Clinical Documentation Integrity Boot Camp® Online

Clinical Documentation Integrity Boot Camp® Online

Course Overview

Launch a successful CDI career with help from the experts at ACDIS

The CDI Boot Camp Online 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 IPPS methodology and how it relates to short-term acute care hospital reimbursement, which is often a focus of CDI efforts. Specifically, participants learn about MS-DRG methodology, including how MS-DRGs are assigned and how documentation affects code assignment and sequencing.

A majority of this Boot Camp is dedicated to exploring diagnoses typically in need of clarification for proper code and MS-DRG assignment. Armed with this knowledge, CDI specialists can credibly query physicians to ensure accurate claims data and reimbursement.

Leave the CDI Boot Camp Online with a thorough understanding of:

• The ICD-10-CM Official Guidelines for Coding and Reporting, as seen from a CDI perspective
• Diagnoses across all major body systems frequently in need of additional documentation to support accurate code assignment
• The importance of compliant provider queries 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 Online 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 Work Plan

At the conclusion of the course, participants will be able to:

• Analyze clinical documentation to determine accurate principal and secondary diagnoses in accordance with Official Guidelines for Coding and Reporting
• Apply ICD 10 CM and ICD 10 PCS conventions to support compliant code assignment and MS DRG validation
• Evaluate documentation to distinguish reportable diagnoses from clinical indicators and identify opportunities for clarification through compliant queries
• Assess the impact of documentation integrity on reimbursement, quality reporting, and MS DRG assignment under the IPPS methodology
• Integrate clinical knowledge, regulatory guidance, and coding principles to conduct a comprehensive CDI record review from admission through discharge

Benefits of program & features:

• Structure: Each module in the library is interactive, with voice-over narration, and includes "Test Your Knowledge" questions throughout to reinforce major concepts. Upon completion of all modules, participants will be required to complete a 40-question final exam in order to receive completion certificates and CEUs.
• Ask the Expert: You can also email questions to our instructors. We try to answer all questions either via email or phone within two business days.
• 60-day access to instruction after purchase: You have 60 days to work through all modules and complete assignments.
• 24-hour access: Instruction is available at any time of day—you choose the time that works for you.
• 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 concepts that they can then customize to their organizational needs. Content is regularly updated based on changing industry practices and participant feedback.
• Well-established program: Brought to you by the Association of Clinical Documentation Integrity Specialists (ACDIS), this Boot Camp from the industry's only dedicated CDI association provides the best-in-class education you expect.

Contact sales:
For more detailed information, contact us at 800-650-6787 or email sales@hcpro.com.

560+ started a course from this library within All-Access: CDI

Clinical Documentation Integrity Boot Camp® Online

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

It is recommended (but not required) that participants have at least several months' experience working in a hospital. This course is taught on a basic to intermediate level.

This Boot Camp does not lead to formal ACDIS or AHIMA certification.

Clinical Documentation Integrity Boot Camp® Online

Course Content

Healthcare Data and the Health Record

• UHDDS definitions
• The attending provider
• Common elements of the health record

Medicare and Medicaid

• Overview of the Medicare system
• Key terminology
• Medicare Part A
• Inpatient hospital care
• Overview of quality initiatives
• Medicare Part B
• Outpatient/observation hospital care
• Introduction to Medicaid

Diagnosis Codes and Sequencing

• Diagnosis coding in ICD-10-CM
• Coding conventions
• Official coding guidelines
• Principal diagnosis guidelines in ICD-10-CM
• Selection of principal diagnosis
• Reporting of secondary diagnoses
• Present on admission

Introduction to Procedure Code Sets

• Procedure coding
• CPT
• ICD-10-PCS
• Coding conventions
• Official coding guidelines
• The characters of PCS 

The Inpatient Prospective Payment System (IPPS) and MS-DRGs

• How is a DRG assigned?
• Impact of the principal diagnosis
• Major Diagnostic Categories (MDCs)
• Impact of complications/comorbidities (CCs) and major CCs (MCCs)
• Impact of procedures
• Determining hospital reimbursement

Record Review and Queries

• Reviewing medical record documentation
• What is a query?
• Justification to issue a query
• How to construct a query
• Written vs. verbal processes
• Concurrent vs. retrospective
• Available formats
• The importance of clinical indicators

Getting to Know DRG Expert (ICD-10-CM)

