RSSAll Entries Tagged With: "CDI expansion"

Note from the Instructor: Is your CDI program stagnating? Get out of the rut and fast!

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Allen Frady, RN, BSN, CCDS, CCS, CRC

By Allen Frady, RN, BSN, CCDS, CCS, CRC

The basic tenant of learning CDI is learning how MS-DRGs work, and the tiered structure of CC and MCC levels. That is the first step, to be sure, but it is not the final destination. In the new era of quality based reimbursement, there are a number of growth opportunities. And yet, I believe many (if not most) CDI programs are either missing completely or performing poorly in meeting them. In the age of bundled DRGs, 30-day readmissions, hospital acquired conditions, Medicare Advantage Plans, patient safety indicators, quality reporting, and mortality rankings, if you find yourself having a harder and harder time justifying the value of proper documentation to your chief financial officer, take another look at the current state of affairs. [more]

Q&A: Acceptable documentation for HCCs

Have CDI questions?

Have CDI questions?

Q: What clinical documentation is acceptable to pull Hierarchical Condition Category (HCC) information from for reporting purposes? Would you code from history of present illness, past medical history, active problem list, or the assessment?

A: Follow the coding guidelines when reporting diagnosis codes for HCC purposes. The coding guidelines don’t change with HCCs. As long as the documentation meets the MEAT (monitored, evaluated, assessed, treated) criteria, it can be reported from anywhere in the note. [more]

Note from the Associate Editorial Director: What’s so special about ACDIS?

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Associate Editorial Director Melissa Varnavas

By Melissa Varnavas

In short, the membership. There are more than 5,500 ACDIS members now as we celebrate our 10th anniversary. That’s the size of a city. Sure, it’s not a large city but it’s definitely a community. It’s a community that’s chosen to live together and work together and ensure that its neighbors succeed. And that’s an amazing and special thing to be a part of in this day and age.

But it’s been that way since the start of the organization. Back then everyone was scrambling to figure out the best way to do this job. Back then everyone was looking for the best clinical indicators to help win their physicians over. Back then everyone was struggling to find their niche within the hospital hierarchy of department reporting structure. So everyone shared. Everyone shared just about everything they possibly could. [more]

Outpatient CDI Workshop: Join us for five weeks of education and networking

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Join us tomorrow as we kick-off the Outpatient CDI Workshop!

Due to the overwhelming success of our first ever ACDIS Symposium: Outpatient CDI, ACDIS has responded with a one-of-a-kind multimedia platform to keep the education, networking, and development going—right from your home office.

The Outpatient CDI Workshop features a broad sampling of the presentations delivered at the ACDIS Symposium in an easy-to-access online format. Participants in the Workshop will also enjoy facilitated collaboration with their peers and event presenters.

Take part in an ideas lightning round with the ability to send questions to presenters, enjoy conversation with your fellow attendees through an email discussion group, and participate in a live networking and problem-solving call with workshop participants and moderators. Get your outpatient CDI program off the ground with help from your peers and the experts at ACDIS! [more]

CDI Week Q&A: CDI Expansion

Peppers, Rhonda

Rhonda Peppers, RN, BS, CCDS

As part of the seventh annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Rhonda Peppers, RN, BS, CCDS, a CDI specialist at Care Coordinators, MedPartners, in Tampa, Florida, and a member of the 2017 CDI Week Committee, answered these questions on CDI expansion. Contact her at rhondapeppers@benefis.org.

Q: When did you first get involved in CDI, and what was your CDI program’s focus?

A: I started working in CDI in 2011, and our program’s focus was on earning money. We were given monthly monetary totals on the queries we wrote. We were very competitive. Our goal was to see who could make the most money. As a matter of fact, I was told when I first started that we were not to write the query if it was for severity of illness (SOI) or risk of mortality (ROM), just write the ones for MCCs and CCs.

Q: How has the focus of your CDI program changed over the years? [more]

Note from the Associate Editorial Director: Join us on the ACDIS stage

Join us in San Antonio!

Join us in San Antonio!

by Melissa Varnavas

We started small, with just a handful of members. Their excitement, infectious. Soon ACDIS Director Brian Murphy organized a conference, nearly 200 people attended. There were just 13 speakers at that event.

