Capturing CCs/MCCs: 2021 CDI Updates for Clinical Indicators and Query Opportunities

Presented on: Thursday, January 21, 2021 | 1–2:30 p.m. Eastern

Presented by: William E. Haik, MD, FCCP, CDIP

ICD-10-CM/PCS codes change every year. So do the rules governing code assignment. No matter your experience level, staying on top of your CDI game means annually taking a closer look at the clinical indicators needed to qualify a diagnosis as a complication or comorbid condition (CC) or a major CC (MCC).

With a host of changes related to the coronavirus pandemic as well as updates to a number of conditions, everyone practicing or managing CDI and coding teams needs this in-depth clinical perspective from CDI thought leader and founding ACDIS Advisory Board member William E. Haik, MD, FCCP, CDIP. 

This year, CC changes include:

• Alcohol & opioid use/abuse
• Cytokine release syndrome
• Cerebellar ataxia
• Cerebrospinal fluid leaks
• Immunodeficiencies
• Pulmonary eosinophilia

MCC changes include:

• COVID-19
• 18 new codes related to sickle cell disease
• New codes classifying esophagitis
• New codes to capture neonatal cerebral infarction
• Updated CKD staging

At the conclusion of this program, participants will be able to:

• List criteria that qualifies a diagnosis to be considered as an “other” diagnosis
• Discuss the role of compliant documentation in MS-DRG CC/MCC capture
• Understand coding and clinical documentation requirements related to COVID-19 and associated conditions
• Identify new CC/MCC additions and deletions relevant to CDI and coding practices
• Analyze clinical indicators of selected diagnoses to improve queries

Agenda

• Guidelines for reporting other diagnoses
  • Uniform Hospital Discharge Data Set
  • The “general rule” for reporting other (additional) diagnoses
• Complications/comorbid (CC) conditions
  • Acuity of DVT
  • Acute respiratory distress syndrome 
  • Cytokine storm
  • Hypertensive crisis/emergency/urgency
  • Types of heart failure
• Major complications/comorbid conditions (MCC)
  • Postop respiratory failure/insufficiency
  • COVID-19
  • Functional quadriplegia
  • CKD staging
  • ATN
• Clinical updates
  • Cytokine release syndrome
  • MI classifications
  • Malnutrition
• Q&A

Who Should Listen?

• CDI specialists
• CDI managers/directors
• HIM managers/directors
• Inpatient coders
• Physician advisors

Meet the Speakers

William E. Haik, MD, FCCP, CDIP, of DRG Review, Inc., has practiced medicine in Fort Walton Beach, Florida, since 1980. He is board certified in internal, pulmonary, and critical care medicine. He served on the American Hospital Association’s Editorial Advisory Board and on the Expert Advisory Panel of Coding Clinic for ICD-9-CM, and helped prepare the original CCS examinations. He served on multidisciplinary committees that developed the 2010 and 2013 physician query guidelines and worked with ACDIS on the original Certified Clinical Documentation Specialist (CCDS) credentialing exam. He is a founding member of the ACDIS Advisory Board.

Continuing Education

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI)

Association of Clinical Documentation Integrity Specialists (ACDIS)
This program has been approved for continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.