HIMSS Virtual Briefing:
Minimizing Risk and Exposure during the ICD-10 Conversion: Lessons from the Trenches
Date: October 12, 2011
There is no doubt that the conversion to ICD-10 on October 1, 2013 will impact virtually every aspect of your organization. As a health IT professional, your organization depends on you to ensure that the transition is successful. But do you have the tools, resources, and the knowledge to ensure that your organization’s risks are minimized? Are you ready to report to your Board of Directors that your exposure to the many financial and administrative impacts of this system-wide transformation will be negligible?
This HIMSS ICD-10 Virtual Briefing will provide critical information to assist health IT professionals, ambulatory center leaders, practitioners, project managers, and others in understanding the many facets of risk and exposure to the ICD-10 conversion. By knowing what may go wrong in the conversion process, attendees will be better prepared to focus beyond the theory with the information needed today. But don’t jeopardize your transition efforts…be ready with actionable information today to address the ICD-10 conversion proactively and with confidence.
Program
| Time | Session | ||||
| 9AM-10AM CST | Prepare Your Staff: Planning for the ICD-10 Implementation Medical Coder Shortage | ||||
| Abstract: The implementation of the ICD-10 conversion in your organization is going to affect the daily activities of many of your organization's employees. No groups of employees are going to be affected more than your medical coders. The potential for risk with the conversion is only increased by the continuing industry-wide shortage of certified medical coders. This session will explore the work force issue, discuss the psychological and demographic profile of medical coders and identify practical ways to minimize work force shortage and its potential risks in light of your organization's ICD-10 conversion. Learning Objectives:
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| 11AM-Noon CST | Engage Your Bottom Line: Understanding the Financial Implications of ICD-10 | ||||
| Abstract: The conversion to ICD-10 is going to have wide ranging financial implications on all types of healthcare provider organizations, health systems large and small, ambulatory facilities like physician practices, and more. Your organization needs to be prepared to effectively incorporate your ICD-10 implementation into your budgeting process, understand how it is going to affect your cash reserves, identify worst case scenarios and explore how to avoid them. This session will provide you with an overview of the financial implications for the ICD-10 conversion, tools and resources to assist you in your budgeting process, and identify best practices to ensure a smooth transition for not only your staff, but your bottom line as well. Learning Objectives:
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| 1PM-2PM CST | Educate Your Providers: Mitigating Risk of Fraud, Waste and Abuse through Effective Training | ||||
| Abstract: Fraud, waste, and abuse. Sometimes unintentional, sometimes not, these are risks your organization faces whenever a claim is submitted for payment. What are the implications of these risks for your organization and how does the ICD-10 conversion apply to those risks? This session will explore the implications of fraud, waste and abuse on your organization, discuss the role of CMS's RAC audits in the effort to challenge overpayments, and provide a wide range of practical strategies to effectively assist providers in avoiding these potential risks. Learning Objectives:
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Kenn Beckwith
Kimberly Reid, CPC, CPMA, CEMC, CPC-I
Denise Hall, RN
June St. John 
Bill Fox, JD, MA
Sydney Ross-Davis, MDSponsored by:
Kenn Beckwith
Director, Strategic Accounts
Experis IT/Manpower Group
Kenn Beckwith is Director, Strategic Accounts, Healthcare Practice at Experis IT/Manpower Group. In that role, Kenn is responsible for leading Experis Healthcare Practice's sales activities for the Central and Western US. The Practices's capabilities address the challenges unique to each of these sectors, such as CMS regulations for ICD-10 and HIPAA 5010, Electronic Medical Records (EMR)/Electronic Health Records (EHR) and regulatory reporting and data standards such as HEDIS & HL7. Kenn is also the National Advocacy Chair for the HIMSS Minnesota Chapter. Prior to his role at Experis, Kenn was Vice President at Modis.
