Quality & Regulatory

Alicia Kutzer, BS, Esq. LLM

Hear from an Administrative Law Judge (ALJ) and former QIC employee who was integral in developing training materials and presentations for proper adjudication of Medicare appeals, and defended claim denials at the reconsideration and ALJ levels of...

Ronald L. Hirsch, MD, FACP, CHCQM-PHYADV

While case management and utilization review staff are typically charged with implementing Medicare regulations, CDI professionals can play a key role in ensuring their hospital’s regulatory compliance. This session includes regulations...

Trey La Charité, MD, FACP, SFHM, CCDS

Got denials? This session will address the increasing volume of DRG-validation denials many facilities are currently experiencing. It will systematically review the known strategies utilized by Recovery Auditors to issue denials against your...

Cheryl Ericson, MS, RN, CCDS, CDIP; Wayne Little, CPA; Michelle M. Wieczorek, RN, RHIT, CPHQ

This session will provide an overview of “bundled payments,” i.e., episode payment models, and incorporate strategies for CDI efforts for those organizations seeking to minimize the...

Candace Blankenship, BSN, RN, CCDS; Deborah Neville, RHIA

The Maryland ACDIS chapter along with Elsevier invite you to learn more about the APR-DRG coding system. Join us to learn what secondary diagnoses impact the common APR-DRGs of CHF, CVA, COPD, AMI, and pneumonia for...

Sharme Brodie, RN, CCDS

CDI programs can no longer afford to remain focused on simple CC/MCC capture; they need to understand how the Hospital Value-Based Purchasing (HVBP) Program works and what documentation risks hospitals face under this increasingly important payment...

Niti Armistead, MD, FACP; Vaughn M. Matacale, MD

Vidant Health has created a PSI team with representation from coding, CDI, physician advisors, quality, and medical staff leaders. Learn how the team composition evolved, the role of each member, and how PSIs are reviewed from all...