What Your CDI Team Needs to Know About Mortality Risk Adjustment

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What Your CDI Team Needs to Know About Mortality Risk Adjustment

Product Code: YHHA082719

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What Your CDI Team Needs to Know About Mortality Risk Adjustment

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Presented on: Tuesday, August 27, 2019 | 1:00–2:30 p.m. Eastern

Presented by: Vicki J. Galyean, RN, BSN, CCDS and Gina Fones-DiCrocco, MEd, CPC, CRCR

Severely ill patients suffer multiple failures of the human body. When these patients come to the inpatient acute care setting for treatment, providers strive to provide the best care possible, but unfortunately, that care cannot always save the patient’s life.

A hospital mortality has the potential to negatively affect a whole host of data for both the facility and the physicians treating such patients—including reimbursement, quality measures, observed to expected mortality ratios, and public reporting statistics.

Join Vicki J. Galyean, RN, BSN, CCDS, and Gina Fones-DiCrocco, MEd, CPC, CRCR, from Wake Forest Baptist Medical Center in Winston-Salem, North Carolina, as they share their focus on mortality risk adjustment and the importance of establishing a systematic approach to reviewing records from a mortality perspective for risk adjustment optimization.

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

  • Explain CMS 30-day risk-standardized mortality measures
  • Define “expected” versus “observed” mortality rates
  • Identify common risk-adjusting diagnoses
  • Employ a risk adjustment calculator
  • Discuss optimization of risk adjustment using a multi-disciplinary approach between coding and CDI
  • Incorporate insight from medical staff, quality, coding, and CDI to develop compliant query and denials management strategies

Agenda

  • Risk adjustment
    • Methods
    • Severity of illness/risk of mortality
  • CMS 30-day risk-standardized mortality measures
    • Present on admission/hospital-acquired conditions
    • Principal and secondary diagnosis capture
  • Expected versus observed mortality rates
    • Risk model calculator
    • Top diagnoses that risk-adjust for sample DRGs
    • Tools to compare hospitals on quality rankings
  • Multidisciplinary plans
  • Live Q&A

Tools

  • Sample queries

Who Should Listen?

  • CDI specialists
  • CDI managers/directors
  • HIM managers/directors
  • Inpatient coders
  • Physician advisors
  • Quality assurance
  • Compliance officers
  • Internal auditors

Meet the Speakers

Vicki GalyeanVicki J. Galyean, RN, BSN, CCDS, is one of Wake Forest Baptist Medical Center’s CDI team leaders in Winston-Salem, North Carolina. She has more than 30 years of clinical experience, including eight years in CDI. Galyean currently reviews quality measures and adverse events focusing on mortality risk adjustment, hospital-acquired conditions, and Patient Safety Indicators. She collaborates with coding to ensure capture of diagnoses that accurately reflect severity of illness and risk of mortality.

 

 

 

 

 

Gina Fones-DiCroccoGina Fones-DiCrocco, MEd, CPC, CRCR, is a seasoned revenue cycle professional with more than 25 years of combined clinical and revenue cycle experience ranging from community hospitals to academic medical centers. She currently oversees the quality and education department for coding, ensuring that inpatient and outpatient coding teams are performing at the highest quality. She directs coding audits and coder educational programs, in addition to overseeing the Wake Forest Baptist Medical Center’s Coder Academy. Fones-DiCrocco also has extensive experience providing direct education to middle revenue cycle teams and process improvement teams, and she works closely with clinical documentation peers for adverse event reporting and risk adjustment capture.

 

Continuing Education

Association of Clinical Documentation Improvement Specialists (ACDIS)
This program has been approved for 1.5 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 Improvement Specialists (ACDIS).

Ability to claim credits for this webinar expires on: 08/26/2020

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 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).

Ability to claim credits for this webinar expires on: 08/26/2020

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.