Sepsis: Resolving Documentation and Coding Conflicts Through CDI - On-Demand

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Sepsis: Resolving Documentation and Coding Conflicts Through CDI- On-Demand

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Sepsis: Resolving Documentation and Coding Conflicts Through CDI - On-Demand


Available ON-DEMAND

Presented on:
Thursday, October 18, 2018

Presented by:
Cesar M. Limjoco, MD
Shelly McBrayer, BSN, RN, CCM, CCDS

Level of Program:

Sponsored by:

Coding for sepsis and sepsis-related conditions has always caused consternation. With the new clinical definitions released in 2016, and the coding rules that govern assignment for these critical conditions still shifting, it’s more complicated than ever to query for clarification and final code assignment. In light of the new developments in clinical criteria for sepsis and sepsis-related diseases, CDI professionals need to work ever more collaboratively with coders and physicians to ensure proper documentation and avoid claims denials.

In this extended webinar, CDI experts Cesar M. Limjoco, MD, and Shelly McBrayer, BSN, RN, CCM, CCDS, will help participants understand sepsis pathophysiology as well as the coding concerns related to sepsis documentation. Attendees will also learn how the team at Chesapeake Regional Healthcare in Virginia tackled their query and documentation concerns, getting specific techniques to bring back to their facilities.

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

  • Understand sepsis pathophysiology
  • Differentiate between bloodstream infection and sepsis
  • Describe the difference between organ dysfunction and failure
  • Clarify sepsis vs. severe sepsis conditions
  • Assist in sepsis denials management
  • Explain coding regulations related to sepsis-type conditions


  • Clinical conditions and sepsis-related disease definitions
    • Sepsis 
    • Septic shock 
    • Systemic inflammatory response syndrome (SIRS) 
    • Sepsis-related organ failure 
    • Septicemia 
    • Sepsis syndrome 
    • Bacteremia 
    • Surviving Sepsis campaign 
  • The Third International Consensus Definitions for Sepsis and Septic Shock 
    • Sequential (Sepsis-Related) Organ Failure Assessment (SOFA) score 
    • Quick SOFA (qSOFA) bedside screening tool 
  • Coding and documentation conundrums 
    • ICD-10-CM Index to Diseases and Injuries, Tabular List, and Official Guidelines for Coding and Reporting 
    • Organ dysfunction “associated with” sepsis 
    • Audit risks 
  • Regulatory responses to new definitions 
    • Surviving Sepsis campaign 
    • ACDIS Advisory Board 
    • CMS 
    • CMS Hospital Inpatient Quality Reporting (IQR)/National Quality Forum (NQF) severe sepsis and septic shock management bundle 
  • Collaborative responses 
    • Process and procedure revision 
    • Educational efforts 
    • Query collaboration and creation
  • Live Q&A


  • Sample queries

Who Should Listen?

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

Continuing Education

Association of Clinical Documentation Improvement Specialists (ACDIS/CCDS)
(Live + On Demand) - This program has been approved for 2 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 CEU’s for this webinar expires on: (10/17/2019)

American Nurses Credentialing Center (ANCC)
(Nursing contact hours valid for live webcast participant 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 2 nursing contact hours is provided by HCPro. (Ability to claim nursing contact hours for this webinar expires on: (10/17/2019)


Meet the Speakers

Cesar M. Limjoco, MD

Cesar M. Limjoco, MD, CDI physician advisor consultant, has more than 25 years’ experience assisting hospitals with the improvement of clinical documentation. He has delivered CDI services to critical access hospitals, small community hospitals, regional referral centers, large academic medical centers, and multi-facility health systems, all while building a solid reputation of integrity and accuracy through peer-to-peer physician education and collaborative team building.

Shelly McBrayer, BSN, RN, CCM, CCDS

Shelly McBrayer, BSN, RN, CCM, CCDS, CDI coordinator at Chesapeake (Virginia) Regional Healthcare, has worked in emergency, case management, quality, and CDI. A nurse for 22 years, she joined the CDI team in 2012 and earned her CCDS in 2014. McBrayer is an active leader of the Virginia ACDIS Chapter and also serves on her facility’s ethics committee.

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 $299 value!

Participation in the webinar is just $299 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.