eLearning Program: The INs and OUTs of Clinical Documentation Improvement

Program Description:
Discover the framework of a successful CDI program and how Clinical Documentation Specialists (CDS) can provide opportunities to improve coding, health information integrity and maximize reimbursement. Topics include: 

• CDI role – “the who” and “the why”
• Review inpatient processes for a “day in the life of a CDS”
• Discussion of general coding guidelines and a review of complex case studies
• Physician advisor/champion role (peer-to-peer reviews)
• Interdisciplinary collaboration and challenges
• Current hot topics

Program Agenda

• CDI Role 
  • The who – review process, CDI metrics, case studies 
  • The why - general coding guidelines, interdisciplinary collaboration, physician advisor role
  • Challenges as a CDS – keys to high quality documentation and physician buy-in
• Current Hot Topics
  • Artificial intelligence
  • Patient safety indicators (PSI) with case study examples
  • Clinical validation reviews with case study examples and sample clinical validation query
  • Impact of severity of illness (SOI) and risk of mortality (ROM) on claim data with case study examples
  • Denials management with sample appeal letter top “red flag” diagnoses

Continuing Education
CEUs: 3   |   HIM Domain: Revenue Cycle Management

This eLearning Program series has been approved for continuing education units (CEUs) for use in fulfilling the continuation education requirements of the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Board of Registered Nursing (BRN) and Association of Clinical Documentation Integrity Specialists (ACDIS)  for CDI-related events; no more than ten units from any single event. CEUs are based on contact hours. 30 minutes of attendance at an educational program equals .5 CEU. For full details on CEU qualifications, calculations, and more, view the AHIMA Recertification Website. CEUs may be adjusted based on actual time of event. 

Program Description
Outpatient CDI has primarily been focused on physician office visit documentation to ensure all of a patient’s medical conditions are identified and addressed at least once every calendar year. Ensuring compliance has both quality of care and potential reimbursement implications. Hierarchical condition categories (HCCs), groups of similar conditions with similar long-term costs, are the tool by which quality metrics and pay-for-performance programs are evaluated and reimbursed.

This eLearning Program will teach participants what they need to know to excel in outpatient CDI, HCC recognition and compliance with official outpatient documentation and coding guidelines. One of greatest challenges is ensuring compliance with Section 4 official outpatient guidelines that requires a condition to be specifically addressed with clinical services by the provider before it can be coded.  Monitoring, Evaluation, Assessment or Treated (MEAT) criteria are supposed to ensure documentation of this requirement; however, there are many pitfalls which will be addressed during this program through the use of case studies.

Program Agenda

• Outpatient CDI, coding and compliance
• HCCs: A “deep dive"

Continuing Education
CEUs: 3   |   HIM Domain: Revenue Cycle Management

This eLearning Program series has been approved for continuing education units (CEUs) for use in fulfilling the continuation education requirements of the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Board of Registered Nursing (BRN) and Association of Clinical Documentation Integrity Specialists (ACDIS)  for CDI-related events; no more than ten units from any single event. CEUs are based on contact hours. 30 minutes of attendance at an educational program equals .5 CEU. For full details on CEU qualifications, calculations, and more, view the AHIMA Recertification Website. CEUs may be adjusted based on actual time of event. 

Richard Pinson, MD, FACP, CCS
Chief Medical Officer, Physician Educator; Pinson & Tang LLC 

Dr. Richard Pinson is a physician, educator, administrator and healthcare consultant. He practiced internal medicine and emergency medicine in Tennessee for over 20 years, having board certification in both. Dr. Pinson is a Fellow of the American College of Physicians and former Assistant Professor of Clinical Medicine at Vanderbilt, and has assisted hospitals as a physician consultant for the past ten years. His personal understanding of the mindset of both doctors and managers allows him a unique vantage point from which to promote cooperation between physicians, hospital staff, and administrators toward achieving beneficial and practical changes.

