Quality & Regulatory

James Fee, MD, CCS, CCDS
Healthcare reform demands accountability and transparency through cost reduction and demonstrated quality improvement; critical to this process is complete and accurate physician documentation. This session will discuss the importance of the pre-bill...

Megan Buyrn, BSN, RN, CCDS; Pence Livingston, BSN, RN; MaryKate Rentschler, MBA, BSN, RN

This session will describe the process that one regional academic medical center took to improve attending documentation of medical necessity for inpatient and observation status. Current...

Angela Carmichael, MBA, RHIA, CDIP, CCS, CCS-P; Bonnie Cassidy, MPA, RHIA, FAHIMA, FHIMSS
Many healthcare organizations are expanding their coding efforts to include risk adjustment methodologies, such as the CMS Hierarchical Condition Categories (HCC). In order to reap the full...

Deanne Wilk, BSN, RN, CCDS, CCS, CMS
Learn why establishing and running a facilitywide clinical indicator committee will increase documentation improvement; establish guidelines for defining diagnoses; and set up protocols that can be utilized for improved quality and physician...

Wendy DeVreugd, RN, BSN, PHN, FNP, CCDS, MBA; Cheryl E. Ericson, MS, RN, CCDS, CDIP; Paul Evans, RHIA, CCDS, CCS, CCS-P; James P. Fee, MD, CCS, CCDS; Tamara A. Hicks, RN, BSN, MHA, CCS, CCDS, ACM; Robin Jones, RN, BSN, CCDS, MHA/Ed; Anny P. Yuen, RHIA, CCS, CCDS, CDIP

This...

Kathryn Good, RN, BSN, CCS, CCDS; Laura V. Saldivar, CCS, CPC, COC

This session will help attendees develop a better understanding of the APR-DRG methodology and how SOI/ROM can improve riskadjusted metrics. Learn a successful review process to increase revenue and improve...

Darice M. Grzybowski, MA, RHIA, FAHIMA

As EHRs become more robust, problem trends in documentation and data integrity have appeared. This has spawned a Joint Commission Sentinel Event Alert (#54) and prompted OIG investigation. The session will discuss the role of CDI specialists...

Sarah Mendiola, Esq., LPN, CPC

This interactive session is conducted by an associate attorney whose work focuses on appeal of claims that have been denied by CMS contractors. She will discuss best practices for CDI specialist participation in denial management, and present actual...

Deborah Malick, RN, BSN, MBA, CNML

This session will define how mortality can make or break a CDI program. It will discuss how mortality scoring and matrixes have changed in ICD-10, demonstrate how drilldowns in mortality have an impact on your O/E scores, and provide tools for...