HPI chest pain severe, dull aching antacids may have helped CC? CC?

Auditor Sees

CC CC- chest pain HPI- severe, dull aching antacids may have helped

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Auditor Grades

CC: Chest Pain HPI Elements:

• Severity

ity- Yes. Severe

• Quality

ty- Yes. Dull aching

• Locatio

tion- No

• No. Chest

t has become e CC

• Duration- no
• Associated sx’s and sym’s- no
• Modifyi

ying g factors- Yes. Antacid ids s may have help lped

• Timing- no
• Context- no

Auditor Grades

Level HPI

• PF

PF Brie ief f (1-3)

• EPF

Brie ief f

• Det

Ext (4-8)

• Comp

Ext 99204/992 /99205 992 9203

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Audit

ICD 10 CM vs. E/M Matching and Medical Necessity

E/M 99211-99215

CC: High blood pressure HPI: Janet checked her BP at a church screening and found it to be 185/110. She has a headache but no stroke type symptoms. She is quite concerned she needs new medicines. MDM: High Blood Pressure

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ICD 10 CM

I10

• Essential (primary) hypertension

I11

• Hypertensive heart disease

I12

• Hypertensive chronic kidney disease

I13

• Hypertensive heart and chronic kidney disease

I15

• Secondary hypertension

I16

• Hypertensive crisis

ICD 10 CM

I10

• Essential (primary) hypertension

I11

• Hypertensive heart disease

I12

• Hypertensive chronic kidney disease

I13

• Hypertensive heart and chronic kidney disease

I15

• Secondary hypertension

I16

• Hypertensive crisis

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E/M 99211-99215

CC: High blood pressure HPI: Janet checked her BP at a church screening and found it to be 185/110. She has a headache but no stroke type symptoms. She is quite concerned she needs new medicines. MDM: Hypertensive urgency

ICD 10 CM

I10

• Essential (primary) hypertension

I11

• Hypertensive heart disease

I12

• Hypertensive chronic kidney disease

I13

• Hypertensive heart and chronic kidney disease

I15

• Secondary hypertension

I16

• Hypertensive crisis

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ICD 10 CM

I 16 Hypertensive crisis

• I 16.0

.0 Hyper erten ensiv sive e urgen ency

• I 16.1 Hyper

erten ensiv sive e emer ergen ency

• I 16.9 Hypertensive crisis unspecified

E/M 99211-99215

ICD 10 CM

• I16.0 (Hypertensive Urgency)

E/M

• 99214/99215

ICD 10 CM

• I10.0 (Essential or primary hypertension)

E/M

• 99213

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Audit

Matching and Medica cal Necess ssity ty

E/M 99211-99215

CC: High blood pressure HPI: Janet checked her BP at a church screening and found it to be 185/110. She has a headache but no stroke type symptoms. She is quite concerned she needs new medicines. MDM: High Blood Pressure

• EKG
• Echocardiogram
• Out patient blood pressure recorders

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E/M 99211-99215

MDM: 1. Hypertensive urgency. I am concerned that with this elevation of blood pressure we may have LVH and I have ordered an ECG. I am also concerned she may have diastolic heart failure and I have ordered an echocardiogram. Finally, anxiety seems to be playing a role and I would like to see serial out patient blood pressures with an out patient recorder.

ICD 10 CM

Most specific Unspecified

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ICD 10 CM

I 16 Hypertensive crisis

• I 16.0

.0 Hyper erten ensiv sive e urgen ency

• I 16.1 Hyper

erten ensiv sive e emer ergen ency

• I 16.9 Hypertensive crisis unspecified

ICD 10 CM

CC: SOB HPI: John has had worsening dyspnea over the last week associated with a non productive cough. His home O2 is helping, but less than normal. MDM: COPD. Chronic obstructive pulmonary disease

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ICD 10 CM

• J40 Bronchitis, not specified as acute or chronic
• J41 Simple and mucopurulent chronic bronchitis
• J42 Unspecified chronic bronchitis
• J43 Emphysema
• J44 Other chronic obstructive pulmonary disease
• J45 Asthma
• J47 Bronchiectasis