• Major Diagnostic Categories (MDC)
• Medical vs. surgical MS-DRGs
• Alpha and numeric indexes
• Diagnoses
• Procedures
• CCs/MCCs
• Sample exercises

Key Infectious Diseases and Complications

• Coding guidelines and key Coding Clinic references
• Infectious disease process
• Identification of the causative organism
• SIRS/sepsis/severe sepsis/septic shock
• HIV disease
• Complications of care

Key Diseases Associated With Injuries, the Musculoskeletal System, and the Skin

• Coding guidelines and key Coding Clinic references
• Episode of care (7th character)
• Injuries
• Fractures
• Wounds
• Cellulitis
• Poisoning, adverse effects, and underdosing
• Excisional debridement

Key Diseases of the Respiratory System

• Coding guidelines and key Coding Clinic references
• Pneumonia
• Chronic respiratory conditions
• Acute respiratory failure
• Oxygen therapy and mechanical ventilation

Key Diseases of the Digestive, Hepatobiliary, and Urinary Systems

• Coding guidelines and key Coding Clinic references
• Acute kidney injury/renal failure
• Chronic kidney disease
• Acute GI disorders
• Chronic GI disorders
• Liver disorders
• Pancreatitis
• Gallbladder disorders
• Substance consumption

Neoplasms and Associated Diseases

• Coding guidelines and key Coding Clinic references
• Neoplasms
• TNM system
• Anemia

Key Diseases Associated With the Circulatory System

• Coding guidelines and key Coding Clinic references
• Hypertension
• Chest pain/angina/CAD
• Heart failure
• Acute myocardial infarction (AMI)

Key Diseases of the Nervous System and Mental Health

• Coding guidelines and key Coding Clinic references
• Traumatic brain injuries
• Transient ischemic attack (TIA)/cerebrovascular accident (CVA)
• Hemorrhagic
• Ischemic
• Altered mental status (AMS)
• Seizures/epilepsy and convulsions
• Dementia
• Depression

Key Endocrine, Nutritional, and Metabolic Diseases

• Coding guidelines and key Coding Clinic references
• Diabetes mellitus
• Malnutrition
• Obesity

Basic CDI Metrics and Professionalism

• Basic CDI metrics
• Minimizing vulnerabilities
• Federal guidance and monitoring
• Recovery Auditors (aka Recovery Audit Contractors or RACs)
• Office of the Inspector General (OIG)
• Professional ethics

*Agenda subject to change.

This course requires the following pre-requisites:

• There are no pre-requisites for this Boot Camp.

This course requires the following materials:

• There are no required materials for this Boot Camp. Suggested materials include a copy of DRG Expert, though this is not required.

Clinical Documentation Integrity Boot Camp® Online

Continuing Education

The following types of Continuing Education are offered only after the completion of all courses and the successful completion (80% pass rate) of the final exam. Upon achieving a passing exam score, users will be directed to a course evaluation that will open in a separate window which will need to be completed and submitted for both instant download and email delivery of all applicable CE certificates.

AAPC
This program has the prior approval of AAPC for 18.5 continuing education unit(s) (CEUs). Granting of prior approval in no way constitutes endorsement by AAPC for 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 19 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ACDIS
This program has been approved for 19 continuing education unit(s) 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).

AHIMA
This program has been approved for 19.0 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

ANCC
AHIMA is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This educational activity for 19 nursing contact hours is provided by AHIMA.

CCMC
This program has been pre-approved by The Commission to provide continuing education credit to CCM© board-certified case managers. The course is approved for 18.75 CE contact hour(s).

Disclosure Statement

Please note the planners, presenter(s), and contributors to this activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity.

Clinical Documentation Integrity Boot Camp® Online

Faculty

Sarah Matacale, BSN, RN, CCS, CCDS, is the query education and compliance specialist for ACDIS and AHIMA, based in Chicago, Illinois, where she manages the Query Template Library services and is a subject matter expert for ACDIS. She has been a nurse for the past 29 years, specializing in a variety of inpatient and outpatient roles, including critical and home hospice care. She began her career in CDI in 2017 and has been a member of ACDIS and AHIMA ever since. Matacale was president of the North Carolina local ACDIS chapter for more than three years and is a member of the ACDIS Events Committee. She also serves as an ANCC nurse planner for ACDIS. Prior to joining ACDIS and AHIMA, she was the mortality review nurse and a CDI professional for a large health system, working closely with (and educating) members of the quality, coding, and CDI departments.

