ACDIS Online: CDI Symposium for Outpatient Efforts

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ACDIS Online: CDI Symposium for Outpatient Efforts

Product Code: CDIV12062022

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ACDIS Online: CDI Symposium for Outpatient Efforts

Tuesday, December 6 – Thursday, December 8, 2022

Outpatient CDI. The term “outpatient” means different things to different people. For nearly a decade, however, CDI professionals have been digging into this idea, delving into reimbursement, coding, and documentation rules governing healthcare outside the hospital walls. Digging into what it means, truly, to expand documentation integrity efforts to a wide variety of outpatient settings.

Join us virtually for our three-day online symposium to learn life lessons about how program directors and staff have structured their outpatient efforts. You’ll obtain tools related to outpatient policies and procedures, CDI staffing structures, and query processes. You’ll learn tips for physician engagement in busy provider offices. And you’ll gain metrics for ensuring productivity, quality, and return on investment.

Outpatient CDI can have many definitions. But at this year’s outpatient symposium, you’ll learn how to parse through those definitions to build a program that fits your organization’s needs.

ACDIS Online: CDI Symposium for Outpatient Efforts

Agenda

*Agenda and speakers subject to change. Times listed are Eastern.

Day 1: Tuesday, December 6, 2022

Welcome Remarks
11:55 a.m.

Keynote
12:00 p.m. – 1:00 p.m.
Fire Up So You Don’t Burn Out: How to Prevent, Break Through, and Extinguish Burnout (and the Power of Resiliency)
Jessica Rector
Burnout is like a wildfire… spreading quickly and affecting everything in its path. Jessica Rector shares her Burnout Success Formula, the misconceptions with burnout, and easy-to-implement actionable steps to improve motivation, productivity, and mind wellness. She is not just talk; she demonstrates strategies, so you know exactly how to do them (and why they are important). The result: Using Jessica’s blueprint, you’ll end this session feeling more energized, empowered, and resourceful to stifle stress, overcome overwhelm, and break through burnout, which improves performance, engagement, and focus greatly increasing health and wellness, resulting in people who are more productive, able to perform at a higher level, and stay at their organization longer.

Live Panel Discussion
1:10 p.m. – 2:00 p.m.
Join outpatient CDI experts Kim Conner, BSN, CCDS, CCDS-O, Tami McMasters-Gomez, MHL, CCDS, CDIP, and Jessica Vaughn, DNP, RN, CCDS, CCDS-O, CRC, for a lively discussion.

Session
2:10 p.m. – 3:00 p.m.
Ambulatory Adventures in CDI
Jennifer Boles, BS, CPC, CRC, CCDS-O
Follow the five-year long adventure of developing and expanding an ambulatory CDI program, including how to choose staff and which certifications make for a good fit. Boles will cover varied ways to track productivity, examine focus areas, select projects, determine strategies, and identify specialties on which to focus resources.

3:10 p.m. – 3:20 p.m.
Sponsored Session

Session
3:30 p.m. – 4:20 p.m.
What’s the Risk? Understanding Risk Adjustment Across the Healthcare Continuum
Jessica M. Vaughn, DNP, RN, CCDS, CCDS-O, CRC
Risk adjustment is becoming a popular theme in CDI. But few understand what it is and why it matters. This session will explore the elements and different models of risk adjustment and the importance of using HCC codes to accurately reflect patient care and improve value-based outcomes.

Live Q&A
4:30 p.m. – 5:00 p.m.
Join the speakers for a live Q&A and submit all your questions from the day’s sessions.


 

Day 2: Wednesday, December 7, 2022

Session
12:00 p.m. – 12:50 p.m.
A Team Approach to Outpatient Denials: CDI and Coding Working Together to Improve Documentation and Reduce Outpatient Denials
Kim Conner, BSN, CCDS, CCDS-O, and Camille Ruiz, RHIA
CDI’s role in the outpatient setting has not traditionally included evaluation and management (E/M) but with the increased volume of outpatient denials, E/M leveling and professional billing regulation can no longer be siloed. Collaboration between CDI, professional coders, HIM, and the revenue cycle team is essential in reducing denials. This team approach can uncover:

  • root causes for denials
  • gaps in documentation
  • Educational opportunities for providers
  • Follow up with progress


This session will examine how collaborative denial prevention promotes accurate claim submission that will result in lower account receivable days and allow for proper payment for services provided.

