ACDIS Imagine: Clinical & Coding Encore

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ACDIS Imagine: Clinical & Coding Encore

Product Code: CDIV08092022

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ACDIS Imagine: Clinical & Coding Encore

Tuesday, August 9 – Thursday, August 11, 2022

Were you unable to attend the 2022 ACDIS conference in Orlando? Did you wish you could join us in learning about and imagining CDI possibilities? Or were you there and would jump at the chance to share some of the sessions with your team? Well, you still can!

ACDIS is proud to offer a virtual education event featuring recordings of the Clinical & Coding Track from the recent 2022 ACDIS conference. Join us Tuesday, August 9 to Thursday, August 11 for this special virtual event featuring sessions recorded live during the 2022 ACDIS National Conference—the entire Clinical & Coding track of the, plus a bonus coaching session … Imagine.

This much-loved staple of the annual national conference features core clinical and coding components vital to all those engaged in ongoing medical record reviews. Join us August 9 – 11, as we re-imagine CDI possibilities through powerful, thought-provoking, and must attend sessions such as: 

  • Coding Clinic & Official Coding Guidelines Updates
  • COUGH to Determine a Gram-Negative Pneumonia
  • Why All the Confusion? The Fallacy of ICU Delirium
  • Sepsis Coding and Documentation Perspectives
  • COVID-19: Clinical Manifestations
  • And much more!


With 10 sessions, presented by industry thought leaders covering the topics you need to know about to help move the needle around clinical and coding CDI topics you will not want to miss this event…again. And as a bonus, we’re also including a recording of the general session, “How to Hold Powerful Coaching Conversations,” so you know how to find and make the most of coaching opportunities to inspire staff and improve both individual and team performance.

Hear what just a few attendees to the live 2022 ACDIS Conference had to say about the Clinical & Coding Track:

“Great group of speakers, extremely experienced, and truly experts on the subject.”

“Presenters were very knowledgeable, content was excellent and as always – timely.”

“I took away a ton of notes from this session. I found it very helpful!”

“Great information!  Learned several new things that will impact my reviews.”


*Once you have purchased this event, you’ll have access to all recordings until September 30, 2022.

ACDIS Imagine: Clinical & Coding Encore

Agenda

Day One — Tuesday, August 9, 2022

12:00 p.m. – 1:00 p.m.
Coding Clinic & Official Coding Guidelines Updates
James Fee, MD, CCS, CCDS, CEO at Enjoin in Germantown, Tennessee

In this session, participants will explore quintessential elements of CDI practices as the speaker reviews recent updates to the Official Guidelines for Coding and Reporting, American Hospital Association’s Coding Clinic for ICD-10-CM/PCS, and other documentation and code assignment requirements.

1:15 p.m. – 2:15 p.m.
Coagulopathy: A Multidisciplinary Concern, Documentation Challenge, and Coding Complexity
Kelly Burns, CCS, education analyst, and Lynn Miller, DO, FACOS, director of education and subject matter expert-neurosurgery, at Accuity in Mt. Laurel, New Jersey

A true coagulopathy can manifest in multiple forms, from traumatic disseminated intravascular coagulation to thrombophilia in weight loss surgery to newborn coagulopathy. During this session, participants will obtain a basic understanding of pathways and various documentation patterns to help facilitate proper diagnosis capture, coding, and query generation.

2:30 p.m. – 3:30 p.m.
COUGH to Determine a Gram-Negative Pneumonia
Adriana Cecchini, MSN, RN, CIC, CDI specialist at Brigham and Women’s Faulkner Hospital in Boston, Massachusetts

Participants will learn to use the COUGH acronym—a fun and easy way to evaluate the diagnosis of pneumonia for possible query opportunity—when evaluating a case admitted with pneumonia. Additionally, attendees will learn about collaboration and query opportunities within their own organization along with rationale behind recommendations on selected diagnostic and treatment strategies for adult patients with Gram-negative pneumonia.

