Time: 10:00 AM PDT | 01:00 PM EDT
Duration: 60 Minutes
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: