Clinical Documentation Integrity Boot Camp®

Course Overview

Launch a successful CDI career with help from the experts at ACDIS, the Association of Clinical Documentation Integrity Specialists

The CDI Boot Camp is ACDIS' premier training for CDI specialists. Trusted by hundreds of CDI specialists as the go-to source for CDI education, this course defines the role of CDI specialists and provides comprehensive training on their responsibilities.

Improve your CDI know-how with ACDIS-endorsed best practices for medical record review and compliant physician querying. Learn the ins and outs of Medicare's Inpatient Prospective Payment System (IPPS) methodology and how it relates to short-term acute care hospital reimbursement, which is often a focus of CDI efforts. Specifically, you'll learn about Medicare Severity Diagnosis-Related Group (MS-DRG) methodology, including how MS-DRGs are assigned and how documentation affects code assignment and sequencing.

Throughout the majority of this Boot Camp, you'll work with instructors to explore diagnoses that typically require clarification for proper code and MS-DRG assignment. Armed with this knowledge, you'll be able to credibly query physicians to ensure accurate claims data and reimbursement.

Leave the CDI Boot Camp with a thorough understanding of:

• The ICD-10-CM Official Guidelines for Coding and Reporting, as seen from a CDI perspective
• Diagnoses frequently in need of additional documentation to support accurate code assignment across all major body systems
• The value of compliant provider query practice and best practices associated with the query process
• Core provider education concepts such as IPPS reimbursement, documentation integrity, and quality metrics
• IPPS methodology based on MS-DRG assignment, and the impact of diagnosis assignment and sequencing on hospital reimbursement
• CDI benchmarking basics, compliance risks, and professional ethics

The CDI Boot Camp will help you:

• Implement a step-by-step process for thorough medical record review based on industry guidelines
• Develop compliant verbal and written physician queries and understand how to effectively query providers
• Recognize significant clinical indicators supporting problematic diagnoses such as heart failure, sepsis, acute renal failure, and encephalopathy
• Understand the impact of compliance initiatives on CDI, including the Recovery Auditor program and the Office of Inspector General (OIG) Work Plan

Who is this class for?
This course is designed for those seeking to understand the purpose and role of CDI efforts in the inpatient setting. Instructors explore the core concepts of CDI best practice through facilitated discussion, using real-world examples for application.

CDI Boot Camp—see the difference for yourself!

Check out all the benefits of this HCPro Boot Camp:

• Expertly designed course materials: Course materials are developed by an adult education expert. The curriculum uses a “how to” approach where participants learn how to apply CDI concepts that they can then customize to their organizational needs. Content is regularly updated based on changing industry practices and participant feedback.
• Live instruction: Classes are taught by an experienced instructor who is credentialed as a CDI professional and works as an industry subject matter expert for ACDIS.
• Small class size: We limit the number of course participants in order to maintain a low participant-teacher ratio. This allows us to provide individual instruction as needed when participants find a topic particularly challenging; it also allows time for discussion.
• Well-established program: Brought to you by ACDIS, this Boot Camp from the industry's only dedicated CDI association provides the best-in-class education you expect.

ACDIS members save $150 off the registration fee for this Boot Camp. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!

CCDS Examination Information

ACDIS offers a certification for CDI specialists, the Certified Clinical Documentation Specialist (CCDS) credential. We recommend the CCDS exam for individuals who meet the exam requirements, complete this Boot Camp, and desire to pursue certification. However, the course may not cover all the content areas tested on the exam. Consequently, depending on your background and experience, additional independent study and/or training may be required to pass the CCDS examination. To download the CCDS Candidate Handbook and view the prerequisites required to take the exam, or to download an application form, visit the ACDIS website at https://acdis.org/sites/acdis/files/ACDIS_CCDS_CandidateHandbook_March2022.pdf.

For more information about the CDI Boot Camp, contact us at 800-650-6787 or email sales@hcpro.com.

Looking to train your whole team? We can bring our expert instructors to you! Learn more here!

Clinical Documentation Integrity Boot Camp®

Course Outline

Module 1: Course Introduction: CDI Function and Code Assignment

• Documentation in healthcare
• Uniform Hospital Discharge Data Set definitions/reportable diagnoses
• Common elements of the health record
• Code assignment
• The role of CDI

Module 2: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Diagnosis Codes and Sequencing

• ICD-10-CM code set
• ICD-10-CM Official Guidelines for Coding and Reporting
• Reporting complications
• Sequencing principal and secondary diagnoses

Module 3: ICD-10 Procedure Coding System (ICD-10-PCS)

• ICD-10-PCS Official Guidelines for Coding and Reporting
• Structure of ICD-10-PCS codes

Module 4: The Inpatient Prospective Payment System (IPPS) and Assignment of the Medicare Severity Diagnosis-Related Group (MS-DRG)

