The volume of denials due to lack of medical necessity for outpatient services is increasing. As a result, providers must ensure that they develop processes around improving documentation to justify services in all areas of care provided....
by Sandra Love, RN, BSN, CCDS, and Melinda G. Matthews, RN, BSN, MHA, CCDS, CDIP
This session offers strategies to optimize your pediatric CDI program, including hidden opportunities to drive severity of illness and risk of mortality while supporting final coding and audit...
Documentation in the long-term acute care setting (LTAC) differs compared to documentation optimization for typical short-term care centers. This session provides documentation improvement methodologies you can teach to physicians to support...
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...
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...
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...