The Physician Advisor's Role in CDI Boot Camp
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As healthcare transforms from fee-for-service into quality-based alternative payment models and population payment, having a trained physician advisor for your clinical documentation improvement (CDI) program has never been so important.
The Physician Advisor’s Role in CDI Boot Camp prepares physician advisors to successfully fulfill the duties of their job.
They’ll walk away with a firm understanding of ICD-10-CM/PCS fundamentals, ICD-10’s applications to inpatient and outpatient payment and severity and risk adjustment, clarification opportunities inherent to inpatient and outpatient CDI, techniques for engaging the medical staff in CDI, how to identify common documentation deficiencies in the medical record, and new avenues for CDI program growth.
For 2017, we’ve updated the Boot Camp to focus heavily on new ICD-10-CM/PCS documentation requirements and how to ensure full and accurate physician documentation for proper code assignment. We’ve also added new sections on inpatient quality measures and the physician advisor’s role in Medicare’s hospital and physician value-based purchasing programs. Participants will leave with a firm understanding of Medicare severity diagnosis-related groups (MS-DRG), Hierarchical Condition Categories (HCC), AHRQ’s Patient Safety Indicators (PSI), and other metrics pertinent to their enterprise. This Boot Camp also covers documentation and clinical issues unique to pediatric patients.
At the conclusion of the course, participants will be able to:
Explain the objectives and elements of a successful CDI program
Describe the most problematic terms in ICD-10 and best practices for resolving coding versus clinical disagreements
Identify common problem areas and deficiencies in medical records and physician documentation
Construct optimal techniques for engaging physicians in a CDI program
Develop best practices for capturing documentation in the hospital’s workflow
Develop methods for building credibility with medical staff and peers
Develop methods for maintaining compliance with various industry audit and payment agencies
Identify how coded data is used for physician and hospital profiling
Identify areas of opportunity for CDI in the outpatient setting
Course Outline-AgendaDay 1
8:00 a.m.–10:00 a.m.
CDI fundamentals Introduction to MS-DRGs, APR-DRGs, HCCs, and Other ICD-10-CM/PCS-Based Severity and Risk Adjustment Methodologies With Clinical Examples
10:00 a.m.–10:15 a.m.
Introduction to DRGs and CDI-Pertinent ICD-10 Transaction Sets, Official Guidelines, and Official Advice With Clinical Examples
1:30 p.m.–3:00 p.m.
Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MCD 1 Diseases and Disorders of the Nervous System MDCs 2 and 3 Diseases and Disorders of the Eye, Ear, Nose, Mouth, and Throat
3:00 p.m.–3:15 p.m.
3:15 p.m.–4:30 p.m.
Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 4 Diseases and Disorders of the Respiratory System MCC 5 Diseases and Disorders of the Circulatory System
4:30 p.m.–5:00 p.m.
Q&A and wrap-up
8:00 a.m.–10:00 a.m
Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 6 Diseases and Disorders of the Digestive System MDC 7 Diseases and Disorders of the Hepatobiliary System and Pancreas MDC 8 Diseases and Disorders of the Musculoskeletal System and Connective Tissue
10:00 a.m.–10:15 a.m.
Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 9 Diseases and Disorders of the Skin, Subcutaneous Tissue, and Breast MDC 10 Diseases and Disorders of the Endocrine, Nutritional and Metabolic System MDC 11 Diseases and Disorders of the Kidney and Urinary Tract MDC 14 Pregnancy, Childbirth, and the Puerperium MDC 15 Newborn and Other Neonates (Perinatal Period)
Lunch on your own
Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 16 Diseases and Disorders of the Blood Forming Organs and Immunological Disorders MDC 17 Myeloproliferative Diseases and Disorders MDC 18 Infectious and Parasitic Diseases and Disorders MDCs 19-25
General discussion, wrap-up, and Q&A
Outline-Agenda subject to change.
Please contact the event manager Marilyn (bWFyaWx5biAhIGIgISB0dXJuZXIgfCBueWV2ZW50c2xpc3QgISBjb20=
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