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Penny Richards

Penny Richards is the ACDIS Member Services Specialist. She is your primary contact for membership questions, including those about certification, recertification, continuing education credits, and employer verification inquiries.

Call for 2017 Conference Poster Presentations Now Open!

2017 Poster Presentation application period open through December 15!

2017 Poster Presentation application period open through December 15!

ACDIS is excited to announce that it is accepting applications for poster presenters at its 10th Annual Conference, to be held May 9-12, 2017, at the MGM Grand Hotel in Las Vegas.

This is a great opportunity for hospitals and other CDI professionals to promote their CDI programs and share them with a national audience. Posters may describe an innovative program process or department expansion, a CDI success story, or an obstacle your team overcame. Posters may not promote a product or service.

If you are interested in presenting a poster, click this link to submit your idea: http://app.keysurvey.com/f/1084930/5a39/

The deadline to apply is December 15, 2016.

Here are some key details you need to know:

  • We have room for 40 posters.
  • The 2017 Conference Committee will review all applications and select those chosen for presentation. All applicants will be notified of the Committee’s decision by the first week in January.
  • Presenters will be given a $200 discount off their conference registrations. If the poster is presented by a team the discount will apply to one member.
  • Presenters must be able to spend one hour with their poster during a dedicated poster viewing time. Presenters who do not particulate in the session hour will be billed for the $200 discount. The date and time of the presentation session will be announced at a later date.
  • We will approve one application per facility (unless space permits additional posters).
  • Maximum poster size requirements have CHANGED. Posters may be NO WIDER than 36 inches and NO HIGHER than 48 inches. Posters exceeding these limits will be turned away and the presenter will be billed for the $200 discount.

We look forward to hearing from you with your poster idea!

Thanksgiving mishaps? There’s an ICD-10 code for that!

It's Thanksgiving! Time to celebrate all the ICD-10 codes you (hopefully) won't actually encounter this holiday.

It’s Thanksgiving! Time to celebrate all the ICD-10 codes you (hopefully) won’t actually encounter this holiday.

As we prepare for the Thanksgiving holiday with family and friends and give thanks for all of our blessings, it is important to be ready with appropriate codes to accurately document any holiday mishaps.

Here’s a short list to help you quickly and efficiently communicate the information required to file a complaint claim:

For incidents with a fresh (live, not saucy) turkey:

  • W61.42 Struck by turkey
  • W61.43 Pecked by turkey
  • W61.49 Other contact with turkey

For general kitchen and meal prep actions:

  • Y93.G1 Activity, food prep and cleanup
  • Y21.2 Undetermined event involving hot water
  • Y93.G3 Activity, cooking and baking

For dealing with obnoxious Uncle Leo who insisted on pushing his way to the dessert table:

  • Y04.2 Assault by strike against or bumped into by another person

For your mother-in-law’s criticism of the lumpy gravy (which we know was not lumpy):

  • Z63.1 Problems in relationship with in-laws

For activities post-meal to work off effects of R63.2 Polyphagia (overeating):

  • W21.01 Struck by football

For Friday morning:

  • W72.820 Sleep deprivation

Editor’s note: The ACDIS office will be closed for the Thanksgiving holiday and will reopen on November 28. Please send along your most common documentation improvement opportunities either in the comment section or via email to mvarnavas@acdis.org.

A Note from the CCDS Coordinator: Exam prep tips from our education director

CCDS Exam Study Guide

CCDS Exam Study Guide

by Penny Richards

As the coordinator for the Certified Clinical Documentation Specialist (CCDS) exam program, lots of folks ask me for CCDS exam prep tips. But I’m not a CDI professional—I don’t even play one on television—so I asked our CDI Education Director and Boot Camp instructor, Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, for her expert advice.

“Some of getting ready for the exam is mental,” she told me. “If you’ve been working as a clinical documentation specialist for the minimum two years required [to sit for the exam], and you understand the role, you likely have the skills you need to pass.”

