CDI Expansion

by Cherri Sanders, RHIT, and Heather Marie Smith, CCS-P

Our facility serves a large Medicare population, making it vulnerable to Medicare’s LCD/NCDs, and it experienced thousands of dollars in denials annually without fully understanding what was being denied and why. Everything...

by Valerie A. Bica, BSN, RN, CPN, and Leah N. Savage, MSN, RN, CCDS

Coding of surgical procedures can be difficult, especially if you are not sure what physicians are doing or why. This presentation is intended to help simplify coding of  pediatric surgical procedures and give...

by Tina Brooks, RN, CRCR, CCDS, Judy Cassetty, BSN, RN, CCDS, Sylvia Emery, MSN, RN, RHIA, CCDS, CCS, Holly Kalua, RN, BSHA, BSM, CRCR, and Chris Zepeda, MHA, BS, CPC

Implementing the CDI physician educator role led to a 20% increase in the provider response rate throughout St....

by Richard D. Pinson, MD, FACP, CCS

This session describes differences in hospital and provider payment methodologies to set the stage for understanding how HCCs affect reimbursement and quality reporting. Participants will learn outpatient coding guidelines and clinical...

by Rabia Jalal, MBBS, CCS, CDIP, CCDS, & Loni J. Johnston, RN, BSN, CCDS

The neonatal intensive care unit (NICU) represents a growth opportunity for CDI. Unfortunately, due to specialization training, rolling out CDI to the NICU can seem like an impossible task. Participants...

by Michelle McCormack, RN, BSN, CCDS, CCS, CRCR

To keep technology useful, CDI programs need to create workflows and tools to increase effectiveness within the review process. This session will recount how Stanford Health Care’s CDI program created interactive, real-time...

by Tracy Boldt, RN, BSN, CCDS, CDIP, and Robert Erickson, MD, CCDS

Essentia Health System is a member of an accountable care organization with over 75,000 members, and its outpatient CDI program touches over 60 clinics systemwide. This presentation provides attendees with tools...

by Mark N. Dominesey, RN, BSN, MBA, CCDS, CDIP, CHTS-CP

Many CDI specialists are just beginning to scratch the surface of risk adjustment as it pertains to their work, and even fewer have undertaken the specialized education necessary to work in the pediatric setting. Inpatient...

by Patricia Buttner, MBA/HCM, RHIA, CDIP, CHDA, CPHI, CCS, and Tammy Combs, RN, MSN, CDIP, CCS, CCDS

Participants will learn how to recognize the opportunity to appeal a denial and leverage denial data to inform CDI opportunities. Drafting appeals, monitoring and tracking denials...

by Tara Bell, MSN, RN, CCDS, CCM, and Lisa A. Farhar, RN, MSN, MBA, CCDS

This session will help seasoned inpatient CDI staff use their expertise in a new and challenging field. Further, this session will define common HCCs that are as important in the inpatient arena as CCs and...