Are you up at night wondering whether your queries will stand up to the spotlight of compliance and RAC/third-party denials? This session provides insight into whether queries are leading or non-leading based on the “clinical truth...
This session demonstrates how a midsized standalone hospital used a variety of tracking tips and techniques to parse CDI data and metrics to reveal useful trends and information. This includes CMI, unspecified code usage, PSIs, and...
Ambulatory CDI is in its infancy, but Novant Health implemented a program three years ago and has made significant progress with providers’ specificity with diagnoses and documentation. The audience will learn how Novant implemented and...
Barbara J. Brant, MPA, RN, CDIP, CCDS, CCS; Timothy J. Garrett, MD, MBA, FACEP, FACHE, CHCQM, CIC
This session will provide an internal view of Recovery Audit processes, from the inside perspective of a Recovery Auditor (Cotiviti Healthcare, Region 2 and Region 3). Discussion...
Modern CDI programs have built strategies to perform secondary reviews on HAC and PSI cases to decrease false positives and ensure accurate public reporting. Northwestern Memorial Hospital moved beyond HACs and...
This session includes the evolving definitions of sepsis and acute respiratory failure, including calculation of P/F ratio. It includes audience interaction as well as strategies for preventing adverse RAC determinations.
This presentation describes how a large academic medical center leveraged the EMR to enhance CDI. It describes how solutions can be built into provider documentation workflow in the EMR for primary capture of diagnoses, allowing for sustainable...
Wondering what MACRA, HCCs, and RAF are, and their relationship to outpatient documentation? Tired of hearing all the rhetoric and none of the solutions? This session describes how to leverage your current technology, data, and institutional knowledge to...
Join this session with representatives of the ACDIS Advisory Board as they offer an insider’s look at the CDI profession, including where it stands and how it must evolve. Membership survey results will be shared. The session will also include a look at how ACDIS is helping to shape the...
Lisa M. Adkins, MSN, RN, CPNP, CRCR, CPHM; Valerie A. Bica, BSN, RN
Are you a pediatric hospital faced with the uncertainty of ACO involvement and increased denials from payers for “non-specific codes”? Learn how Nemours/A.I. DuPont Hospital for Children in Wilmington, Delaware,...