Prescott also provided me with a list of great tips that I thought I’d share with you:

  1. Use the CCDS Exam Study Guide, which comes with an online practice test.
  2. If you are an ACDIS member, take advantage of the great information on the website and the ACDIS Forum to talk to other members about their preparation and exam experiences.
  3. Read the 2016 ACDIS/AHIMA Query Practice Brief to help you understand compliant query practices.
  4. You must know how to use the DRG Expert. If you are encoder dependent and don’t know how to use the book, you’re going to have a difficult time. Find someone who can show you how to use the book, perhaps a member of your CDI or coding department. It’s not easily self-taught.
  5. Read the Official Guidelines for Coding and Reporting and be aware of the importance of the AHA’s Coding Clinic for ICD-10-CM/PCS. I am always amazed by the number of people working in CDI who have never picked up a coding book or read coding guidelines.
  6. Understand sequencing rules.
  7. A CDI Boot Camp would be helpful if you have the time and resources.
  8. Think about how you perform the role of CDI, how you review a record, and prioritize patient care.
  9. Metrics and analytics measure department success and some CDI specialists may not be familiar with this aspect of the program. Sit with your manager and ask him or her how to develop and interpret the data. Learn how to define and calculate the case mix index. Know what a query response rate is.
  10. Think about areas you may not have a lot of experience in, such as a specific clinical subject, procedures, etc., and study up on this area. Remember, this exam tests the overall function of CDI practice, meaning it may cover information not currently pertinent to your role due to the limitations of your facility.
  11. Finally, while it’s important to study and prepare, don’t try to do it all the night before.  Eat a good dinner and get a solid night of sleep.

Thank you, Laurie, for providing these tips! For more information on CCDS certification, click here.

A Note from the CCDS Coordinator: Recertifying your CCDS is easier with new application

CCDSpinby Penny Richards

Is it time to recertify your CCDS certification? You’ll find the process faster and easier now that ACDIS has introduced the new editable PDF application and pay-online features.

Visit the “Recertification” section on the Certification page on the ACDIS website to download the application. Fill it in, save it, and email it to the address shown on the first page. Click the link to pay online. If you prefer to pay by check you can print out the completed application and mail it to us.

You may submit your application no earlier than 60 days before your recertification due date. Remember, it’s your responsibility to know your recertification due date. It’s due every two years from the date you passed the exam (look at your certificate or score sheet). We send at least three reminders to the email address we have on file. We are not responsible for emails your facility may block or if you changed emails or jobs.

To recertify, you need to submit evidence of having earned 30 continuing education units (CEUs). All CEUs must have been earned in the time you held the certification or since your last recertification period. Additional CEUs cannot be used for a future recertification. Note the restrictions outlined on the recertification application and on the list of accepted CEUs (link above). Keep copies of your CEU certificates in case your application is selected for an audit.

Editor’s note: Penny Richards is the CCDS Coordinator for ACDIS. Need to know your recertification due date? Contact her at prichards@hcpro.com.

A Note from the CCDS Coordinator: Electronic application process available

CCDSpinby Penny Richards

Those applying to take the CCDS exam or recertify no longer have to write their applications by hand, since ACDIS implemented new editable PDF applications, candidates can complete electronically, on their computer.

The new forms are now available on the ACDIS website for exams, re-exams, and for recertification. Visit the ACDIS site and go to the Certification section. Click on “How to Apply” or “Recertification,” locate the form you need, and click on the link. Or just click the appropriate a link below:

Save the form to your desktop using the format indicated at the top of each form, such as CCDS_EXAM_PRICHARDS (use your first initial and last name—the example uses my name).

Fill out the application with your information, save it again, and then email it to ccdsapp@acdis.org.

Do not provide payment information. Instead, click the link on the second page of the application and pay through our secure online store. If you prefer, we will call you for your credit card information. You can indicate in the body of your email that you wish a call. You may also print the completed application and mail it to us with a check.

The new process is really easy and a first step to an online certification and recertification processes.

As always, contact me at prichards@hcpro.com if you have questions.

A Note From the CCDS Coordinator: You can do what Sarah did, it just takes hard work

SarahLaSource

Sarah LaSource

by Penny Richards

Sarah LaSource didn’t set out to do anything extraordinary on July 8. She took the CCDS certification exam—and lots of folks have done that. But she did what no one else has—walked out with the highest score we’ve ever seen anyone get on the exam, either the old or new version.

Sarah scored 116 out of 120, or 96.6% on the exam. Her secret? “I studied hard!”

She planned to take the exam in late June but some work matters arose that forced her to change her exam plans. She took the extra time to study.

