CDI Workshop: Unpack Clinical Validation Efforts and Query Practices - On-Demand

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CDI Workshop: Unpack Clinical Validation Efforts and Query Practices - On-Demand

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CDI Workshop: Unpack Clinical Validation Efforts and Query Practices - On-Demand

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Available ON-DEMAND

Presented on:
Thursday, February 22, 2018

Presented by:
Cheryl Ericson, MS, RN, CCDS, CDIP
Cathy Farraher, RN, BSN, MBA, CCM, CCDS

Level of Program:
Advanced

Sponsored by:
ACDIS

Join our CDI Workshop on clinical validation to hone your skills and feel prepared to identify the most relevant clinical indicators for complex diagnoses.

Between coding guidance and query guidelines, clinical validation has become a dicey subject for CDI professionals. Yet, increased audit and denial activity requires CDI specialists to perform clinical validation reviews every day. To successfully do so, though, CDI specialists require an advanced clinical knowledge base to identify the relevant clinical indicators, as well as a firm grasp of ethics and compliance concerns.

In this three-hour program, Cheryl Ericson, MS, RN, CCDS, CDIP, and Cathy Farraher, RN, BSN, MBA, CCM, CCDS, take a deep dive into some of the most complex diagnoses and walk through the importance of clinical validation using real-life examples.

Upon completion of this program, attendees will be able to: 

  • Define the clinical validation process
  • Explain compliance implications related to clinical validation, coding, and queries
  • Identify areas vulnerable to clinical validation audits and denials
  • Apply the process of clinical validation to several common diagnoses
  • Develop effective clinical validation query templates
  • Conduct successful physician education related to clinical validation


Who Should Listen? 

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


Agenda 

  • Clinical validation
    • What is clinical validation?
    • How to formulate clinical validation queries
      • The value and importance of clinical indicators
    • Collaboration between CDI, providers, coding, and quality
    • Compliance and ethical concerns related to clinical validation
      • Facility policies versus ethical quandaries
      • Navigating differing advice related to clinical validation
      • Impacting quality measures
  • Application of clinical validation process to commonly challenged diagnoses
    • Acute renal failure
    • Respiratory failure and postoperative pulmonary insufficiency
    • Sepsis
  • Defending against clinical validation denials and audits
    • Recovery Auditors
    • Private payer denials 
    • Office of Inspector General Work Plan
    • Developing facility-specific clinical criteria
    • Fighting denials


Tools 

  • Sample queries
  • ACDIS White Paper: “Clinical validation and the role of the CDI professional”


Continuing Education 

American Health Information Management Association (AHIMA)
(Live + On Demand) - This program has been approved for 3.0 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webinar expires on: 02/21/2019)

Association of Clinical Documentation Improvement Specialists (ACDIS/CCDS)
(Live + On Demand) - This program has been approved for 3 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: 02/21/2019)


Meet the Speakers

Cheryl Ericson, MS, RN, CCDS, CDIP

Cheryl Ericson, MS, RN, CCDS, CDIP, is the manager of clinical documentation services at DHG Healthcare in Charleston, South Carolina. The program at DHG expands out of MS-DRG assignment into quality concerns. Its focus on clinical clarity and complete diagnosis coding prepares CDI programs for accurate outcomes measurements and reimbursements under all payment models. Ericson is a CDI subject matter expert for a variety of industry publications and associations and keeps regular speaking engagements. Additionally, she currently serves as the chair of the CDI Practice Guidelines Committee for the Association of Clinical Documentation Improvement Specialists (ACDIS) and its credentialing committee.

Cathy Farraher, RN, BSN, MBA, CCM, CCDS

Cathy Farraher, RN, BSN, MBA, CCM, CCDS, is a clinical documentation specialist at Newton-Wellesley Hospital in Newton, Massachusetts. Before joining the CDI team, Farraher worked as an ICU float nurse and an RN consultant in case management. She has performed services as a legal nurse consultant, a utilization review nurse, and an off-shift supervisor at a Level I trauma center in Boston. In addition to her CDI job duties, Farraher also serves as the chair-elect for the CDI Practice Guidelines Committee for ACDIS; she is also a past leader and current member of the Massachusetts ACDIS local chapter. 


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 is now 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 $399 value! 

PLEASE NOTE 
Participation in the webinar is just $399 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.