The Mechanics of Clinical Documentation Integrity Programs-Achieving High Performance Through Well Redesigned Execution

By attending this Clinical Documentation Integrity Programs Training, participants will be able to learn about, understand, develop and operationalize an effective roadmap and plan to reengineer, rebrand, reformulate and redirect current CDI processes that establish an effective framework to facilitate achievement of measurable meaningful improvement in documentation.

Instructor: Glenn Krauss
Date: Thursday March 21, 2019

Time: 10:00 AM PDT | 01:00 PM EDT

Duration: 60 Minutes

  • Live
  • Only for one participant
  • Price $139.
Best Value
  • Corporate Live
  • Any number of participants
  • Price $299.
  • Recorded
  • Only for one participant ?
  • Price $179.
  • Corporate Recorded
  • Any number of participants ?
  • Price $379.

Overview:

CDI in its current state is counterproductive and counterintuitive to enhancing the value and quality of communication of patient care, not intended to affect positive change in physician overall behavioral patterns of documentation.

By attending this webinar, participants will be able to learn about, understand, develop and operationalize an effective roadmap and plan to reengineer, rebrand, reformulate and redirect current CDI processes that establish an effective framework to facilitate achievement of measurable meaningful improvement in documentation.

The critical need for CDI transformation moving into the 21st century to meet the need for effective communication of patient care clearly describing, showing and telling the patient story is paramount to addressing and reporting compliant value-based cost effective healthcare delivery. Queries are just one of many tools that can be utilized in educating and sharing best practice standards and principles of documentation.

Attendees will gain the knowledge of techniques and ideas to use in redirecting a program primarily reliant on a reactive repetitive retroactive query process to one that embraces proactivity and true engagement of physicians as willing participants in learning about, becoming more proficient and integrating proper documentation techniques into their regular practice of medicine.

Why should you Attend: As healthcare expenditures continue to rise year over year to unsustainable levels, third party payers including commercial and government payers are focusing upon insuring all healthcare provisions are reasonable and necessary with the coding and billing supported by clear and concise documentation.

There is increased emphasis by Medicare contractors and other commercial payers to review patient cases for medical necessity and validity of coding and DRG assignment in the name of cost containment.

The OIG recently announced an addition to its Work Plan outlining concern and investigation of "Upcoding" or Miscoding" with plans to validate its concerns and target hospitals identified as potentially upcoding as means of unwarranted increase in reimbursement.

Present CDI processes increase compliance risk through the query process with little if any improvement in the quality and completeness of supporting documentation that adequately tells the patient story with sufficient detail. Rather than focus upon reimbursement as the target endpoint or outcome, they should be thought of and treated as a byproduct of solid and complete documentation and communication of patient care.

Areas Covered in the Session:

  • Learn how best to establish a solid foundation for transforming your current CDI program from reactive to proactive, facilitating best practice communication of patient care
  • Be capable of conducting a facility specific documentation needs analysis assessment from a quality of care and revenue cycle perspective
  • Create a vision that inspires a collegial team based synergistic approach to achieving enhanced value quality-based communication of patient care
  • Understand how to reengineer, rebrand, reformulate and redesign current CDI processes to address design and purpose flaws inherent to current CDI programs
  • Understand and be cognizant of strategies to embrace and pitfalls to avoid in redesigning and rolling out a transformed CDI program
  • Develop and operationalize key performance indicators that drive continual performance with purpose that is sustainable over time
  • What are the critical elements of Continuous Quality Improvement plan for CDI to maintain an upward program trajectory

Who Will Benefit:
  • CFOs
  • VP Revenue Cycle
  • Director Revenue Cycle
  • Manager Revenue Cycle
  • CDI Directors
  • CDI Managers
  • CDI Specialists
  • HIM Directors
  • Patient Financial Service Directors

Speaker Profile
Glenn Krauss is well-recognized and respected subject matter expert in the revenue cycle with a specialized emphasis and focus upon collaborating and working closely with physicians in promoting, advocating for, educating and achieving sustainable improvement in clinical documentation that accurately reflects and reports the communication of fully informed coordinated patient care. His experiences include working with a wide variety of healthcare systems spanning the entire spectrum ranging from critical access hospitals, community hospitals, Federal Qualified Healthcare Centers to large academic medical centers and fully integrated healthcare systems.

He possesses twenty-five plus years of progressive practical hands on experience in clinical coding and documentation improvement, subscribing to the philosophy that quality of medical record documentation strongly correlates with overall quality of care achieved and the overall achievement of a high performing revenue cycle. Glenn has demonstrated the unique skill sets and core knowledge of principles and standards in best practices of clinical documentation, effectively and successfully driving physician engagement through proven strategies that create and foster a sustainable model for clinical documentation improvement.

What sets Glenn apart in the clinical documentation improvement arena is the recognition of clinical documentation effectiveness, accuracy, completeness and contextual consistency as fundamentally integral and intertwined with all components of the revenue cycle. He is a professional speaker, sought after for speaking engagements throughout the country on a wide variety of cutting edge thought provocative clinical documentation improvement topics and subjects.

Glenn has served on the ACDIS Advisory Board as well as founded the WI ACDIS Chapter, leading a very active chapter for six years. The inspiration for creation of Core-CDI was the goal of creating a forum for sharing thought provocative ideas and concepts on all things CDI including an awareness of the opportunity to transform the profession of CDI to one that truly supports the patient and the overall healthcare delivery model.


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