She used several resources as she prepared: The CCDS Exam Study Guide, The Clinical Documentation Improvement Specialist’s Complete Training Guide, and The 2016 CDI Pocket Guide (all from HCPro) and the ACDIS/AHIMA joint brief “Guidelines for Achieving a Complaint Query Practice.”

“I took the practice test (in the CCDS Exam Study Guide) several times,” she said. “The first time was to establish a baseline to find my weaknesses, then I went back over those points exclusively to hone in on my deficiencies.”

Sarah is a clinical documentation specialist at Jackson Madison County General Hospital in Jackson, Tenn., and will celebrate three years in the role in September. Her background is in SICU, case management, and utilization review.

“I got into CDI when my husband transferred to Tennessee to go to grad school,” she told me. “I applied here for an opening in case management, and when I met with the recruiter she told me about the CDI opening. I knew someone at my former employer who was in CDI and who tried to get me into it.”

She is pleased she made the move to CDI.

“This is right up my alley,” Sarah says. “I like to try new things and this is challenging. Definitely the favorite thing I’ve done so far in my nursing career.

“It was a difficult test,” she said. “The biggest challenge was the wording on some of the questions. I went back and changed some answers, something I usually don’t do. I’m glad I did!”

Congratulations Sarah. The hard work paid off in a big way.

Note from the CCDS Coordinator: Onsite exam scoring available now

I'll never wear this pin but tomorrow I'll walk through the testing process.

Onsite scoring enabled at remote testing centers.

by Penny Richards 

Live onsite scoring for the CCDS exam began again last Friday, April 15. This is welcome news for those waiting patiently for exam results and for those waiting to schedule their credentialing test until onsite scoring became available. The updated test includes questions on quality measures, ICD-10-CM/PCS concepts, and other items which reflect the changing expectations of those working in the CDI field.
The CCDS Exam Committee and AMP, the company which administers the exam, established 89 as the passing grade. This means candidates must get 89 of the 120 scored questions correct in order to pass the test, which translates to a passing percent of 74%.
The CCDS Exam Study Guide includes a practice test to help you get a feel for the actual exam. The CCDS Exam Study Guide remains the only approved exam resource. CDI Boot Camps are not designed as test preparatory classes, even though they are extremely valuable for foundational knowledge.
On a side note, there will be no on-site, paper-and-pencil CCDS examination following the Atlanta conference this year.

As always, feel free to drop me a note if you have questions.

 

#ACDIS2016 #MyAtlantaPlan Coming to the conference?

Be sure to plan some “me” time for a great Atlanta experience!

The ACDIS conference is a whirlwind of great learning, networking and career-enhancing experiences. But it’s nice to take a break and get out to see a new city—and Atlanta has a lot to offer.

Here are some great places to visit that are close to the conference center:

CNN studios: Tours run daily from 9 a.m. to 5 p.m. Purchase tickets in advanced at http://www.cnn.com/tour/

Centennial Olympic Park:  The park was the gathering spot for visitors and residents to enjoy during the 1996 Centennial Olympic Games. Be sure to catch the free “Fountain of Rings” show, which plays four times daily at 12:30 p.m., 3:30 p.m., 6:30 p.m., and 9 p.m.  http://www.centennialpark.com

World of Coca-Cola at Pemberton Place: You can

  • Taste more than 100 Cola-Cola beverages from around the globe in the Taste It! beverage lounge
  • Experience the 4-D Theater (3-D movie with moving seats)
  • Walk through Bottle Works and take home a FREE 8-ounce bottle of Coca‑Cola
  • Hug the 7-foot-tall and very friendly Coca‑Cola Polar Bear
  • See the world’s largest collection of Coca‑Cola memorabilia in Milestones of Refreshment

Open daily. Purchase tickets in advance at http://www.worldofcoca-cola.com/purchase-tickets/general-admission/

College Football Hall of Fame: Archie Griffin, Bo Jackson, and Roger Stauback are just a few of the 963 college champions enshrined in these hallowed halls. Learn more at www.collegefootball.org/Home.aspx

Georgia Aquarium: A Beluga whale, African penguins, giant Pacific octopus, and weedy sea dragons all make this amazing aquarium their home. Purchase tickets in advance at http://www.georgiaaquarium.org

Center for Human and Civil Rights: This engaging cultural attraction connects the American civil rights movement to today’s global human rights movements. Learn more at www.civilandhumanrights.org/faq

Ride MARTA: The Metropolitan Atlanta Rapid Transit Authority will help you get from here to there. You can even take MARTA from the airport! Click here for schedules, maps, fares and discount information: www.itsmarta.com/

Atlanta Braves: The Braves will play home games against the Milwaukee Brewers and Miami Marlins while ACDIS is in town. For tickets and team details, visit http://atlanta.braves.mlb.com.