3:45 p.m. – 4:45 p.m.
Why All the Confusion? The Fallacy of ICU Delirium
Vajeeha Sadi-Ali, MD, CCDS, assistant professor of medicine and physician advisor for CDI at Audie Murphy VA Hospital, UT Health San Antonio in San Antonio, Texas, and Merle Zuel, RN, CCDS, RN advisor of CDI at Kansas City VA Medical Center in Kansas City, Missouri

ICU delirium is a fantasy diagnosis that only exists in the mind of the writer. So why do providers insist on using it? Because they believe delirium and encephalopathy are interchangeable—but in terms of ICD-10-CM, they are not. An acute encephalopathy diagnosis would be supported by the same clinical indicators many providers label as “ICU delirium” or “delirium NOS.” Participants will learn various terminologies that better describe the patient’s clinical condition, plus how to distinguish clinical indicators and formulate queries more confidently. Don’t undersell your organization’s SOI/ROM by invoking a psychiatric rather than a neurological diagnosis—join this session to discover the difference.



Day Two — Wednesday, August 10, 2022

12:00 p.m. – 1:00 p.m.
How to Hold Powerful Coaching Conversations
Joan Peterson, MS, vice president, master facilitator, and leadership coach at Bluepoint Leadership Development, a division of Simplify Compliance LLC, in Brentwood, Tennessee

Today’s successful leaders need to understand the motivation of their teams—as a unit and as individuals. They need to be able to coach and inspire staff to improve personal performance and organizational outcomes. In this session, participants will learn how to leverage every conversation into a coaching opportunity and obtain tips for creating an environment of trust and accountability.

1:15 p.m. – 2:15 p.m.
Sepsis Coding and Documentation Perspectives
Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ, manager of CDI audit and education, and Sheila Duhon, eMBA, RN, CCDS, CCS, A-CCRN, national director of CDI operations and education at Steward Health Care in Dallas, Texas, plus Cindy Hestir, MSN, RN, CCDS, CDI specialist at University of Missouri Healthcare System in Columbia, Missouri, and Kay L. Piper, RHIA, CDIP, CCS, hospital coding educator at SSM Health in St. Louis, Missouri

Attendees will delve into the coding and documentation nuances of sepsis, examine applicable Official Guidelines for Coding and Reporting and Coding Clinic guidance, and appreciate how present on admission indicators affect patient safety data. Learn how sepsis definitions have evolved, explore clinical considerations related to quality-of-care measures, and identify opportunities for clinical validation, managing denials, and appeal opportunities. Using sample queries and case examples, participants will gain tips for effective query construction and take-home tools for physician education.

2:30 p.m. – 3:30 p.m.
To the Heart of the Matter: Definitions and Clinical Indicators for Accurate Documentation and Coding of CHF
Trey La Charité, MD, FACP, SFHM, CCS, CCDS, medical director of CDI and coding at the University of Tennessee Medical Center at Knoxville in Knoxville, Tennessee

This presentation will take an in-depth look at the 2021 definition and classifications of congestive heart failure, clinical indicators of acute heart failure, as well as underlying conditions that may precipitate heart failure episodes. Participants will examine documentation considerations related to acuity, specificity, and etiology, as well as documentation strategies that affect principal and secondary diagnosis assignment. Attendees will look at case study examples to better comprehend how to interrogate the medical record and facilitate improved provider documentation guidance.

3:45 p.m. – 4:45 p.m.
Acute Kidney Injury: Developing Dashboards for Early Identification and Validation
David Balt, DO, AAFP, ABFM, physician advisor, Clarissa Barnes, MD, CHCQM-PHYADV, FACP, physician advisor, and Stacy Reck, MBA, RHIA, CDIP, director of CDI and UR, at Avera Health in Sioux Falls, South Dakota

Acute kidney injury (AKI) is an often-underreported diagnosis. Participants will learn how the Avera CDI team partnered with its clinical intelligence staff to produce a real-time AKI dashboard. The tool helps identify patients who meet AKI clinical criteria using current admission data, cross-visit labs from transferring facilities, or information from clinics within the Avera system. Attendees will learn how this tool allows for real-time validation of AKI as well as the ability to pose a provider query when clinical indicators support impaired kidney function. Through this case study, participants will obtain take-home tips on implementing such efforts at their own facilities.



Day Three — Thursday, August 11, 2022

12:00 p.m. – 1:00 p.m.
COVID-19: Clinical Manifestations
Emmel Golden, MD, FCCP, CCDS, CRCR, chief clinical officer at Enjoin based in Germantown, Tennessee

During this session, participants will learn clinical indicators for common manifestations, as well as acute and post-COVID-19 complications from respiratory illnesses such as viral pneumonia—the most common secondary diagnosis in hospitalized COVID-19 patients. Attendees will learn how to recognize the long-term sequelae seen in patients following COVID-19 infections and appreciate the role of CDI and coding in creating the data that illustrates how COVID-19 is affecting hospitalized patients.

