Sam Antonios, MD, FACP, FHM, asks in this presentation "Do you ever wish that doctors would just change their ways and start documenting better? Why do most change efforts fail? How can we succeed in leading change?" In this presentation he outlines the necessary steps and the foundations for...

Timothy Brundage, MD, CCDS, and Sylvia Hoffman, RN, CCDS, C-CDI, CDIP, explain why obtaining physician buy-in to CDI is the most frustrating day-to-day aspect of CDI. The tools shared in this presentation demonstrate how pay for performance, quality metrics, ROM, and SOI scores in conjunction...

Abby Steelhammer, MBA/MHA, RN, and Larry Weems II, MD, provide insight and understanding for partnering and leveraging resources to meet overall organizational goals. The presentation includes an overview of Novant Health's CDI program dynamics and reviews its transformational team approach...

Sara Baine, MSN-Ed, CCDS, and Rhonda Peppers, RN, BS, CCDS, present a professional approach to querying for SOI/ROM, to deomnstrate the effects on the medical record, financial impact on the facility and physician, educational needs for CDIs and providers, and how SOI/ROM improves quality data...

Cheryl Manchenton, RN, BSN, describes how new regulations and federal and state payment reforms link quality performance to financial incentives and reimbursement. This presentation discusses best practices for CDI to support accurate quality outcomes data, processes for flagging potential or...

Shannon Newell, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, and Richard D. Pinson, MD, FACP, CCS, describe how hospitals get paid for their performance by CMS using outcomes derived from ICD-9-CM (soon to be ICD-10-CM) codes. In the IPPS FY 2014 final rule, CMS refined and further  expanded...

Katy Good, RN, BSN, CCDS,  CCS, and Benjamin Keeler, RN, BSN, PCCN, MHI, explain how to leverage your CDI program to improve hospital rankings and SOI/ROM; assist in the transition to pay for performance; initiate real-time quality improvement and monitoring; and improve core measure compliance...

Robert S. Gold, MD, discusses how clinical and pathologic discussions of common diseases can lead to bad statistics, bad data, and compliance risk. This session includes an in-depth discussion of the proper way to analyze the patient and to ask the right questions of the physician. You'll learn...

Andrew Rothschild, MD, MS, MPH, presentation explores how CDI specialists and coders are taught not to question a physician's clearly documented diagnosis. But what happens when that diagnosis seems to have come from left  field? Specialists and coders are also bound to clarify apparent...

Brent Hadder, MD, explores the ICU where multiple issues involving multiple organ systems and diagnoses occur simultaneously. He shares strategies implemented at the University of Iowa to improve surgical ICU documentation and coding. Hadder illustrates how a practicing physician and...

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