Quality & Regulatory

Wendy DeVreugd, RN, BSN, PHN, FNP, CCDS, MBA; Cheryl E. Ericson, MS, RN, CCDS, CDIP; Paul Evans, RHIA, CCDS, CCS, CCS-P; James P. Fee, MD, CCS, CCDS; Tamara A. Hicks, RN, BSN, MHA, CCS, CCDS, ACM; Robin Jones, RN, BSN, CCDS, MHA/Ed; Anny P. Yuen, RHIA, CCS, CCDS, CDIP

This...

Kathryn Good, RN, BSN, CCS, CCDS; Laura V. Saldivar, CCS, CPC, COC

This session will help attendees develop a better understanding of the APR-DRG methodology and how SOI/ROM can improve riskadjusted metrics. Learn a successful review process to increase revenue and improve...

Darice M. Grzybowski, MA, RHIA, FAHIMA

As EHRs become more robust, problem trends in documentation and data integrity have appeared. This has spawned a Joint Commission Sentinel Event Alert (#54) and prompted OIG investigation. The session will discuss the role of CDI specialists...

Sarah Mendiola, Esq., LPN, CPC

This interactive session is conducted by an associate attorney whose work focuses on appeal of claims that have been denied by CMS contractors. She will discuss best practices for CDI specialist participation in denial management, and present actual...

Deborah Malick, RN, BSN, MBA, CNML

This session will define how mortality can make or break a CDI program. It will discuss how mortality scoring and matrixes have changed in ICD-10, demonstrate how drilldowns in mortality have an impact on your O/E scores, and provide tools for...

Cheryl M. Manchenton, RN, BSN, CCDS

Potentially preventable complications (PPC) are increasingly being used in healthcare as a measure of quality, and several states are using PPC rates in quality incentive programs. This session will discuss existing complication quality systems...

Shannon K. Newell, RHIA, CCS; George W. Wood, MD

Approximately 800 hospitals across the country that perform inpatient total hip and knee joint replacements will be required to participate in the latest value-based payment initiative launched by CMS, which became effective...

Fran Jurcak, MSN, RN, CCDS; Kelly E. Tarpey, RN, MSN, CPHQ

CDI staff's adherence to facility policies and procedures is best monitored through an objective and detailed audit process that utilizes results to drive performance improvement. This session will describe an objective...

Wendy Clesi, RN, CCDS; Mark LeBlanc, RN, MBA, CCDS; Michelle McCormack, RN, BSN, CCDS, CRCR; Karen Newhouser, RN, BSN, CCM, CCDS, CCS, CDIP; Judy Schade, RN, MSN, CCM, CCDS; Anny P. Yuen, RHIA, CCS, CCDS, CDIP

This special panel session includes a roundtable discussion with the...