1:15 p.m. – 2:15 p.m.
Updates in Challenging Pediatric Diagnoses: Kawasaki Disease, MIS-C, Heart Failure, and Immunodeficiency
Lucinda Lo, MD, pediatric attending hospitalist and physician advisor for CDI & CM at Children’s Hospital of Philadelphia in Media, Pennsylvania, Amy Sanderson, MD, physician advisor, CDI program at Boston Children’s Hospital in Boston, Massachusetts, and Sheilah Snyder, MD, FAAP, pediatric hospitalist at Children’s Hospital and Medical Center in Omaha, Nebraska

Do you know how to distinguish between Kawasaki disease and MIS-C? And when does COVID-19 become MIS-C? Come hear answers to these questions, learn about the clinical aspects of challenging pediatric diagnoses, and get recommendations for query opportunities from three experienced pediatric physician advisors. Other hot topics will include heart failure and immunodeficiency.

2:30 p.m. – 3:30 p.m.
Newborns and Neonates
Glen Nielson, MSN, RN, CDI specialist with Optum360 in Chandler, Arizona, and Heather Sandstrom Schipma, RN, CDI specialist with Optum360 in Phoenix, Arizona

Denial prevention has become a paramount strategy within CDI practice, with a lot of attention toward adult DRGs. But what about the realm of newborns and neonates? Caring for a newborn with complicating factors frequently requires additional hospital days, plus more monitoring and consumption of resources. MS-DRGs include representation for this increased complexity with a move from DRG 795 (normal newborn) to DRG 794 (neonate with other complicating factors), but it is often targeted by insurers for downgrade because it represents an 800% payment increase. This presentation will focus on how 795 can become 794 and how it can solidly remain there with the support of clinical knowledge, coding, and denials.


Agenda subject to change

ACDIS Imagine: Clinical & Coding Encore

Speakers

James Fee, MD, CCS, CCDS, is CEO at Enjoin based in Germantown, Tennessee. He is board certified in internal medicine and pediatrics and maintains a clinical practice in hospital medicine. Fee has been involved in operations and process development of CDI programs nationwide, including training physician advisors, coders, and CDI specialists. A frequent speaker at professional conferences, he has authored articles for many publications, including ACDIS, and has served on the ACDIS Advisory Board.

Kelly Burns, CCS, education analyst at Accuity in Mt. Laurel, New Jersey, serves as a subject matter expert in medical coding and revenue cycle management, in addition to spearheading educational offerings for client coders. Her background in health information and physician-directed content development enables her to be a key member of the Accuity department of education. She obtained her coding education at SUNY Downstate Brooklyn and is currently pursuing a Master of Public Health from George Washington University.

Lynn Miller, DO, FACOS, director of education and subject-matter expert neurosurgery at Accuity in Mt. Laurel, New Jersey, is a board-certified adult and pediatric neurosurgeon. She holds fellowship status in the American College of Osteopathic Surgeons and board certification in integrative medicine, working toward her fellowship status in wilderness medicine. Prior to joining Accuity, Miller developed and implemented educational events and programs within academic arenas, medical facilities, and medical device corporations.

Adriana Cecchini, MSN, RN, CIC, CDI specialist at Brigham and Women’s Faulkner Hospital in Boston, Massachusetts, has been a nurse for more than 15 years. She has experience in both acute care and infectious disease/public health. She received her certification in infection control and epidemiology in 2016. Cecchini has been working in CDI since 2019. She currently serves as a co-chair for the Massachusetts ACDIS chapter and is on the board of directors for Health Innovations.

Vajeeha Sadi-Ali, MD, CCDS, is assistant professor of medicine and physician advisor for CDI at Audie Murphy VA Hospital, UT Health San Antonio in San Antonio, Texas, where she oversees the inpatient and outpatient program. She has 5 years of experience in the world of CDI, which includes networking at the national level. Sadi-Ali is also in the process of developing a CDI curriculum for provider learners in the inpatient and outpatient setting. She has contributed to the ACDIS CDI Journal through her “The VA Way” series of articles.

