Myocardial Infarction 4th Universal Definition: Tools for CDI, Coding, and Physician Collaboration - On-Demand

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Myocardial Infarction 4th Universal Definition: Tools for CDI, Coding, and Physician Collaboration - On-Demand

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Myocardial Infarction 4th Universal Definition: Tools for CDI, Coding, and Physician Collaboration - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, February 12, 2019

Presented by: 
James S. Kennedy, MD, CCS, CDIP 
Susan Sweeney, RN, BSN, CCDS, CCS
Abhinav Goyal, MD, MHS, FACC, FAHA
Kelley Pechin, CCS

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It took a committee of cardiologists and other healthcare professionals from the European Society of Cardiology, the American College of Cardiology, the American Heart Association, and the World Health Federation four years to develop the 4th Universal Definition of Myocardial Infarction (MI).

This new definition poses no small difficulty for CDI and coding professionals as it emphasizes the term “myocardial injury” in nontraumatic circumstances, but ICD-10-CM only classifies the term as traumatic.

CDI professionals need to work with their cardiology and coding departments to ensure that patients are not mistakenly reported as having an acute MI when a physician documents myocardial injury. This program features experts from Emory University Healthcare in Atlanta, including Dr. Abhinav Goyal, who developed standardized practices for CDI engagement, education, and query efforts.

Join expert speakers James S. Kennedy, MD, CCS, CDIP; Susan Sweeney, RN, BSN, CCDS, CCS; Abhinav Goyal, MD, MHS, FACC, FAHA; and Kelley Pechin, CCS, for this 90-minute webinar and learn how to work across disciplines to comply with the latest clinical definitions, as well as how to help the CDI team formulate effective queries for MIs.

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

  • Define myocardial infarction (MI) using the 4th Universal Definition
  • Determine best practices in developing clinical definition standards within a facility/healthcare system
  • Collaborate with coding, CDI, and physician advisors to develop educational practices related to the new MI definition
  • Understand financial implications related to inaccurate capture of MI
  • Develop a process for adjudicating MI cases


  • MI definitions/history
    • Related ICD-10-CM coding developments
    • Relevant Coding Clinic discussion
  • Development of new definition
    • Impetus behind new definition
    • Need for internal consensus in definition development
    • Protocols, systemic documentation, and the multidisciplinary team
  • Educating physicians
    • Acknowledging contradictions
    • Adjudicating cases
  • CDI processes and procedures
    • Measuring outcomes
    • Daily practices
    • Tools for improvement
    • Coding involvement
  • Case study examples

Who Should Listen?

  • Dermatology practice coders
  • Coding managers
  • Billers
  • Billing managers
  • Clinicians
  • Compliance managers

Meet the Speakers

Hillary HillHillary Hill, RN, CCDS,* is a contractor for the Emory Healthcare System reviewing concurrent acute myocardial injury cases for adjudication. She has more than six years of experience in CDI and more than 30 years of nursing experience with extensive background in cardiac, PACU and interventional radiology.






James Kennedy


James S. Kennedy, MD, CCS, CDIP, is the president of CDIMD-Physician Champions, a Nashville-based group of physicians, coders, and clinicians engaged nationwide as CDI physician advisors, ICD-10 medical informaticists, and DRG and HCC compliance advocates. His experience includes the private practice of  medicine along with successful entrepreneurial healthcare-related business startups in the public and private sector. His expertise includes physician and hospital leadership, healthcare systems improvement, healthcare documentation and coding compliance, and government relations. He previously served on the ACDIS Advisory Board.




Abhinav GoyalAbhinav Goyal, MD, MHS, FACC, FAHA, is an academic cardiologist and clinical investigator who is an associate professor of medicine (Division of Cardiology) at the Emory School of Medicine, with a joint appointment in the Department of Epidemiology at Emory Rollins School of Public Health. Dr. Goyal also serves as the chief quality officer for the Division of Cardiology at Emory Healthcare. He is responsible for directing all quality-related initiatives in the Division of Cardiology, including providing physician oversight for Emory Hospitals' participation in the American College of Cardiology’s National Cardiovascular Data Registry (CathPCI, ACTION-Registry GWTG, and ICD Registries); the American Heart Association’s Mission: Lifeline program for patients with acute heart attacks; and The Emory Clinic's quality improvement initiatives pertaining to cardiovascular performance measures. 

Susan SweeneySusan Sweeney, RN, BSN, CCDS, CCS,
works with the Covenant HIM team. In her 20+ years as a nurse, she has worked in various settings including cardiac ICU, medical-surgical ICU, and emergency services. Through her intensive chart audit review, Sweeney provides recommendations to the team that affect financial reimbursement, improve capture of secondary diagnoses for severity of illness and risk of mortality scores, and uphold Medicare standards for documentation.



Kelly PechinKelley Pechin, CCS, AMI data analytic coordinator and coding administrator for Covenant HIM, has more than 15 years’ experience in healthcare administration for a diverse range of healthcare organizations. She recently received her CCS certification through AHIMA and coordinates Covenant HIM’s coding, CDI audits, and AMI adjudication project. Pechin has been instrumental in working with the Emory coding and CDI team in tracking and analyzing AMI data for reporting to physicians and coding managers.



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 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! 

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 if you have questions.