• IPPS reimbursement
• MS-DRG methodology
• Present on admission status
• Hospital-acquired conditions

Module 5: Record Review and Query

• Best practices in record review
• Review of ACDIS/AHIMA's Guidelines for Achieving a Compliant Query Practice
• Query compliance

Module 6: Infectious Diseases (Coding and Clinical Validation)

• SIRS
• Sepsis
• HIV disease
• COVID-19

Module 7: Trauma, Musculoskeletal, and Skin (Coding and Clinical Validation)

• Reporting injuries
• Multiple significant trauma; burns and corrosions
• Pathological/stress/fatigue fractures
• Internal organ injuries
• Chronic ulcers/pressure ulcers
• Debridement procedures

Module 8: Conditions of the Respiratory System (Coding and Clinical Validation)

• Chronic obstructive pulmonary disease
• Asthma
• Pneumonia
• Respiratory failure (acute and chronic)
• Ventilatory assist and performance

Module 9: Neoplasms and Diseases of the Blood (Coding and Clinical Validation)

• Neoplasms
• Cancer staging systems
• Sequencing guidance
• Anemia
• Pancytopenia
• Neutropenia

Module 10: Conditions of the Genitourinary System (Coding and Clinical Validation)

• Fluid and electrolyte imbalance
• Pyelonephritis
• Cystitis
• Acute kidney injury (acute tubular necrosis, cortical necrosis, medullary necrosis)
• Chronic kidney disease
• Transplants

Module 11: Conditions of the Circulatory System (Coding and Clinical Validation)

• Hypertension
• Heart failure
• Cardiomyopathy
• Chronic ischemic heart disease
• Angina
• Myocardial infarction
• Cardiac arrythmias
• Cardiac arrest
• Shock

Module 12: Conditions of the Digestive and Hepatobiliary Systems (Coding and Clinical Validation)

• Symptoms and etiology (abdominal pain, nausea, vomiting, diarrhea)
• Infectious enteritis
• Peritonitis
• Inflammatory bowel disease
• Ulcerative colitis
• Gastrointestinal bleeding
• Ulcers
• Post operative ileus
• Liver disease
• Cholecystitis and cholangitis
• Pancreatitis

Module 13: Conditions of the Nervous System (Coding and Clinical Validation)

• Spinal stenosis
• Spinal fusions
• Seizures
• Normal pressure hydrocephalus
• Cerebral infarction
• Hemorrhagic conversion
• Carotid endarterectomy
• Cerebral compression and herniation
• Encephalopathy
• Dementia
• Depression
• Substance use, abuse, and dependence

Module 14: Conditions of the Endocrine System (Coding and Clinical Validation)

• Diabetes
• Chronic disease with diabetes
• Malnutrition
• Morbid obesity

Module 15: CDI Metrics and Compliance

• Basic CDI performance metrics
• Federal guidance and monitoring
• Compliance considerations
• ACDIS Code of Ethics

*Agenda subject to change.

Clinical Documentation Integrity Boot Camp®

Learning Outcomes

At the completion of this Boot Camp, participants will be able to:

• Explain the goals and objectives of a CDI department and the role of the CDI specialist (CDIS).
• Complete a successful record review, identifying opportunities of need for clarification related to:  infectious diseases, trauma, musculoskeletal and skin conditions, the respiratory and cardiovascular systems, neoplasms and diseases of the blood, genitourinary, digestive and hepatobiliary systems, endocrine and nervous system. Explain Medicare’s IPPS and how it relates to the role of the CDIS.
• Teach providers how their specific and accurate documentation affects hospital reimbursement through the assignment of a principal diagnosis, secondary diagnoses, and coded data.
•  Apply the ICD-10-CM coding guidelines in the assignment of principal diagnosis and secondary diagnoses as part of the MS-DRG assignment process. 
• Effectively utilize AHA Coding Clinic Guidance in the process of code assignment and DRG grouping.  Develop techniques for detailed medical record review in order to identify incomplete, vague, and/or missing diagnoses based on clinical indicators within the medical record.
• Design physician education strategies related to the impact of improved documentation on hospital reimbursement and individual physician profiles.
• Develop compliant physician query techniques based on industry standards and best practices.
• Describe professional ethics associated with the CDI role as related to compliance initiatives, including those monitored by Recovery Auditors and the OIG.
• Interpret CDI metrics.

Continuing Education

AAPC
This program has prior approval of the AAPC for 30 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the AAPC of the program, content or the program sponsor.

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 30 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ACDIS
This program has been approved for 30 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 Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 30 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

ANCC
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 30 nursing contact hours is provided by HCPro.

CCMC
This program is approved by the Commission for Case Manager Certification for 30 Continuing Education Units.