Session
1:00 p.m. – 1:50 p.m.
Ambulatory Clinical Documentation Excellence:  An Ongoing Process
Denice Hebert, RN, CCDS-O, Lisa Schmidt, BS, RN, and Katrina Bradford, BS, CPC, CRC, COC, CPC-I, LSS-GB
Ochsner’s outpatient CDI program is one of the earliest in the country and this session will discuss the highs and lows of getting the program off the ground and where the program is headed in the future. The speakers will cover opportunities for record review, how they educate providers about documentation improvement opportunities related to their medical records, how they made the case to hospital administrators for CDI program expansion into the outpatient arena, and will touch on common problems and strategies for overcoming them.

Session
2:00 p.m. – 2:50 p.m.
Clinical Risk Adjustment: Ensuring Compliance through Complete and Accurate Documentation and Coding
Wilson Gabbard, FACHE, David Enevoldsen, CRCR
Many health systems are increasing the financial and quality impact of their CDI programs by expanding into outpatient and ambulatory, but CDI in these setting is challenging because it cannot simply replicate inpatient processes. During this session, the speakers will discuss critical success factors and program framework to leverage while developing an ambulatory CDI program—with an emphasis on clinical risk adjustment—while reviewing case studies that have achieved outsized impacts. It will cover compliance and vulnerabilities that exist in Medicare Advantage, including high-risk and mis-keyed diagnoses as well as OIG targeted audits across the industry.

2:50 p.m. – 3:00 p.m.
Break (10 minutes)

3:00 p.m. – 3:10 p.m.
Sponsored Session

Session
3:20 p.m. – 4:10 p.m.
Outpatient Query Creation and Compliance
Kenzi Brooks, CCDS-O, CCS, COC, CRC, CPC-A
Join Kenzi Brooks for a look at how West Virginia Medicine created a process for compliant queries and how they communicate with providers and track their responses.

Live Q&A
4:20 p.m. – 4:50 p.m.
Join the speakers for a live Q&A and submit all your questions from the day’s sessions.


 

Day 3: Thursday, December 8, 2022

Session
12:00 p.m. – 12:50 p.m.
Does Your Documentation MEET the M.E.A.T. Criteria
Leigh Poland, RHIA, CCS
This case study presentation will walk you through scenarios and share best practices for documenting and coding for chronic conditions. Coding Guidelines state that a condition must be present at the time of the encounter, affect patient care or management, and be clearly documented to be coded as a diagnosis. Physicians must accurately document each patient diagnosis and the diagnosis MUST be based on clinical medical record documentation from a face-to-face encounter. This means that diagnoses cannot be wholly determined from test results and a patient’s past medical history. A well-documented progress note should include the HPI, ROS, physical exam, and show the medical decision-making process. Poland covers how each diagnosis must be documented in an assessment and care plan and each diagnosis must show that the provider is Monitoring, Evaluating, Assessing/Addressing, or Treating the condition.

Session
1:00 p.m. – 1:50 p.m.
A Physician Advisor Journey from Inpatient to Outpatient CDI: Lessons learned and advice to grow your CDI Physician Advisor program
Yoon Sin Kim, DO, CCDS
Listen to takeaways from a physician advisor regarding streamlining processes to grow your outpatient CDI program. Find out how Baylor Scott & White  Healthcare System uses physician advisors to bridge gaps between various departments and committees in order to develop best practice recommendations for documentation, and the biggest lessons they learned during the process of creating education for key conditions including MIs, malnutrition, pressure injuries, and diabetes.

1:50 p.m. – 2:00 p.m.
Break (10 minutes)

Session
2:00 p.m. – 2:50 p.m.
Expanding the reach of CDI: CDI in the Emergency Room
Autumn Reiter, MBA, BSN, RN, CCDS, CCDS-O, CDIP, CCS, Elizabeth Hylton, CPC, CEMC
Launching a successful documentation improvement initiative within an emergency department has its challenges, but also many rewards. CDI specialists are being tasked with obtaining clear and accurate documentation in the outpatient arena, including the emergency department. However, CDI programs in the outpatient settings carry a unique set of challenges for the CDI specialists, case managers, and physicians involved. This presentation will review how to build a program, areas of focus, education for CDIs and providers, and key program metrics, as well as overcoming obstacles.

Live Q&A
3:00 p.m. – 3:30 p.m.
Join the speakers for a live Q&A and submit all your questions from the day’s sessions.


Agenda subject to change

ACDIS Online: CDI Symposium for Outpatient Efforts

Learning Objectives

At the conclusion of this activity, the learner will be able to:

  • Define risk-adjustment payment methodologies
  • Describe how coding and payment systems differ for outpatient settings
  • Explain outpatient documentation workflows
  • Identify opportunities for documentation integrity queries within outpatient settings
  • Describe physician engagement strategies specific to outpatient documentation integrity efforts

ACDIS Online: CDI Symposium for Outpatient Efforts

Pricing

  • Retail price: $399.00
  • ACDIS Membership price: $379.00

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.