Merle Zuel, RN, CCDS, RN advisor of CDI at Kansas City VA Medical Center in Kansas City, Missouri, has been involved in national CDI improvement efforts. Nationwide networking through the VA and other organizations has shaped his knowledge of the challenges faced by private-sector employees entering the VA system in CDI. A member of the ACDIS Leadership Council, Zuel has contributed to the ACDIS CDI Journal through his “The VA Way” series of articles.

Joan Peterson, MS, is vice president, master facilitator, and leadership coach at Bluepoint Leadership Development, a division of Simplify Compliance LLC, based in Brentwood, Tennessee. With more than 20 years’ experience working with leaders at all levels and in many industries, she is noted for her energetic and interactive facilitation style. Her feedback typically includes these words: engaging, excellent, enthusiastic, informative, and professional. She is equally adept at working with frontline emerging leaders as she is with executive teams.

Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ, is manager of CDI audit and education at Steward Healthcare headquartered in Dallas, Texas. She has more than 20 years of CDI experience and more than 30 years of nursing experience, with an extensive background in critical care, emergency care, case management, and UR. A past ACDIS presenter and guest on The ACDIS Podcast, she currently serves as a member of the ACDIS Events Committee and Leadership Council.

Sheila Duhon, eMBA, RN, CCDS, CCS, A-CCRN, is the national director of CDI operations and education for Steward Health Care, LLC, headquartered in Dallas, Texas. Duhon has an extensive background in critical care nursing and multiple leadership roles across several states, with more than 16 years’ experience in the field. A past ACDIS conference and local ACDIS chapter speaker, she has been featured on The ACDIS Podcast and in the CDI Journal. She is a member of the ACDIS Leadership Council, the ACDIS Mastermind Council, and the author of the CDI Workbook: Investigating Complex Cases and Formulating Queries.

Cindy Hestir, MSN, RN, CCDS, CDI specialist at University of Missouri Health Care in Columbia, Missouri, has more than 25 years of experience including general medicine, cardiology, cardiac and pulmonary rehabilitation, staff health, care coordination, and UR. She is a member of the state conference planning committee, as well as the national ACDIS Events Committee.

Kay L. Piper, RHIA, CDIP, CCS, is a hospital coding educator for SSM Health based in St. Louis, Missouri. She educates inpatient coders working in 24 hospitals across four states. She served as the coding roundtable coordinator for the Missouri Health Information Management Association and serves on the ACDIS Regulatory Committee. Piper has authored coding articles for ACDIS’ CDI Journal, created educational materials for AHIMA, and served on the American Hospital Association’s Coding Clinic Editorial Advisory Board.

Trey La Charité, MD, FACP, SFHM, CCS, CCDS, is the medical director for CDI and coding at the University of Tennessee Medical Center at Knoxville in Knoxville, Tennessee. A past ACDIS Advisory Board member, La Charité is a regular presenter at the ACDIS pre-conference Physician Advisor’s Role in CDI Boot Camp. He is clinical assistant professor of internal medicine and curriculum director of the residency program’s hospitalist rotation. A practicing hospitalist for nearly 20 years, he has oversight spanning case management, UR, medical records, compliance, and performance improvement.

David Balt, DO, AAFP, ABFM, is the physician advisor at Avera Health in Sioux Falls, South Dakota, where he works to establish system-level strategies for CDI/UR programs and assists with physician-to-physician discussions and education. He was a former ED physician and CMO at Avera Queen of Peace before assuming the role of system physician advisor.

Clarissa Barnes, MD, CHCQM-PHYADV, FACP, is a physician advisor for the Avera Health System and lead physician advisor for Avera McKennan Hospital and University Health Center in Sioux Falls, South Dakota. She is the vice president for member engagement for the American College of Physician Advisors. In her clinical role, she is an internist currently practicing as a hospitalist. Barnes comes to the role with an interest in creating ways to educate physicians and CDI/UR staff, as well as an enthusiasm for bringing people together to learn from each other and create system initiatives.

Stacy Reck, MBA, RHIA, CDIP, is the director of CDI and UR at Avera Health in Sioux Falls, South Dakota, with responsibility for strategic and operational planning, design, implementation, and oversight of systemwide standardization of CDI and UR programs. With more than 17 years of experience in HIM, she has led initiatives such as ICD-10 implementation, standardization including benchmarking, and system initiatives involving physician education. Reck is a member of the 2019–2020 ACDIS Leadership Council and has served on the SDHIMA board of directors for multiple terms.

