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ELP035: Advanced Coding Workshop

Register for the full program and SAVE or select the sessions of your choice.

Day One
MS-DRG/APR-DRGs using ICD-10-CM to identify Resources, Severity and Risk

Day Two
Mastering Lower Extremity Interventions: 2026 CPT Coding Changes and Beyond

Day Three
HCC Accuracy & RADV Audits: Navigating the New Era of Value-Based Care

(Sponsored by Cavo Health)

Day Four
ICD-10-PCS April 1, 2026 Updates and NTAPs for 2026


Approved  for 3 CEUs per session
12 CEUs for full program

Live Four-part eLearning Series: Thursdays March 5, 12, 19, & 26, 2026  from 9:00 am - 12:00 pm (PT)

Explore the complex issues of HCC’s and RADV audits, ICD-10-PCS, CPT®, ICD-10-CM challenges, APR-DRG’s, lower extremity interventions and more from esteemed subject matter experts. Each day will focus on specific areas and include examples of case scenarios along with hands-on coding opportunities. The sessions will be fast-paced, and attendees will participate at various times throughout the program. This popular series of virtual workshops challenges intermediate to advanced inpatient and outpatient medical coding and CDI professionals.

Highlights:

Day One: MS-DRG/APR-DRGs using ICD-10-CM to identify Resources, Severity and Risk: Identify key ICD-10-CM coding issues and understand variances between APR-DRG v41 and MS-DRGs. This interactive session highlights current coding trends, high-risk diagnoses and upcoming audit focus areas.

Day Two: Mastering Lower Extremity Interventions: 2026 CPT Coding Changes and Beyond: Capture and apply key documentation details to accurately code complex procedures, including diagnostic angiography, angioplasty, stent placement, atherectomy, thrombectomy, thrombolysis and embolization.

Day Three: HCC Accuracy & RADV Audits: Navigating the New Era of Value-Based Care: Gain the edge you need in today’s value-based care environment. These two power sessions break down the essentials of accurate HCC capture, the impact of Version 28 and the shifting RADV audit landscape post-vacatur. Walk away with clear, actionable insights to strengthen compliance, protect revenue and elevate performance across HIM, CDI and Risk Adjustment programs.

Day Four: ICD-10-PCS April 1, 2026 Updates and NTAPs for 2026: Numerous new codes including those for IVC stent dilation, Boari flap and wound vacs are coming soon. Learn how the Medicare New Technology Add-on Payment program works, key documentation tips and a 10-step plan for coding new drugs, devices and procedures.

Learning Objectives:

  • Strengthen analytical skills to interpret ambiguous documentation and identify compliant opportunities for improvement
  • Differentiate between MS-DRGs and APR-DRGs by explaining levels of severity, SOI/ROM nuances and how documentation specificity influences grouping and reimbursement outcomes
  • Enhance compliance and minimize risk for coding-related payment denials through improved documentation accuracy and audit readiness
  • Evaluate complex lower extremity interventional coding scenarios to determine correct code combinations, modifier usage and documentation requirements for compliant reporting
  • Differentiate between fee-for-service (FFS) and value-based care (VBC) models and describe how each impacts provider reimbursement, documentation expectations and care delivery
  • Summarize the evolution and current state of CMS RADV audits, including key regulatory changes, operational impacts and compliance strategies amid ongoing audit uncertainty
  • Learn actionable strategies, clearer documentation pathways for CDI and the confidence to lead teams through regulatory change, risk adjustment complexity and the future of value-driven care
  • Explain the role of Hierarchical Condition Categories (HCCs) and Clinical Documentation Integrity (CDI) in accurate risk adjustment, emphasizing documentation strategies that support both quality metrics and financial outcomes
  • Identify and apply FY 2026 ICD-10-PCS updates and NTAP-related codes, explaining their significance for new technology add on payments (NTAP) and developing a facility-specific NTAP success plan

Required Materials: Attendees should have access to 2026 ICD-10-CM, PCS and CPT® code books and/or an encoder to reference during the sessions

Attendees should be intermediate or advanced medical coding or CDI professionals and understand ICD-10-CM, ICD-10-PCS and CPT® definitions and guidelines before attending each session.