Disclosure Statement
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

Clinical Documentation Integrity Boot Camp®

Things to Know Before Attending Class

Directions and Hotel Information

The hotel address, phone number, URL, room rate and room rate cut-off date are posted on the Locations/Dates tab. The hotel websites give detailed directions to the hotel as well as information about the location. Please call the hotel directly to make a room reservation. Be sure to identify yourself as an HCPro Boot Camp participant. Please be sure to make your reservation before the cut-off date. After the cut-off date, contact the hotel to determine room availability and rates.

Course Materials

When you arrive at class, you will receive two books containing the class materials utilized throughout the boot camp. These books will be yours to keep, so plan accordingly in allowing enough room in your luggage on the return trip home. The books weight approximately 8 – 10 pounds. Books may also be shipped from the hotel at your own expense.

Classroom Time

Other than short breaks and lunch, we will be in class from 8:00am to at least 5:00pm each day. In order to focus all attention on the course and to not distract other participants as well as the instructor, cell phone use during class is strictly prohibited. We will take short breaks (up to 10 minutes each) throughout the day that will give participants an opportunity to make calls, use the restroom, etc., in addition to an hour lunch break for lunch on your own.

Lunch

We will take about a 45-minute break for lunch each day. We typically provide coffee in the morning and drinks and a light snack in the afternoon, everyone is on their own for lunch. Note that many hotels do not have restaurants on-site. If you are flying to the course, we generally recommend renting a car, or investigating availability of hotel shuttle or ride share.

What to Bring to Class

Please bring the following to all classes:

• Highlighter
• Notepaper
• Sticky Notes/flags
• Pen/Pencil
• Layered clothing (e.g., light sweater, light jacket, etc.)

Dress

Business attire is not necessary. Please dress comfortably. Sometimes classrooms are on the cool side, even during the warmer months. You may be more comfortable if you bring a sweater or sweatshirt in case you get cold.

CCDS Examination Information

The Association of Clinical Documentation Improvement Specialists (ACDIS) offers a certification for CDI specialists, the Certified Clinical Documentation Specialist (CCDS). We recommend the CCDS exam for individuals who desire to pursue certification. However, the course may not cover all the content areas tested on the exam. Additionally, the certification requires experience performing the duties of a CDI specialist so attending this class may not qualify you to sit for the exam if you are new to the field of CDI.

Consequently, depending on your background and experience, additional independent study and/or training may be required to pass the CCDS examination. To download the CCDS Candidate Handbook and Application and view the prerequisites, visit the ACDIS website at https://acdis.org/certification.

Cancellation and Transfer Policy

For our cancellation and transfer policy, visit our website: https://hcmarketplace.com/cancellations

Contact Information

For more information about our Boot Camps, contact us at 800-650-6787 or email sales@hcpro.com.

We Look Forward to Having You In Class!

Clinical Documentation Integrity Boot Camp®

Questions/Answers

What is the focus of the CDI Boot Camp?
The CDI Boot Camp is a four-day, classroom-based intensive training course that will teach CDI specialists the skills necessary to succeed in their jobs. It focuses on:

• ICD-10-CM coding rules and regulations 
• Medical record review and physician query techniques
• Major Diagnostic Categories—clinical diagnostic criteria
• CDI program benchmarking and compliance initiatives

The CDI Boot Camp will also benefit hospitals with established CDI programs that need additional development.

Where is the course offered?
Open-registration courses are offered at various locations around the country, typically at mid-priced business hotels such as Hyatt Place or Hilton Garden Inn. For a current schedule of upcoming open registration courses, click on "Course Locations/Dates."

In addition to our open -registration courses, we offer the CDI Boot Camp as an on-site course (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site course at your facility, call 800-650-6787 or email customerservice@hcpro.com.

What if I need to cancel or transfer my registration?
Please click here to view our cancellation policy.

What material does the course cover?
To view the course outline, click on "Course Outline" above.

Does the course require any previous experience or training?
No. However, because of the course's fast-paced nature, it is recommended (but not required) that participants have at least one year of experience working in a hospital. This course is taught at a basic to intermediate level.

Who should attend?

• CDI specialists, CDI supervisors, CDI managers/directors
• Inpatient coders, coding supervisors, coding managers/directors
• HIM managers/directors
• DRG coordinators
• Coding compliance specialists, coding compliance supervisors/managers/directors
• Quality improvement professionals, quality department managers/directors
• Utilization review/case management managers/directors
• Revenue cycle managers/directors
• Physician advisors/champions to CDI
• Hospitalist leadership

Is there a discount for ACDIS members?
Yes. ACDIS members save $150 off the registration fee. Call 800-650-6787 to receive your discount or click here for more information.

How is the course taught? 
The course is taught using a combination of lecture, class discussion, and hands-on exercises/case studies.

What do I need to bring to class?

• DRG Expert (suggested but not required)
• Highlighter
• Sticky notes
• Pen/pencil

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information?
Contact us at 800-650-6787 or email sales@hcpro.com.