Emmel Golden, MD, FCCP, CCDS, CRCR, chief clinical officer at Enjoin based in Germantown, Tennessee, has more than 30 years’ experience in pulmonary medicine and critical care. He teaches providers and CDI staff about the role of documentation in defining the acuity and complexity of inpatient care and works with HIM professionals to achieve the goal of aligning inpatient coding with clinically valid documentation. Currently serving as an intensivist for the Baptist Memorial Health Care Corporation, Golden has assisted in caring for COVID-19 patients during the pandemic.

Lucinda Lo, MD, is a pediatric attending hospitalist and physician advisor for CDI & CM at Children’s Hospital of Philadelphia in Media, Pennsylvania. She is a clinical associate professor of pediatrics at the University of Pennsylvania School of Medicine, and she is board certified with the American Board of Pediatrics. In her role as physician advisor for CDI and CM, she provides education and feedback to medical staff on CDI topics. She fully participates in utilization management and denial reviews as well as formulation of associated institutional policy and practice. Lo has presented at past ACDIS conferences, assisted on pediatric-focused white papers, and been featured in ACDIS’ CDI Journal.

Amy Sanderson, MD, is a physician advisor, CDI program at Boston Children’s Hospital. She has been the physician advisor for the CDI program since its inception in 2014. She also serves as an assistant professor in anaesthesia at Harvard Medical School. Sanderson has presented at the ACDIS conference and is a contributing author to the 2017 book Pediatric CDI: Building Blocks for Success.

Sheilah Snyder, MD, FAAP, is a pediatric hospitalist at Children’s Hospital and Medical Center in Omaha, Nebraska. Snyder serves as a physician advisor for the Epic inpatient team and CDI program, which allows her to leverage the electronic health record to produce excellent CDI outcomes. Snyder has presented at the ACDIS conference and contributed to the book Pediatric CDI: Building Blocks for Success.

Glen Nielson, MSN, RN, is a CDI specialist with Optum360 in Chandler, Arizona. His 25 years’ experience in patient care includes time as a paramedic and in the ED and ICU, with additional focus in the PICU and NICU. Understanding these at-risk populations and how CDI/coding can help prevent denials represents another step in the healthcare continuum.

Heather Sandstrom Schipma, RN, is a CDI specialist with Optum360 at St. Joseph’s Hospital & Medical Center in Phoenix, Arizona. With more than 20 years’ experience in PICU, NICU, ICU, ED, trauma, and pediatric medicine, she has been in CDI for roughly five years. She was named ACDIS 2018 Rookie of the Year.

ACDIS Imagine: Clinical & Coding Encore

Learning Objectives

After attending this conference, participants will be able to:

  • Discuss key clinical indicators for common diagnoses necessary for effective query creation
  • Identify three elements of compliant physician queries
  • Describe one way to use the acronym COUGH
  • Discuss two ways to educate providers about terms used to describe neurological diagnoses
  • Describe how sepsis definitions have evolved over time


Who Should Attend?

  • Clinical Documentation Integrity Specialists
  • CDI Staff
  • Inpatient Coders
  • CDI Mangers/Directors
  • HIM Mangers/Directors
  • Case Managers
  • Revenue Integrity Specialists
  • Chief Financial Officers
  • Chief Medical Officers
  • Physician Advisors

ACDIS Imagine: Clinical & Coding Encore

Pricing

  • Retail price: $399.00
  • ACDIS Membership price: $379.00
  • 2022 ACDIS National Conference attendee price: $299.00

Group pricing is as follows:

  • 4-10 attendees = each attendee receives 10% discount off retail price
  • 1-15 attendees = each attendee receives 15% discount off retail price
  • 16-20 attendees = each attendee receives 20% discount off retail price
  • 21+ attendees = each attendee receives 25% discount off retail price

Call Customer Service at 800-650-6787 ext. 4111 or email HCEvents@hcpro.com to receive your Discounts.

ACDIS Imagine: Clinical & Coding Encore

Continuing Education

ACDIS
This program has been approved for 11 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS and CCDS-0) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).

ACCME
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

HCPro designates this educational activity for a maximum of 11 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

NAHRI
This program has been approved for 11 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).