This virtual eLearning program will be held on four consecutive Thursdays beginning March 5th. Best price is to purchase the full workshop. Sessions can be purchased separately.

For more detailed information about each session’s content, see the daily detailed program descriptions below.


(For best price register by 6 PM PT February 11)

Live Sessions
LIVE Thursdays - March 5, 12, 19 & 26, 2026
All eLearning Programs include on-demand access of the live program recording for 60 days.

eLearning Program Details

Continuing Education

CEUs: 3 for Day One  |  12 Total Program

3 CEUs Domain I: Data Structure, Content, and Information Governance



Session Descriptions

MS-DRG/APR-DRGs using ICD-10-CM to identify Resources, Severity and Risk

Presenter: Patricia Small, RHT, CCS

Cases demonstrating the variance between MS-DRG (Medicare) and APR-DRG v41 (MediCal) in California will be reviewed to help improve coding, revenue and minimize denials. Resource intensity is the focus of MS-DRGs and APR-DRGs. These systems were developed to provide classifications that relate the type of patients treated to the resources they consume. This interactive session will provide attendees with the latest information on coding trends, problem-prone complex diagnoses, uncommon diagnoses, multiple diagnoses, ambiguous documentation, new treatments and upcoming audit expectations. ICD-10-CM coding guidelines, and documentation of medical necessity continue to challenge the application of diagnoses, complications and comorbidities. Subject Matter Experts have compiled examples of cases that are challenging to code, create variance among professionals, providers, CDI, medical coders and auditors - resulting in dissonance among professionals and often denials.

At the conclusion of the session, attendees will be able to:

  • Strengthen analytical skills for ambiguous documentation and compliant options for improvement
  • Explain the levels of severity differences in a patient's condition identified with MS-DRGs and APR-DRGS
  • Understand the variance between MS-DRGs and APR-DRGs by discussing SOI/ROM nuances and how documentation and clinical specificity drives shifts
  • Learn how to enhance compliance and minimize risk for payment denials

Continuing Education

CEUs: 3 for Day Two  |  12 Total Program

3 CEUs Domain I: Data Structure, Content, and Information Governance


Session Descriptions

Mastering Lower Extremity Interventions: 2026 CPT Coding Changes and Beyond

Presenter: Stacie Buck, RHIA, CCS-P, CPCO, CCC, CIRCC, RCC, RCCIR

The 2026 CPT updates introduced a major overhaul to lower extremity arterial intervention coding, adding more than forty new codes that redefine how angioplasty, stent placement and atherectomy are reported. However, successful coding for lower extremity interventions requires understanding far more than just these updates. In this session, we’ll go beyond the 2026 changes to address coding for arterial thrombolysis and thrombectomy as well as venous interventions involving the lower extremities. Through detailed coding scenarios, participants will learn how to apply the correct hierarchy, identify bundled versus separately reportable services and ensure documentation supports accurate and compliant code assignment across both arterial and venous systems.

At the conclusion of the session, attendees will be able to:

  • Understand the 2026 CPT coding changes for lower extremity arterial angioplasty, stent placement and atherectomy procedures
  • Evaluate lower extremity coding scenarios to determine proper code combinations, modifier use and documentation requirements for compliant coding
  • Determine when diagnostic angiography may be separately reportable with lower extremity interventional procedures

Continuing Education

CEUs: 3 for Day Three  |  12 Total Program

1.5 CEUs Domain I: Data Structure, Content, and Information Governance
1.5 CEUs Domain IV: Revenue Cycle Management


Day Three Agenda

 9:00 am – 10:30 am From FFS to VBC: How CDI and HCCs Shape the Shift from Volume to Value
10:30 am – 12:00 pm Beyond the Vacatur: RADV Readiness in the Era of V28

Two high-impact sessions designed to equip HIM, CDI and Risk Adjustment professionals with the knowledge and tools needed to thrive in today’s evolving value-based landscape.

