Pneumonia: Clinical Criteria and Documentation Requirements for CDI Professionals - On-Demand

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Pneumonia: Clinical Criteria and Documentation Requirements for CDI Professionals - On-Demand

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Pneumonia: Clinical Criteria and Documentation Requirements for CDI Professionals - On-Demand

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Available ON-DEMAND

Presented on: Thursday, February 13, 2020

Presented by: Colleen M. Rafferty, MD, MPH

Keeping track of the ever-changing clinical definitions and guidelines can give even the most enterprising CDI professional a headache. In fall 2019, the Infectious Diseases Society of America and the American Thoracic Society published brand-new treatment and diagnosis guidelines for pneumonia. The problem, however, is the discrepancy between the coding language and the diagnostic reality, which often leads to an over-classification of pneumonias as “simple pneumonias.” 

During this 90-minute program, Colleen M. Rafferty, MD, MPH, will unpack the new pneumonia guidelines, provide practical tips for navigating the coding classifications and the diagnostic reality, and offer advice for developing organizationwide clinical criteria to aid in query formation.

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

  • Differentiate between community-acquired pneumonia, hospital-acquired pneumonia, and ventilator-associated pneumonia
  • Explain the newest infectious Diseases Society of America/American Thoracic Society guidelines for diagnosis and treatment of community-acquired pneumonia (CAP)
  • Describe the clinical indicators for severe and non-severe CAP for reporting complex pneumonia
  • Formulate effective queries to ensure proper pneumonia documentation and avoid over- or under-coding pneumonia

Agenda

  • Pneumonia definitions and differences
    • Community-acquired pneumonia
    • Hospital-acquired pneumonia
    • Ventilator-associated pneumonia
    • Aspiration pneumonia
  • Coding challenges
    • Frequency of coding/DRGs
    • Clinical and coding mismatches
  • Forming a clinical definitions committee
    • Relevant stakeholders
    • Developing committee goals
    • Measuring committee impact
  • Physician education
    • Implementing organizationwide clinical indicators
    • Education and query tactics
  • Case study examples

Who Should Listen?

  • CDI specialists
  • CDI managers/directors
  • HIM managers/directors
  • Inpatient coders
  • Physician advisors
  • Hospital quality staff

Meet the Speaker

Colleen M. Rafferty, MD, MPH, is a CDI physician advisor and a practicing internist at Penn State Health Milton S. Hershey Medical Center in Hershey, Pennsylvania. Dr. Rafferty graduated from University of California Davis School of Medicine in 1999 and completed her residency in internal medicine at Boston University. After residency, she worked at the Massachusetts General Hospital Charlestown Clinic in internal medicine ambulatory care before joining the internal medicine team at Penn State. In 2016, Dr. Rafferty became one of the CDI physician advisors at her organization and now splits her time between clinical practice, CDI, and clinical informatics.

 

Continuing Education

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).

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).

AHIMA (live & on demand)
This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webinar expires on: 2/12/21

ANCC (Live Only) 

HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
This educational activity for 1.5 nursing contact hours is provided by HCPro. 

Ability to claim credits for this webinar expires on: 2/12/21

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.