Nicole Nodal-Rodriguez, MSN, RN, CCDS, is a CDI education specialist with HCPro. She serves as a full-time instructor for HCPro's Boot Camps and PROPELCDI services and is a subject matter expert for ACDIS. As a registered nurse with nearly 16 years of experience in the healthcare setting, she has a diverse background, having worked in the areas of emergency/trauma nursing, labor and delivery, interventional radiology, vascular access, infusion, and wound care. She holds a Master of Science in Nursing with a focus in leadership and management, as well as a Bachelor of Science in Nursing from Grand Canyon University. Prior to becoming an education specialist with HCPro, she was a CDI educator and physician liaison for a large healthcare system. In this role, she assisted with concurrent medical record reviews, educated the frontline CDI team, served on the organization's educator council, and collaborated with providers to ensure accurate, compliant, and quality documentation.

Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, is an experienced CDI subject matter expert, former interim ACDIS director, and former CDI education director at HCPro. While at ACDIS and HCPro, she was also the lead developer and instructor for the CDI Boot Camps as well as a member of the CCDS-O certification committee and the ACDIS Advisory Board; she also frequently spoke on the ACDIS Podcast and at ACDIS conferences and webinars. She is the author of The Clinical Documentation Improvement Specialist's Complete Training Guide and the ACDIS Pocket Guide series. Prescott has served in a variety of health systems and settings since joining the nursing profession in 1985 and she developed and implemented a CDI program in 2007.

Kelly Sutton, RN, BSN, MHL, CCDS, CCS, is a CDI education specialist for HCPro, in Chicago, Illinois. She serves as a full-time instructor for the CDI Bootcamps and a subject matter expert for ACDIS. Sutton has served on the ACDIS Advisory Board and ACDIS Leadership Council. Sutton is an experienced registered nurse holding a variety of positions in healthcare spanning over 30 years.

Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, is a clinical documentation integrity (CDI) education specialist for ACDIS at HCPro. She serves as a full-time instructor for the CDI Boot Camps and as a subject matter expert for ACDIS. Wilk is an accomplished healthcare professional with a diverse background in health information, medical coding, nursing, and CDI. With a strong passion for making a difference, Wilk has dedicated her career to improving the quality and integrity of clinical documentation within the healthcare environment for improved patient care. Having received a master's degree from Penn State University in leadership and a BSN from Drexel University, she acquired the necessary skills and knowledge to establish CDI programs, direct CDI departments from community hospitals to quaternary large academic medical systems, and educate throughout the CDI profession. Over the years, Wilk has worked on numerous projects aimed at advancing CDI education, growth, and awareness.

Clinical Documentation Integrity Boot Camp® Online

Preview This Course

Explore a sample of this course below. The interactive preview is available for 10 minutes.

Clinical Documentation Integrity Boot Camp® Online

Frequently Asked Questions

See the Course Content tab for the course description and total duration.

1. How long will the online content remain accessible after class ends?

   The online portal location for your class sessions and materials will be available for 60 days from the purchase date.
   
   

2. Does this education lead to a formal AHIMA or ACDIS certification?

   No, this education does not lead to a formal AHIMA or ACDIS certification.
   
   

3. Is there a discount for ACDIS, NAHRI, or AHIMA members?

   Yes, ACDIS, NAHRI, or AHIMA members receive $150 off the registration fee. Contact us at 800-650-6787 or email sales@hcpro.com.
   
   

4. How does it work?

   You'll receive the same content and instruction that you would experience at our classroom-based, nationally recognized boot camps. Here's how it works:

   • 60-day access from your purchase date: View sessions, ensure understanding with questions that test your knowledge, and complete the final exam to obtain CEU credits.
   • 24-hour access: Modules are available at any time of day—you choose the time that works for you.
   • Ask the Expert: Email questions to our instructors. We try to answer all questions either via email or phone within two business days.

   You must complete the course evaluation in order to get your continuing education/contact hour certificate, so please be sure to complete the course before your access expires.
   
   

5. 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."
   
   

6. Does HCPro offer this boot camp as an on-site course?

   In addition to our open registration courses, we also offer the boot camp as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site, call 800-780-0584 or click on "Train Groups On-Site."
   
   

7. What if I need to cancel or transfer my registration?

   Please click here to view our cancellation policy.
   
   

8. How do I get more information?

   Contact us at 800-650-6787 or email sales@hcpro.com.
   
   

Dates

Below is the current course schedule for upcoming Clinical Documentation Integrity Boot Camp® Online classes.