Audit

J44 Other chronic obstructive pulmonary disease

• J44.0 Chronic obstructive pulmonary disease

with acute lower respiratory infection

• J44.1 Chronic obstructive pulmonary disease

with (acute) exacerbation

• J44.9 Chronic obstructive pulmonary disease,

unspecified

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ICD 10 CM

CC: SOB HPI: John has had worsening dyspnea over the last week associated with a non productive cough. His home O2 is helping, but less than normal. MDM: COPD and now appear ars s to have e an acute e lower er respir irat atory infec ectio tion. J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection

Compliance

The Add On On

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Compliance

MEAT

Monit itor—signs, symptoms, disease progression, disease regression Eva valuat luate—test results, medication effectiveness, response to treatment Assess ess/A /Addr ddress ess—ordering tests, discussion, review records, counseling Treat eat—medications, therapies, other modalities

Admit note

MDM: M:

• 1. Chest pain. Initial enzymes and ECGs are negative. If serial testing

is negative we will proceed with treadmill testing tomorrow.

• 2. CAD. I have requested the old records for detail. We will continue

his home aspirin, beta blocker, and statin. Due to the chest pain we have added telemetry, O2 and nitrates.

• 3. Hypokalemia. I have ordered a K supplement for his 3.2 level and

we will recheck the level tomorrow.

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Day 1 note

MDM: M:

• 1. Chest pain. Follow up enzymes and ECGs remain negative. We will

proceed with treadmill testing this morning.

• 2. CAD. Records are still pending and telemetry is normal.
• 3. Hypokalemia. The follow up K from this morning is still low at 3.4

and I have ordered another supplemental dose.

DC summary

MDM: M:

• 1. Chest pain. This has resolved and with the negative enzymes,

ECGs, and treadmill it appears non cardiac. I believe this is musculoskeletal.

• 2. CAD. Records are still pending but we are continuing his prior

cardiac home meds.

• 3. Hypokalemia. Replaced and out patient follow up pending.

4.

• 4. CKD.
• D. With

th his GFR R of 48 this is stage e three. ee.

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Admit note

MDM: M:

• 1. Chest pain. Initial enzymes and ECGs are negative. If serial testing

is negative we will proceed with treadmill testing tomorrow.

• 2. CAD. I have requested the old records for detail. We will continue

his home aspirin, beta blocker, and statin. Due to the chest pain we have added telemetry, O2 and nitrates.

• 3. Hypokalemia. I have ordered a K supplement for his 3.2 level and

we will recheck the level tomorrow.

• 4. CKD.
• D. Stage

age 3. We will l con

• ntinu

tinue e his home me ACEI, I, hydra drate e with h IVFs, s, and rec echec heck his BUN and Creatinin eatinine. e.

Day 1 note

MDM: M:

• 1. Chest pain. Follow up enzymes and ECGs remain negative. We will

proceed with treadmill testing this morning.

• 2. CAD. Records are still pending
• 3. Hypokalemia. The follow up K from this morning is still slightly low

and I have ordered another supplemental dose.

• 4. CKD.
• D. I am con
• ntin

tinuing ing IVFs s in case se his treadmill eadmill is abnor

• rmal

al and we must t proc

• ceed

eed with th a hear art t cathet theter eriz izatio ation. . His repeat eat renal al labs bs were re stable. able.

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DC summary

MDM: M:

• 1. Chest pain. This has resolved and with the negative enzymes,

ECGs, and treadmill it appears non cardiac. I believe this is musculoskeletal.

• 2. CAD. Records are still pending but we are continuing his prior

cardiac home meds.

• 3. Hypokalemia. Replaced and out patient follow up pending.

4.

• 4. CKD.
• D. His GFR has remai

mained ed stable ble in the stage e 3 range e and we are e disco scontin tinuing ing his IVFs s and will l keep his ACEI EI.

The Plan

Each facility/provider must have a strong compliance department.

• Who should be on the compliance team?
• What should a compliance department do?
• Who should be their over site?

