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This live virtual Boot Camp is perfect for those looking to expand their CDI knowledge with instructor-led education that can be accessed from the comfort of your own home. Classes are led by our expert instructors, typically take place over the course of a week or two, and allow instructor/student interaction and engagement. |
Live Virtual Essential Leadership and Management Skills in CDI
Course Modules
1. Introduction to CDI
We recognize that often individuals are assigned the responsibility of management of a CDI department or CDI staff without pre-existing knowledge of the role and responsibilities. This course begins with a discussion about the role and the regulatory guidance that directs CDI practice.
2. IPPS & MS-DRGS
Keeping with the same tenet as module 1, we discuss the Inpatient Prospective Payment System and the CDI function related to code assignment and MS-DRG grouping. This module offers a surface dive into CDI function and how it impacts the inpatient population.
3. Introduction to Outpatient CDI
We discuss the evolution of CDI into the outpatient setting. We review CDI efforts related to emergency department, observation and primary care/clinic reviews reviews. The discussion continues speaking to the various missions related to outpatient CDI to include: denials prevention, risk adjustment, charge capture and quality.
4. Other Payer Systems
The discussion of healthcare reimbursement is continued touching on a number of methodologies within both the inpatient and outpatient settings to include bundled payments, accountable care organizations, risk adjustment, provider billing etc.
5. Health Care Data & Public Reporting
The impact of CDI function upon quality reporting is well established within the industry. We discuss a number of the CMS quality monitors and CDI function related to the reporting of this data and organizational reimbursement.
6. CDI Practice: Record Review & Query
This module reviews the basics of CDI function to include record review and query compliance.
7. Revenue Cycle Audit Activities
Understanding compliance is a core competency for CDI function. This module speaks to the number of efforts in place to monitor compliance to include RAC, OIG, and PEPPER data.
8. CDI Metrics
A manager must monitor and communicate staff function and effectiveness. We discuss a number of standard metrics used to measure departmental function and benchmarking.
9. Managing Your CDI Staff
Managing a staff can be a challenge. This module offers direction related to functions of managing a staff and CDI program to include screening applicants, interview, hire and training. The discussion includes considerations related to remote CDI function and competency assessment.
10. Directing Your CDI Department
Differing from management is the responsibilities of directing a department. This module offers guidance related to departmental mission, reporting structure, staffing models, written policies, job roles etc.
11. CDI Expansion: Managing Change
The impact of CDI is growing, managers must thoughtfully engage in this process to plan change and grow your department and mission.
How does the Live Virtual Revenue Integrity and Chargemaster Boot Camp work?
Class is held Mondays – Friday for 2 weeks from 11:30 p.m. – 5:30 p.m. Eastern Time (10 classes).
Please Note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.
Class is held Monday – Friday from November 14 – November 17. Registration cut-off date: 11/7/2022
Looking to train your whole team? We can bring our expert instructors to you! Learn more here!
For more detailed information about our Boot Camps, contact us at 615-724-7200 or email PD-IS@SimplifyCompliance.com.
Live Virtual Essential Leadership and Management Skills in CDI
Course Outline/Agenda
Day 1 (8:00 a.m. — 5:00 p.m. to include lunch break, 30 minute, and 4 10‐15 minute breaks)*
Introduction to CDI
Impact of Documentation
Roles- CDI & Coding Professionals
UHDDS Definitions/Reportable Diagnoses
ICD-10 CM/PCS
The Official Guidelines for Coding & Reporting
IPPS & MS-DRGS
IPPS Reimbursement Methodology
CDI Process & IPPS
Introduction to Outpatient CDI
ED setting
Observation patients
Primary Care/Clinic Settings
Other Payer Systems
APR DRGs
Bundled Payment
Per Diem Rates
Risk Adjustment
Medicaid
Commercial Insurance
OPPS (APCs, Evaluation & Management)
*The timing may change as the course is presented to allow for discussion.
Day 2 (8:00 a.m. — 5:00 p.m. to include lunch break, 30 minute, and 4 10‐15 minute breaks)*
Health Care Data & Public Reporting
Public Reported Data
Adverse/Never Events
CMS Quality Measures
Hospital Readmission Reduction Program
Hospital Acquired Condition Reduction Program
Hospital Value Based Purchasing
Patient Safety Indicators
MACRA
CDI Practice- Record Review & Query
The CDI Process of Record Review
Inpatient Setting
Outpatient Setting
Compliant Query Practice
Revenue Cycle Audit Activities
Comprehensive Error Rate Testing
Recovery Auditors
Program Safeguard Contractors
Office of the Inspector General
Medicare Administrative Contractors
Quality Integrity Organizations
Supplemental Medical Review Contractor
Risk Adjustment Audit Validation
Commercial Audits
PEPPER Data
CDI Metrics
Key Metrics Used in CDI
Using Metrics to evaluate:
CDI Productivity
Provider Engagement
Educational Needs
Staff Performance
* The timing may change as the course is presented to allow for discussion.
Day 3 (8:00 a.m. — 4:00 p.m. to include lunch break, 30 minute, and 4 10‐15 minute breaks)*
Managing Your CDI Staff
Traits/credentials of a successful CDI
CDI Job Descriptions
Interview/Hire/Train
Preceptors & Mentors
Evaluating Staff Performance
Career ladders
Competency Assessment
Remote CDI
Directing Your CDI Department
Key Department Policies
Query
Escalation
Reconciliation
Internal Audit
Staffing
Remote Employment
Dress Code
Specific CDI Job Roles
Physician Advisor
CDI Educator
CDI Auditor
CDI Analyst
CDI Denial Management
Committees & Groups
Provider Engagement
Multi Campus Management
Vendor Contracting
CDI Expansion- Managing Change
Potential areas of expansion
Managing the process of expansion
* The timing may change as the course is presented to allow for discussion.
Live Virtual Essential Leadership and Management Skills in CDI
Schedule
November — Class Schedule (Eastern time)
| November 14 | 11:30 p.m. – 5:30 p.m. |
| November 15 | 11:30 p.m. – 5:30 p.m. |
| November 16 | 11:30 p.m. – 5:30 p.m. |
| November 17 | 11:30 p.m. – 5:30 p.m. |
Live Virtual Essential Leadership and Management Skills in CDI
Continuing Education
Coming Soon!
Live Virtual Revenue Integrity and Chargemaster Boot Camp
Questions/Answers
Coming Soon!
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If for any reason you are not completely satisfied with an HCPro product, simply return it within 30 days of purchase and we will issue you a full refund.*
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