The Comprehensive Care for Joint Replacement Model: Impact of Clinical Documentation and Coding on Bundled Payments - On-Demand

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The Comprehensive Care for Joint Replacement Model - On-Demand

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The Comprehensive Care for Joint Replacement Model: Impact of Clinical Documentation and Coding on Bundled Payments - On-Demand

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Presented on:
Thursday, September 22, 2016

Presented by:
Shannon Newell, RHIA, CCS, AHIMA-approved ICD-10-CM/PCS trainer

The Comprehensive Care for Joint Replacement (CJR) payment model, which became effective April 1, 2016, has been touted as one of the biggest changes in Medicare since MS-DRGs. Hospitals in designated geographic locations are required to participate in this bundled payment program, and they are vulnerable to repayment requirements—or less robust incentive payments—based on performance for defined cost and quality outcomes.

The CJR model encompasses inpatient with lower extremity joint replacement and attachment procedures, which are some of the highest-volume surgical procedures performed in hospitals today. Hospitals subject to this model have already begun redesigning care delivery to support more efficient and effective services across the continuum. Few hospitals, however, understand or have addressed the importance of complete and accurate clinical documentation and code assignment on cost and quality performance measures—which, in turn, impact reimbursement.

During this on-demand program, expert speaker Shannon Newell, RHIA, CCS, will provide an overview of the CJR model to illustrate how clinical documentation and reported codes affect cost and quality performance measures, as well as hospital reimbursement. Newell will also explore vulnerabilities and documentation redesign opportunities for optimal data quality.

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

  • Describe key concepts associated with the CJR 
  • Understand how documentation and code assignment in the hospital and ambulatory settings affect CJR cost and quality outcomes 
  • Identify examples of documentation and code assignment challenges under ICD-10 
  • Initiate documentation redesign efforts in their facilities 



  • CJR key concepts 
    • Population 
    • Episode 
    • Participants 
    • Two-sided risk payment model 
    • Cost and quality performance measures 
  • Impact of clinical documentation and reported codes 
    • Accurate capture of CJR population 
    • Cost outcomes 
    • Quality outcomes 
  • Clinical documentation redesign requirements to support CJR performance measures 
    • Avoiding underreporting 
  • Q&A 


Who Should Listen? 

  • CJR program administrators 
  • Revenue cycle directors 
  • CDI directors and managers 
  • Coding directors and professionals 
  • Orthopedic surgery product line administrators 
  • Billing managers and professionals 
  • Compliance officers 
  • CFOs 
  • Auditors 
  • Chargemaster coordinatorsHIM directors and managers 



  • Sample CDI documentation care path

Continuing Education

The live version of this program has been approved for 1.5 continuing education unit towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS). (Ability to claim CEU’s for this webcast expire on: 9/21/2017)

(Live and On-Demand) This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webcast expire on: 8/25/2017)

Meet the Speaker

Shannon Newell, RHIA, CCS, AHIMA-approved ICD-10-CM/PCS trainer, is the director of CDI quality initiatives for Enjoin. Her team provides health systems with physician-led education and infrastructure design to sustainably address documentation and coding challenges essential to optimal performance under value-based payments across the continuum. She has extensive operational and consulting expertise in coding and clinical documentation improvement, performance improvement, case management, and health information management.

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.

No problem. The On-Demand version is also 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 this 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 if you have questions.