Program Description
This recorded asynchronous distance course provides an overview of Clinical Documentation Integrity. Topics include CDI purpose, professional responsibilities, and integration into the hospital team. The course will introduce coding and reimbursement concepts as well as CDI workflows, query activities and effective collaboration with other key hospital team members. Participants will gain practical knowledge on the purpose of clinical documentation integrity, key reimbursement concepts and how to effectively integration with the CDI team working towards organizational goals.
Learning Objectives
1. Define Clinical Documentation Integrity (CDI) 2. Identify the core responsibilities and backgrounds of Clinical Documentation Specialists (CDS) 3. Recognize the importance of interdisciplinary collaboration 4. Understand the value of CDI for quality, compliance, and payment
Who Should Attend
This course is designed for Members of URCase management, Quality management teams, Hospital leadership, physician advisors, or new CDI/HIM professionals.
Meet Your Course Author, Katy Good
Katy Good, RN, BSN, MHA, CCS, CCDS has over 15 years of experience in healthcare and has been dedicated to Clinical Documentation Integrity since 2011. Katy has extensive experience in CDI across the continuum of care, from physician offices to the acute hospital setting. Katy is committed to ensuring comprehensive documentation and coding, driving accurate reimbursement, public profiling, and quality reporting. She has expertise in a variety of risk adjustment models including, MS-DRGs, APR-DRGs, CMS-HCCs, and HHS-HCCs. Most recently, Katy has been responsible for developing a CDI program to support hundreds of physicians participating in a new disease-specific value-based care program offered by CMS. Katy was part of the ACDIS Advisory Board from 2017-2020. Amongst other industry initiatives, she assisted in the development of AHIMAs 2019 update of ‘Guidelines for Achieving a Compliant Query Practice’. Katy is passionate about CDI education and enjoys mentoring CDI professionals, sharing at industry conferences, working directly with clinicians, and collaborating with the C-suite.
Course Agenda and Outline:
Module 1: What is CDI? Understanding the Role and Purpose Overview of the origin and role of CDI, who CDS’s work with and how their efforts impact hospital performance. Module 2: Where CDI Happens: Settings and Team Collaboration Review of CDI efforts in various healthcare settings and collaboration with other members of the healthcare team. Module 3: Reimbursement Fundamentals: DRGs and Relative Weight Overview of reimbursement models and concepts which are critical to CDI and hospital performance. Module 4: DRG Systems and Case Mix Index: MS-DRG and APR-DRG Review of differences between MS-DRGs and APR-DRGs as well as how CMI is calculated and influenced. Module 5: CDI in Practice: Queries, Coding, and Impact on Outcomes Introduction of concurrent review, CDI workflows, and query processes.
Course Completion Requirements
The course is completed after viewing the modules and completing the reading. Each module includes practical tools, real-world examples, and a brief knowledge check to reinforce learning. Post-test requirements-Participants must achieve a passing score of at least 80% to receive continuing education credit. If a participant does not pass on the first attempt, they will be provided with one opportunity to retake the test after reviewing the course materials. If the second attempt is unsuccessful, the participant will be encouraged to revisit the course content and may request additional support or clarification before attempting the test again. The post-test must be completed, along with the course evaluation before a certificate is issued. The course certificate will be delivered via email within one week of evaluation completion. Phoenix Medical Management has been approved by the California Board of Registered Nursing, Provider #17829, for 1.0 Contact Hour. This program has been pre-approved by The Commission to provide continuing education credit to CCM® Board-Certified Case Managers. The course is approved for 1.0 CE contact hours.
Registration and Info:
Please contact Vanessa Blutrich at [email protected] to register and if you have any questions, concerns or need special accommodations. System Requirements: Internet access and a modern web browser.
$65.00