Between 2016 and 2019 at Johns Hopkins Hospital, as many as 20%–65% of patients with malnutrition confirmed by a registered dietitian were not assigned a malnutrition diagnosis code at the time...
Jorde Spitler, BSN, RN, CCDS, Rachelle Musselman, BSN, RN, CCDS, and Kelly Blankenship, DO
The CDI team at Dayton Children’s implemented an in-depth CDI review of inpatient pediatric behavioral health records, revealing a unique area of opportunity. According to the DRG data the...
Like many organizations, Stanford Health Care was being pressured from both sides: Outside vendors would tell them they were missing potential revenue, while the...
Many organizations are interested in addressing Hierarchical Condition Category (HCC) opportunities but don’t have the budget to hire expert staff for these reviews. This session will show how organizations can...
As the healthcare industry shifts from a reactive “sick” delivery model to one that focuses on healthy lives through prevention, how does CDI evolve provider collaboration while supporting the sustainability of healthcare as a business? In this session, a...
Shirlivia Parker, MHA, RHIA, CDIP, BS, and Alvin Gore, MD
Frequently, care management/utilization management (CM/ UM) and CDI teams function in silos. The two departments, however, are much more closely aligned than many may think, and documentation has critical impacts on both....
The session will look at different provider learning styles and various ways to leverage educational initiatives and materials to meet these styles. The speakers will also describe how to analyze and measure...
This session will explore the meaning of critical thinking and how CDI professionals can apply these skills to their day-to-day responsibilities. Attendees will learn how the use of technology can affect critical thinking, how to...
CMS introduced the Medicare Integrity Program to optimize hospital reimbursements for medically necessary and covered services and ensure long-term financial viability of Medicare insurance coverage while discouraging fraud, abuse, and...
Laura Werner, DC, RN, MSN-Ed, CDIP, CCS, and Gloryanne Bryant, RHIA, CDIP, CCS, CCDS
Hospital inpatient clinical and coding denials have increased substantially over the years. HIM/coding and CDI departments, however, can partner to address these denials, making a manageable...