a day and a life featuring. melissa arena, rhit, chc corporate compliance officer & him manager...
DESCRIPTION
1998: Back to school after many layoffs, MCC HIT Program from 1998 to 2000 :Gained Employment at SAC,PT File Clerk 2002: Promoted to HIM Manager, FT in 2002 2003: Sat for RHIT exam in 2003 – Passed. 2011: Promoted to CCO b& HIM Manager 2012: Sat for HCCA’s CHC exam – Passed 2015: ??? Who knows???TRANSCRIPT
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A day and a life featuring
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Melissa Arena, RHIT, CHCCorporate Compliance Officer & HIM ManagerSt. Ann’s Community
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1998: Back to school after many layoffs, MCC HIT Program from 1998 to 2002.
2000 :Gained Employment at SAC,PT File Clerk 2002: Promoted to HIM Manager, FT in 2002 2003: Sat for RHIT exam in 2003 – Passed. 2011: Promoted to CCO b& HIM Manager 2012: Sat for HCCA’s CHC exam – Passed 2015: ??? Who knows???
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Third largest health care provider in Monroe Co.
One of the largest private employers in Monroe County: 1200+ employees
Multi-level 65+ population provider Patient Centered Care Focused Been in existence for 140 years Founded by the Sisters of St. Joseph in 1893 Approximately 600 residents and patients
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St. Ann’s Home: 388 bed LTC SNF Wegman’s Transitional Care Center: 72 bed
Rehab Leo Center for Caring: 10 Bed Hospice Wound Care Center for Healing: Joint
collaboration with RGH: Hyperbaric Chambers Chapel Oaks: 125 Full service 65+ independent
condo units Adult Day Care Services: 3 locations, 1 Medical
model and 2 social models Home Connection: Medical platform Adult Daycare
Center Memory Care – SCU: Specialize in Dementia 30
bed
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St. Ann’s Care Center: 72 bed LTC SNF The Glen: Assisted Living Rainier Grove Memory Care at Cherry
Ridge: Memory Care unit specializing in Dementia
Assisted Living: Apartment type living, 24 assistance
Cottage Homes: Independent patio homes Apartment Living: Independent Living IronWeb Medical Practice: Location on
both campuses
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Multiple changes in LTC regulations in past 15 yrs.
Budgeting restraints Negative outlook for HIM Dept. & staff Implementation of E.H.R systems Possible department elimination Brainstormed ways to keep HIM alive Identified skills needed to stay
marketable.
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Fairly new field to health care arena <10years
Low number of credentialed professionals in the marketplace
Forecasted strong professional growth and career advancement
Open new doors for HIM professionals
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HIM & CC complement each others goals, responsibilities and skill sets:. Knowledge of state and federal guidelines Knowledge of all coding systems Understand billing and reimbursement dynamics Understand clinical workflows Maneuver between paper based & E.H.R.
systems Interact with most internal departments
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Stringent federal and state regulations Government focus on Medicare and
Medicaid $ DHHS’s OIG Compliance Program Regulation OIG & OMIG Work Plan Multiple billing & reimbursement systems Many possible areas for Fraud and Abuse
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Report to two separate department heads
HIM Manager – ITS Director and CFO Corporate Compliance Officer: CEO and BOD
Manage two budgets Two Job descriptions:
One each for Manager, CCO One each for HIM Staff and CC Staff
Two sets of professional standards
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Clinical Audits Provider Orders Touchscreen C.N.A treatments Minimum Data Set (MDS) and Case Mix
Index (CMI): CMI 7-day look back period documentation
LTC/Rehab Diagnosis coding Assessment schedules Physician Billing and Coding
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Non Clinical New Hire background checks – HR Monthly monitor of the List of Excluded
Individuals / Entities (LEIE) for all staff, BOD, Venders & Contractors
CMS’s PEPPER Report (Program for Evaluating Payment Patterns Electric Report)Internal Systems Infrastructure and who has accessContracts and BAA’s
Internal Policy & Procedures
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Reporting and investigating all “Hot Line” Calls Investigate and follow-up Internal External
issues and complaints Government Regulation Research ROI Staff Education about both HIM and
Compliance Standards of Ethical Conduct Scanning all hard copy documents
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Everyday is different. Adding Compliance to my HIM career brought it to the next level. I can’t imagine not working in this field and advocating for our senior community as well as supporting both AHIMA and HCCA and their very similar missions.
Questions?