We’ll kick off with a deep dive into the industry’s shift from fee-for-service to value-based care, breaking down how accurate documentation and HCC capture directly influence reimbursement, quality scores, and patient outcomes. Then, we move into the fast-changing world of RADV audits in the post-vacatur era, clarifying what the Humana v. Becerra ruling means and how Version 28 reshapes risk adjustment along with what organizations must do to stay compliant and audit-ready.

Walk away with actionable strategies, clearer documentation pathways and the confidence to lead your teams through regulatory change, risk adjustment complexity and the future of value-driven care reimbursement.

Session Descriptions

From FFS to VBC: How CDI and HCCs Shape the Shift from Volume to Value

Presenter: Danielle Bagnell, CPC, CDEO, CPMA, CRC, CVBA

Explore how healthcare’s transition from fee-for-service to value-based care transforms documentation expectations. Learn the fundamentals of HCCs, why accurate documentation matters more than ever, and how CDI teams support both quality outcomes and reimbursement integrity.

At the conclusion of the session, attendees will be able to:

  • Identify core differences between FFS and VBC
  • Determine how HCCs reflect patient complexity
  • Understand CDI’s impact on quality, coding accuracy and financial performance
  • Develop strategies to improve documentation and provider education

Beyond the Vacatur: RADV Readiness in the Era of V28

Presenters: Svetlana Robinson, CCS, CPC, CRC; Valentina Gallegos, BA, CPC, CRC; and Jennifer Olmeda CPC, CPMA, CRC

Navigate the post-vacatur RADV landscape with clarity. This session explains the implications of the Humana v. Becerra ruling, what CMS-HCC Version 28 changes mean for risk scores, and how to strengthen documentation practices to withstand audit scrutiny. By using the Monitor, Evaluate, Assess, Treat (MEAT) and Treatment, Assessment, Monitor/medicate, Plan, Evaluate or Refer (TAMPER) frameworks healthcare providers can improve documentation clarity, care coordination and clinical outcomes, ultimately enhancing patient care and efficiency.

At the conclusion of the session, attendees will be able to:

  • Understand RADV audit evolution and the impact of the vacatur
  • Gain insight into what V24 → V28 remapping means for coding and validation
  • Hear the latest lessons from the OIG’s findings on unsupported diagnoses
  • Discover updated MEAT/TAMPER documentation frameworks
  • Build audit-ready processes across HIM, CDI and Risk Adjustment

Session Sponsor

Cavo Health

Cavo photo

Continuing Education

CEUs: 3 for Day Four  |  12 Total Program

3 CEUs Domain I: Data Structure, Content, and Information Governance


Session Descriptions

ICD-10-PCS April 1, 2026 Updates and NTAPs for 2026

Presenter: Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

This session will help elevate your knowledge of ICD-10-PCS coding of the newest additions to the code set effective 4-1-2026. The presentation will use case documentation to provide details for coding. Attend to learn about dilation of the inferior vena cava with a new stent system, the Boari flap and new wound vac codes. The other major topic of this session is the Medicare New Technology Add-on Payment program with a concentration on how the program works, how to develop a 10-step success plan, how to recognize the documentation of these innovative drugs, devices and procedures in the record along with how to code them. The complete FY 2026 NTAP list will be part of the handouts received with this session.

At the conclusion of the session, attendees will be able to:

  • Locate and download the FY 2026 ICD-10-PCS files on the CMS website.
  • Identify the key concepts being added to the ICD-10-PCS code set for April 1, 2026.
  • Apply the new codes to sample documentation.
  • Explain the concept of New Technology Add-on Payments (NTAP) and why accurate coding is vital to payment for these technologies.
  • Identify the 10 steps to NTAP success and develop a facility plan for success.
  • Recognize, and be able to code, all of the items that are on the NTAP list for FY 2026

 presenter photo
Danielle Bagnell, CPC, CDEO, CPMA, CRC, CVBA

Founder & Educator (MCDEducation)/Sr. Coding Educator (Humana)/VILT Instructor & SME (AAPC), MCDEducation/Humana/AAPC

