This session describes differences in hospital and provider payment methodologies to set the stage for understanding how HCCs affect reimbursement and quality reporting. Participants will learn outpatient coding guidelines and clinical...
by Rabia Jalal, MBBS, CCS, CDIP, CCDS, & Loni J. Johnston, RN, BSN, CCDS
The neonatal intensive care unit (NICU) represents a growth opportunity for CDI. Unfortunately, due to specialization training, rolling out CDI to the NICU can seem like an impossible task. Participants...
To keep technology useful, CDI programs need to create workflows and tools to increase effectiveness within the review process. This session will recount how Stanford Health Care’s CDI program created interactive, real-time...
by Tracy Boldt, RN, BSN, CCDS, CDIP, and Robert Erickson, MD, CCDS
Essentia Health System is a member of an accountable care organization with over 75,000 members, and its outpatient CDI program touches over 60 clinics systemwide. This presentation provides attendees with tools...
by Mark N. Dominesey, RN, BSN, MBA, CCDS, CDIP, CHTS-CP
Many CDI specialists are just beginning to scratch the surface of risk adjustment as it pertains to their work, and even fewer have undertaken the specialized education necessary to work in the pediatric setting. Inpatient...
by Patricia Buttner, MBA/HCM, RHIA, CDIP, CHDA, CPHI, CCS, and Tammy Combs, RN, MSN, CDIP, CCS, CCDS
Participants will learn how to recognize the opportunity to appeal a denial and leverage denial data to inform CDI opportunities. Drafting appeals, monitoring and tracking denials...
by Tara Bell, MSN, RN, CCDS, CCM, and Lisa A. Farhar, RN, MSN, MBA, CCDS
This session will help seasoned inpatient CDI staff use their expertise in a new and challenging field. Further, this session will define common HCCs that are as important in the inpatient arena as CCs and...
by Jeff Morris, RN, BSN, CCDS, Leah N. Savage, MSN, RN, CCDS, and Sheilah Snyder, MD
In this panel discussion between a pediatric CDI program physician advisor and two pediatric CDI leaders, attendees will learn key areas for assessment prior to program implementation, clinical...
Palliative medicine patients have an increased risk of mortality, and the documentation needs to reflect that risk. Participants will learn documentation needs related to acute care, hospice medical necessity, and professional services billing.
by Kerin Draak, MSN, WHNP-BC, CPC, CEMC, COBGC, CPC-I
The complexity of coding and payer guidelines and limited training in CPT coding likely accounts for the high error rate in physician evaluation and management (E/M) coding. Participants will be able to identify potential gap...
