An intensive three-day course designed for CDI (Clinical Documentation Improvement) departments/programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues.
This class covers publically reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing Program. Students will learn the why and how of reviewing complex cases involving Patient Safety Indicators (PSI) and hospital-acquired infections (HAI), and leave with measurable strategies for improving their hospital profiles and positively influencing their facility’s value-based incentive payments.
At the conclusion of the course, participants will be able to:
- Define payment methodologies beyond Medicare’s inpatient prospective payment system (IPPS), including the Hierarchical Condition Categories (HCC) system
- Describe the potential advantages and documentation opportunities of expanding CDI beyond MS-DRG review/optimization and CC/MCC capture
- Explain the impact of principal diagnosis assignment (i.e., diagnosis sequencing) on indirect revenue, including that affected by quality metrics and medical necessity denials
- Define the CDI specialist’s role in supporting medical necessity and working collaboratively with utilization review/case management
- Develop documentation strategies to enhance a hospital’s quality metrics without compromising data integrity congruent with official coding guidelines
- Describe how additional CDI responsibilities impact individual metrics, including staffing, productivity, and workflow
- Discuss how physician documentation impacts various quality metrics through coded data, compared to abstracted data and surveillance data
- Conduct reviews and/or develop appropriate review processes to ensure accurate reporting of Patient Safety Indicator (PSI) 90
- Develop strategies to leverage collaboration within the revenue cycle, including CDI, coding, infection control, quality, and case management (utilization review) to promote consistency in the reporting of metrics associated with Hospital Value-Based Purchasing (HVBP) and other quality indicators
More information and registration is available at ASHNHA
Registration cost is $1200 for ASHNHA Members.
For more information contact Debbie Lowenthal at Debbie@ashnha.com or call 907-586-1790