Danielle is a senior educator for a leading Medicare Advantage Organization where she analyzes the data for opportunities for teaching best practices to leadership to assist in their success in their value-based contract. She is also a VILT CRC Instructor and a Subject Matter Expert (SME) for AAPC helping the coding community in addition to her mentoring and volunteer roles. With a passion for coding education, she founded MCDE (“Mic-Dee”), Medical Coding & Documentation Education, for consulting, courses and speaking at educational events, including exam reviews and workshops. A lifelong learner herself, Danielle remains passionate about empowering others through purpose-driven education.

presenter photo
Stacie Buck, MS, RHIA, CCS-P, RCC, RCCIR, CIRCC

President & Senior Consultant, RadRx

Stacie Buck, RHIA, CCS-P, CPCO, CCC, CIRCC, RCC, RCCIR is President and senior Consultant at RadRx, which provides coding, auditing, and education services to a nationwide client base for interventional and diagnostic radiology. With over three decades of experience in the healthcare sector, Stacie is a seasoned professional renowned for her expertise in interventional and diagnostic radiology coding.

During her career, Stacie has earned a reputation as a distinguished speaker on the national circuit. As an author, Stacie has contributed to the body of knowledge in radiology coding and reimbursement, with her work featured in prestigious publications including AAPC Healthcare Business Monthly, Journal of AHIMA, and Radiology Management: The Journal of AHRA. She is the author of the book Cracking the IR Code: Your Comprehensive Guide to Mastering Interventional Radiology Coding and has developed online training programs for both interventional and diagnostic radiology.

Valentina Gallegos, BA, CPC, CRC

Customer Success Manager, Cavo Health

 presenter photo
Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

President, Kuehn Consulting, LLC

Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA is a healthcare consultant with over thirty-five years of experience in coding and reimbursement systems. She specializes in ICD-10-PCS. Ms. Kuehn has authored "ICD-10-PCS: An Applied Approach" for AHIMA and multiple online coding courses for Libman Education. She holds several AHIMA credentials.

Jennifer Olmeda, CPC, CPMA, CRC

Customer Success Manager, Cavo Health

presenter photo
Svetlana Robinson, CCS, CPC, CRC

Senior Quality Analyst, Cavo Health

Svetlana Robinson is an experienced risk adjustment coder, auditor and trainer with over 15 years in the healthcare industry. Currently a Senior Quality Analyst at Cavo Health, she collaborates with development and business teams to enhance the Cavo Coder platform, ensuring coding accuracy and efficiency while delivering solutions that meet client needs. Known for her expertise in risk adjustment coding, clinical documentation improvement and process optimization, Svetlana has a passion for translating complex workflows into actionable improvements and watching ideas come to life in software. A lifelong learner and problem-solver, Svetlana loves the “detective work” of medical coding and thrives on making an impact through cross-functional collaboration and innovation. Outside of work, she is a proud mom of two wonderful children, enjoys serving at her church and treasures time spent with family, friends and her golden retriever puppy.

 presenter photo
Patricia Small, RHIT CCS

Adjunct Professor, Loma Linda University School of Allied Health Professions

Health Information Management Coding Professional; Instructor – Health Informatics & Information Management Instructor – Coding Specialist Certificate Program; 40+ years –Coding Manager, Department Director, Coding Compliance Auditor, Educator – ICD-10-CM/PCS, CPT / HCPCS; Expert in Prospective Payment Systems, DRGs and APCs. Eight years of experience auditing coding for healthcare providers. Nationally recognized speaker and coding educator and a member of CCS exam construction committee.


eLearning Program Registration Fees and Details

Live access to the eLearning Program will be available to those who register at least one (1) business day before the live event. Group orders must be received three (3) business days prior. Registrations submitted after these dates will receive on-demand access only. For late registrations, live access may be offered but is not guaranteed.

