Kathy Dorich, RN, CCDS, CPHQ; Kelly Tarpey, RN, MS, CPHQ
This session will describe through case study the journey and tools the CDI and coding professionals at 11-hospital system Advocate Healthcare adopted to bring closer alignment across the two teams. Examples, tools, and...
In this session, audience members will take away an understanding of how data analytics can help drive success with risk adjustment programs in inpatient and outpatient care settings. The speaker will present a road map for...
The session will explain the contribution CDI programs can make to improving hospital quality reporting by collaborating with the quality department and reviewing pay-for-performance (P4P) reports for improvement opportunities. Actual P4P reports...
CDI programs in emergency services carry a unique set of challenges for everyone involved: CDI specialists, case managers, and physicians. These five strategies will position CDI directors to launch a successful documentation improvement initiative...
Are you up at night wondering whether your queries will stand up to the spotlight of compliance and RAC/third-party denials? This session provides insight into whether queries are leading or non-leading based on the “clinical truth...
This session demonstrates how a midsized standalone hospital used a variety of tracking tips and techniques to parse CDI data and metrics to reveal useful trends and information. This includes CMI, unspecified code usage, PSIs, and...
Ambulatory CDI is in its infancy, but Novant Health implemented a program three years ago and has made significant progress with providers’ specificity with diagnoses and documentation. The audience will learn how Novant implemented and...
Barbara J. Brant, MPA, RN, CDIP, CCDS, CCS; Timothy J. Garrett, MD, MBA, FACEP, FACHE, CHCQM, CIC
This session will provide an internal view of Recovery Audit processes, from the inside perspective of a Recovery Auditor (Cotiviti Healthcare, Region 2 and Region 3). Discussion...
Modern CDI programs have built strategies to perform secondary reviews on HAC and PSI cases to decrease false positives and ensure accurate public reporting. Northwestern Memorial Hospital moved beyond HACs and...
This session includes the evolving definitions of sepsis and acute respiratory failure, including calculation of P/F ratio. It includes audience interaction as well as strategies for preventing adverse RAC determinations.
