Quality & Regulatory

Brenda Watson, MLS, RHIA, CCS, CCS-P, CPC, CRC, CPMA

This session provides an exciting look at the codes and conventions contained in the 11th revision of the International Classification of Diseases (ICD) and where the United States stands regarding adoption of ICD-11. Attendees...

Michael D. Teague, MD, SFHM, CCS

This session will discuss frequently overlooked risk variables by clinicians in CMS, Agency for Healthcare Research and Quality, and Vizient risk models and identify the implications of omitting them from documentation. Case examples will be...

Leah Burton, CPC, CPMA, and Julie Bell, BSN, RN, CCDS, CCS, CRC

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...

James Fee, MD, CCS, CCDS

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...

Sherry Goyal, MD, MBA, CHRI, CPC, CRCS

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...

Jaime Bennett, BSN, RN, Sheila Wade, MSN, RN, NEA-BC, and Lydia Koepke, MS, APRN, RN-BC, CWON

Learn how Northwest Medicine created a role for a CDI nurse to facilitate multidisciplinary concurrent and retrospective reviews, ultimately resulting in a 38% reduction of Patient...

Cheryl Ericson, RN, MS, CDIP, CCDS

The financial pressure on hospitals and healthcare systems continues to grow following COVID-19, as hospitals have reached their highest case-mix index, and proving continued financial return on investment becomes increasingly difficult. This...