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JUPITER MEDICAL CENTER

JUPITER MEDICAL CENTER.

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JUPITER MEDICAL CENTER

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  1. JUPITER MEDICAL CENTER • A not-for-profit 283-bed community Medical Center consisting of 163 private acute care hospital beds and 120 long-term care beds, Jupiter Medical Center provides a broad range of services with specialty concentrations in cancer care, orthopaedics/spine, emergency services, cardiac services, children’s and women’s services, minimally-invasive surgical procedures, including a Robotic Surgery Program, advanced diagnostics, and rehabilitation. Founded in 1979, Jupiter Medical Center is affiliated with the University of Miami Miller School of Medicine. The Medical Center has approximately 1,500 employees, 490 physicians and 700 volunteers. • For more information visit jupitermed.com

  2. Florida ACDIS Chapter Under the Sea Agenda FL Chapter ACDIS Meeting: June 1, 2012 Ahlbin Buildng, Room 3 9:00-9:30 Registration/Breakfast 9:30-11:00 Dr. Louis Grujanac, Director CDI at Accretive- TBA 11:00-12:30 Glenn Krauss, BBA,RHIA,CCS,CDIS, Independent Revenue Cycle Consultant-TBA 12:30-1:00 Lunch, Raffles and Networking 1:00-2:00 Dr. Mihaela Dragut,CCS, PA, Senior Coding Consultant/Auditor-Nutrition Related Diseases, a Conundrum of Clinical Documentation Programs 2:00-3:00 Virginia Bailey, RN,CCDS, RAC Denials Coordinator Morton Plant Hospital-ADR Prepayment Reviews-Heading RAC Denials Off at the Pass PLEASE RSVP BY 5/25/11 TO IRIS 561-263-5783

  3. Speakers Bio Louis Grujanac, D.O. QUALIFICATION SUMMARY: Professional healthcare manager/consultant motivated by complex challenges with extensive and progressive experience in healthcare compliance, revenue cycles, coding, auditing, hospital/business trends, government regulations, hospital and physician coding processes; Educator and project manager. Current: ACCRETIVE HEALTH, Inc., Chicago, IL • Program Director- Clinical Documentation Integrity, June, 2009 to Present • Designed, developed, and implemented both the educational system (ICD-10 ready) and tools for the Clinical Documentation Integrity (CDI) program for Accretive Health-Concurrent CDS approach, training of CDS/Physicians/Case Management/Coders, and Pre-bill concurrent & retrospective reviews. Helped design and develop the software, IS, needed for the concurrent CDI program to capture data analysis and show sustainability of this program • Responsible for: CDI program. HIM coding and abstracting , Training, Compliance, Third party Audits - to name a few • Proficient with MS-DRG’s, AP-DRGs, New York Grouper, APR-DRGs, etc.

  4. Speakers Bio GLENN A. KRAUSS, BBS, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDIS, CCDS Qualification Summary: Health Information Management professional with extensive experience in ICD-9 and CPT coding, focusing upon the role of medical record clinical documentation in the charge capture, reimbursement, quality and outcomes studies, and medical necessity establishment process. Strengths include commitment to maintaining relevancy and keeping up-to-date in regulatory compliance and reimbursement changes governing all aspects of the hospital revenue cycle. Excellent organizational skills; highly motivated; well developed written and oral communication skills, including the ability to engage audiences in constructive listening during speaking engagements and presentations. Current: Independent Revenue Cycle Consultant • Various Projects at different client sites, 06/09 to present • A full-service healthcare consulting and hospital management company, providing revenue cycle consulting solutions including clinical coding and documentation reviews, chargemaster reviews, Clinical Documentation Improvement Program Implementations, Health Information Management Department Assessments and Recovery Audit Contractor Readiness Assessments for clients throughout the country. • Conduct Recovery Audit Contractor Assessments • Conduct medical necessity reviews • Provide Clinical Documentation education to hospital clients focusing upon the business of medicine and the role of clinical documentation to the survival and success of the physician in the practice of medicine • Provide clinical coding and documentation reviews including clinical education for hospital coding staff

  5. Speakers Bio Virginia Bailey RN, CCDS Qualification Summary: Currently serving as President of the Florida Chapter ACDIS for the 2010-2011 year. Previous to that she served as Vice President for the 2009-2010 Year. She was responsible for the Yearly Member survey giving results at the last ACDIS Chapter Meeting. Virginia is a Certified Clinical Documentation Specialist, taking and passing the CCDS Exam in the Spring of 2010. She was on the Planning Committee for the 4th Annual ACDIS National Conference in Orlando in April of 2011 and the committee for the Physician Query Benchmarking Report compiled by Melissa Varnavas, Associate Director of ACDIS. Current: Morton Plant Mease Hospital • RAC Denials Coordinator • Ms. Bailey is an original team member of the Clinical Documentation Department which began in June of 2007 at Morton Plant Mease Hospitals. • She is the Clinical Documentation Specialist for Morton Plant North Bay Hospital in New Port Richey, Florida where she is involved in assisting and training the Physicians and the Nursing staff on proper Documentation Processes and Procedures. She also sits on the Critical Care Committee, Length of Stay Task Force and the Clinical Outcomes/Utilization Review Task Force.

  6. Mihaela C. Dragut, M.D., CCS • CREDENTIALS • Medical Doctor, Internal & Emergency Medicine 1981 • Romania • Certified Coding Specialist (CCS) 1994 • American Health Information Management Association • EXPERIENCE • Physician Advisor, Senior Coding Consultant/Auditor 1994 - Present • Clinical Documentation Improvement Presenter • Health Information & Denial Management Services • Florida Hospital Association Management Corporation, Inc. • Coding and Documentation Compliance Audits • Documentation Improvement medical staff presentations • Clinical Documentation Program Educator • Medical/physician review medical necessity insurance denials • Write physician-based medical appeals of insurance denials to FI/MAC, QIO, QIC, RAC, or Administrative Law Judge • Provide medical judgment testimony at ALJ • Provide backlog-coding assistance to FHA member hospitals • mdragut@comcast.net

  7. Directions to Jupiter Medical Center • Florida's Turnpike or Interstate 95: Exit at Indiantown Road - East. Head east to Military Trail (approximately 3 miles). Turn right (south) on to Military Trail. Head south on Military Trail to Jupiter Lakes Boulevard (traffic light just past Toney PennaRoad). Turn left (east) onto Jupiter Lakes Boulevard. Stay on Jupiter Lakes Boulevard and Jupiter Medical Center will be on your left. • From US-1 in Jupiter: Head west on Indiantown Road to Alternate A1A. Turn left (south) onto Alternate A1A to Toney PennaRoad. Turn right onto Toney PennaRoad and go over the railroad tracks. Take an immediate left onto South Old Dixie Highway and Jupiter Medical Center will be on your right.

  8. Local Hotel Accommodations • HOLIDAY INN EXPRESS (5 mi from JMC) 13950 US Highway 1, Juno Beach, FL 33408 (561) 622-4366 • HILTON GARDEN INN (6 mi from JMC) 3505 Kyoto Gardens Drive, Palm Beach Gardens, FL 33410 (561) 694-5833 • HOMEWOOD SUITES BY HILTON (4 mi from JMC) 4700 Donald Ross Road, Palm Beach Gardens, FL (561) 622-7799 • MARRIOTT PALM BEACH GARDENS RESORT (6.6 mi from JMC) 4000 RCA Boulevard, Palm Beach Gardens, FL (561) 630-1309 (800) 678-9494 • JUPITER BEACH RESORT & SPA (2 mi from JMC) 5 North A1A, Jupiter, FL (561) 746-2511

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