Underground Atlanta: Explore a six-block, 12-acre, three-level shopping, restaurant and entertainment district. Learn more that www.underground-atlanta.com

Want more ideas?

A Note from the CCDS Coordinator: New CCDS exam eligibility requirements take effect June 1

I'll never wear this pin but tomorrow I'll walk through the testing process.

Eligibility changes take effect June 1, 2016.

ACDIS announces several changes in eligibility requirements for candidates wishing to sit for the Certified Clinical Documentation Specialist (CCDS) exam. Highlights of the changes are:

  • Retrospective documentation experience is accepted in addition to concurrent documentation experience
  • Individuals holding the CCS or CCS-P credential must demonstrate a minimum of three years of experience
  • Experience must be from work performed in an inpatient acute care facility using the United States IPPS system
  • Experience documenting in a medical record as a clinician, resident or equivalent foreign medical graduate does not meet the experience requirement.

In addition, the new eligibility requirement clarifies concurrent and retrospective documentation specialist responsibilities as they relate to exam eligibility.

These changes take effect June 1, 2016.

The complete eligibility statement follows:

The candidate for the Certified Clinical Documentation Specialist (CCDS) exam will meet one of the following three education and experience standards and currently be employed as either a concurrent or retrospective Clinical Documentation Improvement Specialist:

  • An RN, RHIA, RHIT, MD or DO and two (2) years of experience as a concurrent or retrospective documentation specialist in an inpatient acute care facility using the United States IPPS system.
  • An Associate’s degree (or equivalent) in an allied health field (other than what is listed above) and three (3) years of experience as a concurrent or retrospective documentation specialist in an inpatient acute care facility using the United States IPPS system. The education component must include completed college-level course work in medical terminology and human anatomy and physiology.
  • Formal education (accredited college-level course work) in medical terminology human anatomy and physiology, medical terminology, and disease process, or the AHIMA CCS or CCS-P credential, and a minimum of three (3) years of experience in the role as a concurrent or retrospective documentation specialist in an inpatient acute care facility using the United States IPPS system.

A year of experience is defined as full-time employment or greater than 2,000 hours worked during that year

Experience documenting in a medical record as a clinician, resident or equivalent foreign medical graduate does not meet the experience requirement.

What is a documentation specialist?

  • The concurrent documentation specialist conducts daily reviews of medical records for patients who are currently hospitalized
  • The retrospective documentation specialist reviews medical records daily of post discharge, pre-bill records

Both concurrent and retrospective documentation specialists also:

  • Works collaboratively using real-time conversation with physicians and medical team members caring for the patient
  • Uses his or her clinical knowledge to evaluate how the medical record will translate into coded data, including reviewing provider and other clinical documentation, lab results, diagnostic information and treatment plans
  • Communicates with providers, whether in verbal discussion or by query, for missing, unclear or conflicting documentation
  • Educates providers about optimal documentation, identification of disease processes to ensure proper reflection of severity of illness, complexity, and acuity and facilitate accurate coding
  • Understands complications, comorbidities, severity of illness, risk of mortality, case mix, and the impact of procedures on the billed record, and shares this knowledge with providers and members of the healthcare team

If you have questions, please email Penny Richards

Important News About the CCDS Exam

I'll never wear this pin but tomorrow I'll walk through the testing process.CCDS Exam results for the small number of people who took the exam since January 18 will be issued at the end of March. The pool of candidates who took the exam between January 18 and March 3 was smaller than anticipated, and this small sample size does not give the Exam Committee a sufficient sample on which to base a comprehensive review.

CCDS Exam results for the people taking the exam over the next few weeks will be similarly delayed.

This extended delay will allow ACDIS and AMP, the company that administers the exam, to collect more data to safeguard the integrity of the exam and ensure that experienced clinical documentation professionals with demonstrated ability hold the CCDS certification.

We thank you for your continued patience as we work diligently to ensure the CCDS credential remains the preeminent demonstration of clinical documentation improvement specialists’ excellence.

If you have questions, please email Penny Richards at prichards@acdis.org.