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...
Today’s guest is Kathy Dorich, MSN, RN, CCDS, CPHQ, director of Illinois CDI operations for Advocate Health and the recipient of the 2024 CDI Professional of the Year ACDIS...
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...
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...
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...
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...
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...
Julie Morales, BSN, RN, CCDS
Dawn Vitalone, RN, CCDS, CIC
Healthcare systems and CDI program leaders place great importance on quality. However, with numerous areas to consider, such as Medicare star ratings, Patient Safety Indicators, and Elixhauser, it can be daunting to...
This session will begin by delving into the complicated world of risk adjustment and end with the transition from Version (V) 24 to V28 for Medicare Advantage plans. The speaker will also...