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The Plan-Who

Compli lianc ance e depar artmen tment

• Chief Compliance Officer

✓ People skills ✓ Detailed ✓ C suite support

The Plan-Who

Compli lianc ance e depar artmen tment

• Chief Compliance Officer
• Physician Champion

✓ Knowledgeable ✓ Support for questions

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The Plan-Who

Compli lianc ance e depar artmen tment

• Chief Compliance Officer
• Physician Champion
• Coding
• Billing

✓ Motivated ✓ Energetic ✓ Trained as an internal auditor

The Plan-Who

Compli lianc ance e depar artmen tment

• Chief Compliance Officer
• Physician Champion
• Coding
• Billing
• Administrator

✓Desire to be on the team ✓Understand the risk and benefit (value)

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The Plan-What

Compli lianc ance e depar artmen tment

• Internal auditing
• External auditing
• Feedback to providers
• Education of providers for improvement

The Plan-Who

Comp mpliance nce Departm tment nt

• Self
• Outside consultant source
• C Suite
• They

y prot

• tect

ct the revenu enue

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Ident ntify fy ways to find your areas of documentation weakness. Describe how an auditor approaches a chart. Recall the difference in auditors and audits. Ident ntify the cost of non- compliance.

Learni ning ng Outcome mes

Now that you have completed this training, you should be able to:

Contact tact:

jdmd62@gmail.com Or hthtech@hometownhe althonline.com

here re goes es

TE TEXT

Qu Quest stio ions? ns?

101 102

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Upc Upcoming

• ming Ev

Events ents & & Consor Consortium tium Announ Announcemen cements ts

Contact: Annielee.sallee@hometownhealthonline.com

Quarterly Physician CDI Training Series

Webinar Date Training Title Intended Audience

Aug 28, 2018 The Rule of Provider Note Construction – Physician E&M Services Hospital and physician office physicians, coders, CDI specialists, scribes, and revenue cycle directors. Nov 27, 2018 The Rules of Medical Necessity Hospital and physician office physicians, coders, CDI specialists, scribes, and revenue cycle directors. Feb 26, 2019 Watch an Auditor Audit – Vulnerabilities & Opportunities in the Medical Record Hospital and physician office physicians, coders, CDI specialists, scribes, and revenue cycle directors. May 28, 2019 Physician Coding – Opportunities for Return in Rural Hospitals Hospital and physician office physicians, coders, CDI specialists, scribes, and revenue cycle directors.

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Financial Stability Program Upcoming Webinars

Webinar Date Training Title Intended Audience

3/20/2019 Quarterly Rural Health Clinic Billing & Compliance Update Intended Audience: Rural Health Clinic Managers/Administrators, Billers, and Compliance 3/26/2019 Quarterly Coding Webinar: Evaluation and Management Coding – Putting the Pieces of the Puzzle Together Intended Audience: HIM, Coding, and other Hospital Financial Leaders (CFOs, Revenue Cycle Directors, Business Office leaders) 4/25/2019 Denial Management and the Impact on Financial Stability Intended Audience: Hospital Financial Leaders

3rd Annual Iowa Small Hospital Conference: March 13 - 15, 2019 at the Hilton Garden Inn REGISTER NOW!

3rd Annual Iowa Small Hospital Conference

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2019 Spring Medicaid Fair: April 23, 2019 – Savannah, Georgia 2019 HomeTown Health Spring Conference: April 24-26, 2019 – Savannah, Georgia

Upcoming in 2019

Save e The e Dat ate

Florida rida Rural al Hospi pital al Confer eren ence ce June ne 20 & 21 Orlando ndo, Florida rida

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CONSORTIUM RESOURCES

There are on-demand training and certification programs available in HTHU’s:

• School of Revenue Cycle Management
• PFS/BO Certifications
• School of Coding & Documentation
• School of Clinical & Staff Compliance
• School of Physician Office Education
• School of HIT & Transformation
• Board & Governance Training
• School of Behavioral Health

Questions? Contact Meghan Williams at meghan.williams@ hometownhealthonline.com

CONSORTIUM DASHBOARD

Georgia/ Florida Hospitals: www.hthu.net/htc18 Password Protected Iowa Hospitals: www.hthu.net/iahtc18 Password Protected

Email hthtech@hometownhealthonline.com or Jennie Price at jennie.price@hometownhelathonline.com for your password.

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TELL US HOW WE DID!

A survey will launch after this webinar closes: please take a moment to give us your feedback on the training, speaker, content, webinar format, and anything else. If there’s something we can help your hospital with, please let us know!

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