Registration Fees

Save $60 off the regular full program fee or $20 off the regular individual session fee, if you register on or before 6 PM PT on February 11, 2026.
Early-Bird Fees
(before 6 PM PT on February 11, 2026)
Full Program (Best Price per CEU)
  • CHIA Professional Member: $299
  • AHIMA in CA: $389
  • Non-Member: $449
Individual Session (One, Two, Three or Four)
  • CHIA Professional Member: $99
  • AHIMA in CA: $129
  • Non-Member: $149
Regular Fees
(after 6 PM PT on February 11, 2026)
Full Program
  • CHIA Professional Member: $359
  • AHIMA in CA: $449
  • Non-Member: $509
Individual Session (One, Two, Three, or Four)
  • CHIA Professional Member: $119
  • AHIMA in CA: $149
  • Non-Member: $169

CHANGE NOTICE for AHIMA Professional Members in California: With CHIA’s new online system, AHIMA members will need to upgrade to a CHIA Professional Membership before obtaining the CHIA professional member rate. AHIMA members in California are now able to join CHIA anytime and will have 365 days of membership from the date of paid CHIA upgrade. An open dues order is no longer required to become a CHIA member. Visit californiahia.org/membership for more details. Existing AHIMA members can sign in to CHIA’s website portal to upgrade. Remember that your CHIA expiration date may no longer align with your AHIMA expiration date.

How to Register

To purchase this eLearning Program online select register today. Full payment is required with the online registration. Alternatively, if your employer plans to pay for you to attend, you must complete the Education Order Form and submit completed form along with a copy of the employer's approved check request/purchase order form. Over-the-phone registrations will not be accepted.


Group Discounts

Groups of five (5) or more employees may be eligible for a discount when registering for the same eLearning Program at the same time. Click here for more information on registering your team


Event and Education FAQs

For more information about program access, zoom, cancellation and substitution policies click here


eLearning Program Access

How to Access Live eLearning Program For advanced purchases received one (1) business day prior to event date, access will be made available the morning of the live program.

Live Program access and materials will be accessible exclusively via the registrant’s  CHIA User Profile. Registrants will be given access to an eLearning Program Access Group page (restricted access) that will include the LIVE event link and program evaluation.

CEUs are available exclusively via the registrant’s   CHIA User Profile under the Professional Development left tab
How to Access Program Materials If handouts were provided by the speaker they can be found in CHIA’s Learning Management System .
How to Access On-demand Program Recording (included) All eLearning Programs include on-demand access of the live program recording to stream. Allow up to three (3) business days after the live program for availability in CHIA’s Learning Management System .
Cancellation Policy All purchases are non-refundable and non-transferable. View the Events & Education FAQs.

For those already registered for this eLearning Program, please follow the detailed instructions below or watch the video below to gain access on the day of the live event.


To attend the live program, registrations must be received one (1) day prior to event date; access will be made available the morning of the live program. 

1. Login to your CHIA User Profile using the blue "Sign In" button at the top of CHIA's homepage. If login button is missing, you may already be logged in. 

2. Once logged in, you should automatically be directed to your dashboard. If not, click on the "My Dashboard" link at the top of CHIA's homepage.

    

3. Hover over "My Learning" and select "Live eLearning Programs" from the top menu bar.

  

4.  Select the appropriate eLearning Program, once on the program group page, you will find all the program access information.


1. Login to your CHIA User Profile using the blue "Sign In" button at the top of CHIA's homepage. If login button is missing, you may already be logged in. 

2. Once logged in, you should automatically be directed to your profile. If not, click on the "My Profile" link at the top of CHIA's homepage.

    

3. Hover over"My Learning" and select "On Demand Content"from the top menu bar. to access CHIA's Learning Manangement System.

  

4. To allow the Learning Management System access to your CHIA profile select "Submit"

  

5. Once in the Learning Management System scroll down to the ON-DEMAND PROGRAMS" section. There you will find all unexpired on-demand purchases.