Registration OASISC2 Coding SharonM Final 10.25.16 .pdf

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Title: Microsoft Word - Registration_OASISC2_Coding_SharonM_11.2016
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REGIISTRATION
N FORM: 6‐‐Part Educattional Webinnar Series: O
OASIS‐C2/IC
CD‐10 Accuraacy with Shaaron Molina
ari 
Synerggy Users  – SSpecial Rate
$399   
 
 
 

 
 

Regular Rate 
$499

 

Agency Naame:   
__________
___________
____________
_________ ___________________________________________  
 
 
__________
___________
____________
_________ ___________________________________________  
Address:  
 
City / Statee / Zip code:  __________
___________
____________
_________   PPhone: ___________________________________ 
 
Contact Naame  ______
___________
____________
___________
___  Email  ___________________________________________  
 
 
 

 

Schedule fo
S
or 6‐Part EEducationaal Webinarr Series:  
OASIS‐C2/I
O
CD‐10 Acccuracy with
h Sharon M
Molinari 
*10
0 CEUs will be provided by Decission Health for O
Oasis Credentiall holders only. 

 
Part 1: 








Tu
uesday Novem
mber 29, 201
16 
Inttroduction:  C
CMS Expectattions and Purpose of OASIS 
Reelationship to
o Payment 
Co
ore Reference
e Documents 
Co
onventions 
Ou
utcome and P
Process Meassures 
OA
ASIS Requirem
ments for Datta Collection 
Ph
hysician Comm
munication Requirements 
 

 
Part 2:  Th
hursday Dece
ember 1, 2016

 Paatient Trackin
ng Items:  M00
010‐M0150 
 Clinical Record Items:  M008
80‐M0110 
000‐M1028 
 History and Diaagnosis:  M10
*N
Note:  Not all d
data items will b
be addressed 

 
Part 3: 





Tu
uesday Decem
mber 6, 2016   
History and Diaagnosis:  M10
030‐1060 
ments:  M110
00 
Livving Arrangem
Seensory Status:  M1200‐M1242 
Medications:  M
M2001‐M204
40 
*N
Note:  Not all d
data items will b
be addressed 

 
Part 4:  Th
hursday Dece
ember 8, 2016
6   
 Inttegumentaryy Status:  M13
300‐M1350 
 
 

Fax registraation form baack to 714-2229-8750. Thank you!
HeaalthCare Syneergy, Inc. | 55555 Corporate Avenue, Cypress, CA 90630 | Phone: 7714-229-8700 
 

 
Part 5: 





Tuesday December 13, 2016   
Respiratory and Cardiac Status:  M1400‐M1511 
Elimination Status:  M1600‐M1630 
Neuro/Emotional/Behavioral Status:  M1700‐M1750 
ADL/IADLs:  M1800‐M1910 and GG0170C 
*Note:  Not all data items will be addressed 

 
 

Part 6: 






Thursday December 15, 2016   
Care Management:  M2102 and M2110 
Therapy Need and Plan of Care:  M2200 and M2250 
Emergent Care:  M2301 and M2310 
Transfer and Discharge:  M2401‐M2430; M0903 and M0906 
Q&As 
*Note:  Not all data items will be addressed 

 

METHOD OF PAYMENT 
⃝ 
 
Name on Card:   
 
Card Number:    
 
Security Code:   
 
Cardholder’s Address 
 
City / State / Zip Code 
 
Cardholder’s Signature 

Visa 

⃝ 

Mastercard 

⃝ 

American Express 

⃝ 

Discover 

_______________________________________ _______________________________________  
_______________________________________  

Expiration Date:_____________ 

_______________________________________  

CVV Code: _____________ 

_______________________________________  
_______________________________________   
_______________________________________  

 
Cancellation Policy: 
All approved cancellations/refunds are subject to a $50 administration fee to offset system and financial charges. Refunds will be credited back 
to the original credit card used for payment. This fee is based on per transaction. Cancellations will be accepted via fax or email and must be 
completed 48 business hours prior to November 29, 2016. Cancellations received after the deadline will not be eligible for a refund. 

Fax registration form back to 714-229-8750. Thank you!
HealthCare Synergy, Inc. | 5555 Corporate Avenue, Cypress, CA 90630 | Phone: 714-229-8700 
 


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