Ann Marie Gould, MAOM, BSN, CCDS, CDIP
CDI Specialist and Partner; RN Link

Ann Marie Gould has been a registered nurse for over 30 years with varied experience, including, acute care, outpatient surgery, clinical drug trials, assisted living/memory care settings as well as case management. She has been working in CDI for over nine years, receiving her experiences from Cedars-Sinai Medical Center, UCLA, Optum 360 as a CDI manager and Henry Mayo Newhall Hospital as CDI hospitalist liaison who provides monthly education to the hospitalists’ teams as well as develops the educational pocket guides for the various hospital service lines. She is currently a partner of RN Link, which provides training on becoming a successful clinical documentation specialist.

Cristy Zielinski, BSN, CCDS
CDI Specialist and Partner; RN Link

Cristy is a registered nurse and certified clinical documentation specialist who has been in the field of nursing since 1982. She graduated with Bachelor of Science in Nursing from the Philippines. She has had varied experiences in different hospital settings including working as a telemetry nurse, case manager, interim director of case management as well as assisted the physician advisor on insurance denial appeals, and as a clinical documentation specialist for over 16 years. She worked in different institutions including Glendale Adventist Hospital, Glendale Memorial Hospital, Optum 360 and Kaiser Permanente. She is also a partner of RN Link, which offers seminar/training on how to become a successful clinical documentation specialist.

This program is co-sponsored by
 
                

Registration Fees and Deadlines

Group Registration and Discount - NEW!
Groups of five (5) or more employees are eligible for a discount when registering at the same time, for the same eLearning Program. Discount wll apply to registrant's applicable fee type. For group registrations, complete the eLearning Program Order Form. 

• Groups of 5 - 9 employees: 1 - 4 CEU program $5 off per person  |   5+ CEU program $10 off per person 
• Groups of 10+ employees: 1 - 4 CEU program $10 off per person  |  5+ CEU program $20 off per person
  Discounts do not apply to previous orders

How to Register
Purchase the eLearning Program online OR complete the eLearning Program Order Form and submit to CHIA with payment. Full payment is required with registration. A copy of an approved check request is acceptable when submitted with the printed registration form. No over-the-phone registrations will be accepted.

How to Access Purchased Program
Access for advanced purchases will be made available the morning of the live event. Purchases received after the advanced registration cutoff will be provided access within three (3) business days after purchase.

All event details will be available via the registrant’s CHIA User Profile, this includes LIVE meeting link, recording, presentation materials and CEU form. Access is restricted to the registrant only and available for 60 days. 

• Recommended Test: Test LIVE event access ahead of time by logging into your CHIA User Profile. Once logged in, look for the green eLearning Program Access box on the My Account Dashboard. All event details and materials will be accessible within this area.

On-demand Program Recording (included)
The recorded version will be provided after the live event for all registrants, and purchases received after the advanced registration cutoff, on the eLearning Program Access page (restricted access). Allow up to three (3) business days for recorded product availability. 

Presentation Materials 
Presentation materials, if offered by the presenter, will be made available on the eLearning Program Access page (restricted access) upon conclusion of the live event.

Zoom Details
CHIA uses Zoom to host live eLearning Programs. To participate, you will need a computer with an internet connection and the Zoom software. Zoom support offers information regarding system compatibility here. 

Cancellation Policy
All purchases are non-refundable and non-transferable. View the Event Cancellation and Substitution Policy.

For those already registered for this eLearning Program, please follow the instructions below to gain access. To attend the live program, registrations must be received two (2) business days prior to event date; access will be made available the morning of the live program.  Purchases received after the advanced registration deadline and/or live program will be provided access within three (3) business days.

1. Login to your CHIA User Profile using the green "User Login" button at the top of CHIA's homepage.  If login button is missing, you may already be logged in. 

2. Once logged in, you should automatically be directed to the "My Account Dashboard". If not, click on the "My Account" link at the top of CHIA's homepage.

3. Scroll down to "ELEARNING PROGRAM ACCESS" on the right column. All currently accessible eLearning Programs will be listed within this box.

4. Click on the appropriate eLearning Program hyperlink.

5.  Once on the program page, click on the first blue box to access the program. Depending on the purchase date, a link to join the live meeting or view the the video recording will be displayed.