Information and Tips for Present on Admission (POA) and 'Never Events'
October 30, 2008

SPEAKER:
Gloryanne Bryant, RHIA, CCS
Senior Director, Corporate Coding/HIM Compliance
Catholic Healthcare West (CHW)

About the Webinar:

In 2007, CMS announced that it will curtail payments to hospitals for specific conditions that a patient acquires while an inpatient and that can be “reasonably prevented” by following established evidence-based guidelines.
CMS also will reduce reimbursement for events identified by the National Quality Forum as serious reportable adverse events — also called “serious preventable events” or “never events” — such as medical equipment left in a patient’s body following surgery.
To identify which diagnoses were present on admission, hospitals must report a present-on-admission (POA) indicator for all diagnoses on the claim. Hospitals will see the actual payment impact of this policy beginning in FY 2009.
On July 31, 2008, the Centers for Medicare & Medicaid Services (CMS) announced new Medicare and Medicaid payment and coverage policies to improve safety for hospitalized patients. The Inpatient Prospective Payment System (IPPS) FY 2009 final rule expands the list of selected hospital-acquired conditions (HACs) that will have Medicare payment implications beginning October 1, 2008.

Key Points:
•  Understand the history and rationale for Present On Admission (POA) & capturing “Never Events”
•  Become familiar with the Present On Admission (POA) definitions and official guidelines
•  Understand the financial impact 10/1/08
•  Gain knowledge on the proper use of Present On Admission (POA) indicators in specific inpatient scenarios

About the Speaker:

Gloryanne Bryant, BS, RHIA, CCS is the Corporate Director of Coding/HIM Compliance for Catholic Healthcare West (CHW), located in San Francisco, California, and has over 27 years of experience in the health information management profession. In this role, Gloryanne has responsibility for the coding and documentation compliance of 40 acute care facilities and a variety of other nonhospital based healthcare entities (outpatient settings) in three states. Gloryanne has the charge of developing, implementing/setting and maintaining System Wide coding policies, and creating an internal coding compliance auditing and monitoring team and process. She is also responsible for maintaining on-going continuing education to the CHW coding and charging staff, and providing specific documentation related education to physicians, case management, and other ancillary clinicians. In addition, she works closely with Senior Management and those involved with the CDM (Charge Description Master) and are a driving-force for regulatory updates and communication.

Gloryanne serves as a volunteer leader for the California Health Information Association (CHIA) as a Director to the state board and has served several national positions for AHIMA (American Health Information Management Association). Gloryanne has served as a Director and Past Chair for the Society for Clinical Coding (SCC), and served two years on the AHIMA Compliance Task Force. As a Health Information Management Practitioner in the HIM/Coding arena, she was on the AHA Editorial Advisory Board (EAB) on ICD-9-CM for Coding Clinic for two years and completed serving a three- year term on the Council on Accreditation for AHIMA. She continues to publish articles and agrees to be interviewed for national publications like “For the Record”, “Medical Record Briefing”, “CHIA Journal”, “AHIMA Journal” and “Advance” magazines for HIM.

In June 2000, Gloryanne received the “CHIA Literary Award”, from the California Health Information Association (CHIA) for her many articles and writings related to clinical documentation improvement, compliance, data quality and coding and in 2003 she received the CHIA award for “Distinguished Member”. In August 2005, Gloryanne was appointed to the HHS CMS (Centers for Medicare and Medicaid Services) APC Advisory Panel to work on OPPS policy, coding and reimbursement issues. She was recently (11/06) appointed to the RAND Technical Expert Panel on Severity DRGs. Gloryanne is a sought-after national speaker and author on healthcare compliance, reimbursement, clinical documentation, coding regulations (ICD-9-CM and CPT) and serves as a catalyst for change and improvement in healthcare.

Purchase Recording: $259