As patient volume shifts from inpatient to outpatient services at healthcare provider organizations, attention to Clinical Documentation Improvement (CDI) is more crucial than ever. A traditional inpatient CDI program focuses on physician documentation with a CDI Specialist concurrently...
Kim Charland, BA, RHIT, CCS; Rachel Mack, RN, MSN, CCDS, CDIP
Recent headlines continue to report that most hospitals will face some sort of Medicare penalty for excessive hospital readmissions, with a potential combined loss of $420 million in the fourth year of the Value-Based...
Richard Pinson, MD, FACP, CCS
CDI programs often do not have a road map, or an operational plan, to guide and focus activities and assess goals, processes, and outcomes. They also struggle to integrate physician champions in order to make effective use of their time and to engage...
Robert McKinney, MD; Diana Ortiz, RN
Oschner Health System expanded its inpatient CDI program to the ambulatory setting in June 2015. Learn how it established a physician-led organizational structure for ambulatory CDI and implemented a training and onboarding plan for ambulatory...
Cynthia Raymond, RN, CPC, CPC-H, CCDS; Lindsay Wenk
Here’s a goal you can probably relate to: trying to review 100% of Medicare cases. But with a goal like that, how is anyone supposed to start reviewing other DRG payers, especially when hiring additional staff isn’t an option?...
Don Butler, RN, BSN; Vaughn Matacale, MD
CMS’ Hierarchical Condition Categories (HCC) have expanded in recent years and are now used for risk adjustment of readmissions, MER, PQRS, ACOs, and more. This session will update attendees on the ins and outs of HCCs and describe...
James Fee, MD, CCS, CCDS
Healthcare reform demands accountability and transparency through cost reduction and demonstrated quality improvement; critical to this process is complete and accurate physician documentation. This session will discuss the importance of the pre-bill...
This session will describe the process that one regional academic medical center took to improve attending documentation of medical necessity for inpatient and observation status. Current...
Angela Carmichael, MBA, RHIA, CDIP, CCS, CCS-P; Bonnie Cassidy, MPA, RHIA, FAHIMA, FHIMSS
Many healthcare organizations are expanding their coding efforts to include risk adjustment methodologies, such as the CMS Hierarchical Condition Categories (HCC). In order to reap the full...
Deanne Wilk, BSN, RN, CCDS, CCS, CMS
Learn why establishing and running a facilitywide clinical indicator committee will increase documentation improvement; establish guidelines for defining diagnoses; and set up protocols that can be utilized for improved quality and physician...