Kimberly Reid, CPC, CPMA, CEMC, CPC-I
Director, ICD-10 Development and Training at
American Academy of Professional Coders
Kim brings over 22 years of progressive coding experience in healthcare to her role as Director of ICD-10 Development and Training. She has a vast range of knowledge from working in a variety of professional medical settings, including a large academic medical group in Vermont. Her previous experience has proved her to be successful in leading physicians and students to achieve comprehensive levels of understanding on complex coding and documentation guidelines.
She has done extensive work on identifying Compliance risk areas and providing education to promote awareness and operational improvements throughout an academic medical center with 500+ physicians. Kim specializes in medical chart auditing, practice management and curriculum development used in teaching certified professional coding classes. She has lead more than 100 students to become certified as professional coders through the AAPC. She has presented on various coding topics across the country, including ICD-10 implementation training.
Denise Hall, RN
Principal
Pershing Yoakley and Associates
Denise Hall, a Shareholder in the Atlanta, Georgia office, manages the firm's clinical compliance consulting services. Denise has over 19 years of healthcare experience and has provided business advisory services to a variety of organizations including hospitals, health systems, and physician organizations. Denise has extensive experience in health information management and patient accounts. Denise is a graduate of Radford University with a Bachelor of Science degree in Nursing. In addition to being a registered professional nurse in the state of Georgia, Denise is an instructor and member of the Healthcare Financial Management Association.
June St. John
SVP, CTP - Healthcare Product Manager
Wells Fargo Bank, N.A.
June St. John, CTP, is Senior Vice President, Healthcare Product Manager at Wells Fargo. Ms. St. John has 25 years of Treasury Services product management and customer service experience. Since 2005, she helped lead Wachovia's solutions development for the healthcare industry – from launching Wachovia's Healthcare eBOXSM product to managing Wachovia's HSA and Online Payables Healthcare solutions. With Wachovia's merger into Wells Fargo, she is currently responsible for Wells Fargo's Revenue Cycle Management – Commercial/Government Insurance Payments product strategy as well as their healthcare provider supply chain management strategy. Ms. St. John is a frequent presenter and author on the convergence of healthcare and banking. She holds both graduate and undergraduate degrees from the University of North Florida in Jacksonville, FL.
Bill Fox, JD, MA
Senior Director Healthcare
LexisNexis Risk Solutions
Bill Fox, JD, MA, is Senior Director of Healthcare at LexisNexis Risk Solutions. Prior to LexisNexis, Mr. Fox was Vice President of Program Integrity at MAXIMUS Federal. He was a Partner at the law firm of Post and Schell, and was Deputy Chief of Economic and Cyber Crime at the Philadelphia District Attorney's office and a Special Assistant U.S. Attorney in Philadelphia. Mr. Fox is a Senior Fellow at the Jefferson School of Population Health, on the Strategic Planning Committee of the NHCAA, and leads HIMSS Enterprise Fraud Control taskforce. He is a frequent speaker on topics of healthcare fraud, compliance and quality. He has also served as a tactical strength and conditioning consultant to the U.S. Navy SEALs.
Sydney Ross-Davis, MD
Medical Director of Special Investigations
Blue Cross Blue Shield Illinois
Sydney V. Ross-Davis, M.D. joined BCBSIL in 2003 as the Medical Director of Special Investigations. Dr. Ross-Davis, a graduate of University of Chicago Undergraduate College and Northwestern University Medical School, is a Board Certified Internist with over 20 years of clinical experience. Her role as Medical Director of Special Investigations has allowed her to develop new Health Care Management policies and procedures for the clinical approach to Medical Fraud and Abuse. Also, she helped create and currently serves as the Medical Director for the Post Service Review Unit which looks for Medical Abuse in the post-service environment before, and after, payment has been rendered. In addition, Dr. Ross-Davis has delivered multiple presentations to a variety of audiences on: Quality of Care Indicators; The Use of Information Technology in the Health Care Service Corporation; Fraud and Abuse; and the Transition to ICD-10
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