Not a day goes by that we don’t marvel at the growth of the clinical documentation improvement profession. With the 10th annual ACDIS conference in the books and ACDIS’ 10th birthday coming up in October, we can’t help but see the association’s trajectory as an extension of that growth.

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Guest Post: Embracing Change

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Embrace change in CDI

By Jocelyn E. Murray, RN, CCDS

Summer is finally here! It’s been a long-time coming for New Englanders! I contrast the abundance of this wonderful, although too brief, season with all the enhanced CDI insight and transition to current practice.

Our ACDIS 10-year anniversary conference this year in Vegas was terrific! Education tracks embracing current CDI transition in risk-adjustment and outpatient practices were insightful. I also attended an event by the NYHIMA which also delivered insights into CDI areas of expansion. I’m excited about the CDI practice progression at our national association levels and love that I am surrounded by healthcare professionals who embrace a desire to evolve our scope of practice and support today’s healthcare system.

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Symposium Update: Early bird hotel discount ends August 17

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The ACDIS Symposium: Outpatient CDI is currently sold out!

There are only a couple more days left to get a discounted hotel room rate for the ACDIS Symposium: Outpatient CDI. Reserve your room by Thursday, August 17 to take full advantage of the discount. The symposium takes place from September 18-19 at the Hilton Oak Brook Resort and Conference Center in Oak Brook, Illinois.

When you book your hotel room by August 17, you’ll get the discounted room rate at the Hilton Oak Brook Resort and Conference Center for $159 (tax and fees not included). To book by phone, call 866-275-6295 and mention ACDIS.

Please note that the Outpatient Symposium is sold out. If you have registered and know you won’t be able to attend, please notify customer service to allow others into the event.

 

Note from the Associate Director: Announcing a new outpatient version of the CDI Pocket Guide

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Associate Director Rebecca Hendren

By Rebecca Hendren

Outpatient CDI is a fast-growing area of the profession. So, I’m excited to announce a new resource that will be an incredibly useful tool for those expanding to the outpatient arena. Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS, authors of the CDI Pocket Guide, are currently finishing their work on a new version focused on Hierarchical Condition Categories (HCC): the 2018 Outpatient CDI Pocket Guide!

One of our guiding principles at ACDIS is to be at the forefront of changes in the industry. We want to provide our members with guidance, information, and resources they can turn to for education and clarification as they venture into new CDI focus areas. We’ve been publishing articles exploring the growing outpatient and ambulatory arena for several years now and will continue to do so as this segment of the profession grows and changes. We want to keep our fingers on the pulse of what’s going on and share that knowledge with our members.

We bring together leading thinkers in the profession who can share their expertise, whether through articles in the CDI Journal, innovative sessions at our annual conference or the new outpatient-focused ACDIS Symposium, or lively discussions in the ACDIS Forum.

I’m delighted that the trusted authors of the CDI Pocket Guide are equally forward thinking and partnered with us to develop a this new resource.

Please continue to let us know what information you need and what resources you would like ACDIS to offer. We really do listen to you and use your feedback to develop our editorial directions.

Editor’s note: Hendren is the associate director of membership and product development at ACDIS. Contact her at rhendren@acdis.org.

Symposium Speaker Highlight: Whitley shares story of ambulatory success

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The ACDIS Symposium: Outpatient CDI takes place Sept. 18-19

Editor’s note: There are only 45 more days left until the first ever ACDIS Symposium: Outpatient CDI, September 18-19, in Oak Brook, Illinois. Last week, we brought you a Q&A with Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, in CDI Strategies, but she’s not the only Symposium speaker we got to know recently. Today, we spoke with Yvonne Whitley, RN, BSN, CRCC, CPC, CRC, the supervisor for Novant Health Medical Group’s Ambulatory CDI team, who will present “Novant Health ambulatory CDI—How we’ve grown!” at the event. Please note that this event is filling up fast with limited seats remaining.

Q: Can you explain why you use the term “ambulatory” rather than “outpatient?”

A: The simple answer is that “outpatient” refers more to facilities such as wound care, same day surgery, infusion centers, etc. “Ambulatory,” on the other hand, refers to the provider clinics. Currently we only focus on the ambulatory setting.

Q: What was the biggest challenge you encountered during the implementation of your ambulatory CDI program?

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