by Tarush Kothari, MD, MPH, and Deborah Mallon, RN, MPA, CCS, CCS-P, CCDS
Varying standards of care for patients with acute kidney injury (AKI) contribute to poor outcomes and high care costs. This case study shows how AKI detection algorithms can be embedded in biochemistry...
by Kathryn DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA, & Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA
The issue of DRG mismatches isn’t new, but it’s become more significant with the transition to ICD-10. This presentation focuses on the factors affecting DRG assignment, how...
Join members of the ACDIS Advisory Board as they share a variety of quick-hit ideas in an entertaining “lightning round” panel session. Board members have eight minutes each to share a successful wrinkle in their CDI department, including mortality reviews, clinical validation processes,...
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...
Most quality of care and risk adjustment CDI efforts focus on adults and are not easily applied to the pediatric population. This session examines the challenges in the development of pediatric quality measures relating to the AHRQ pediatric...
by Debbie Mackaman, RHIA, CPCO, CCDS, and Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS
Understand the moving parts that create the background logic of how diagnoses and procedures interact with one another while uncovering hidden opportunities for revenue...
by Rachel Mack, RN, MSN, CCDS, CDIP, and Kari Thie, RN, BSN, CCDS
Two CDI staff with comparable years of experience nevertheless have very different performance levels—what’s the difference? SCL Health hired a CDI auditor in 2016 to help find out. This session explores the role...
Using the framework of risk of mortality scoring, this session will review aspects of the APR-DRG coding system, effective use of the 3M™ APR-DRG encoder, and APR-DRG tips and strategies for primary and secondary diagnoses.
by Erica E. Remer, MD, FACEP, CCDS, and Kelly Skorepa, BSN, RN, CCDS
CDI professionals must anticipate which diagnoses are prone to clinical validation concerns and understand the clinical indicators and criteria to be able to assess clinical validity. The session provides a...
