ACDIS Encore: Clinical & Coding Online – On-Demand

Now Available On-Demand

Were you unable to attend the 2024 ACDIS conference in Indianapolis? Or maybe you were there but were forced to pick between sessions happening at the same time. Well, this is your opportunity to catch what you missed!

ACDIS Encore: Clinical & Coding Online is a special on-demand event featuring sessions recorded live during the 2024 ACDIS National Conference—the entire Clinical & Coding track.

This much-loved staple of the annual conference features core clinical and coding components vital to all those engaged in ongoing medical record reviews. Discover what’s on the horizon for CDI through powerful, thought-provoking, and must-attend sessions such as:

• Suspect Sepsis, Say Sepsis!
• Encephalopathy: Getting Past the Confusion
• Social Determinants of Health: Tackling Documentation and Coding Challenges
• Benefits of a Reconciliation Process in a CDI Program
• And much more! 

Plus, we're also including the keynote session, "Opening Remarks from ACDIS: Discovering Potential," presented by former Interim ACDIS Director Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, at the 2024 ACDIS conference.

Recharge your soul and revive your passion at ACDIS Encore: Clinical & Coding Online!

Attendees will have access this on-demand virtual for 60 days.

ACDIS Encore: Clinical & Coding Online – On-Demand

Agenda

Opening Remarks From ACDIS: Discovering Potential
Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
In physics, potential energy is the energy held by an object because of its position relative to other things, stresses within itself, its electric charge, or other factors. One interpretation is that potential is the secrets that lie within an object. We all are responsible for seeking our potential and for assisting others in discovering theirs. Often, our proudest career moments are when we aid that discovery in others. This presentation focuses on opening oneself up to challenges and focusing that internal energy to discover your potential and that of others.

Suspect Sepsis, Say Sepsis!
Jennifer Brettler, DO, FACP, CHCQM-PHYADV, and Shannon Menei, MBA, MSN, CCDS, CCM, CPHQ
This session will outline a multidisciplinary approach to enhance the identification, capture, and documentation of sepsis. The speakers will provide tangible strategies to engage healthcare leaders, leverage resources, educate providers, and use reported data to lead quality improvement efforts, all through collaboration with CDI, coding and clinicians.

Query With Confidence
Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ, and Diana O’Connor, RN, BSN, CCDS, CDIP, CCS
"To query or not to query..." but perhaps the more important question is, "How do I query with confidence?" Documentation clarification is a fundamental responsibility of a CDI professional. Whether you're a CDI specialist or a coder, querying can sometimes feel uncomfortable or even downright scary. This session will spotlight the 2022 update of the ACDIS/AHIMA query practice brief, explore query etiquette for success, and offer practical tips for writing compliant and effective queries.

Overdose, Poisoning, and Adverse Effect
Laura Anderson, RN, BSN, CCDS, and Anita Schmidt, BS, RHIA
This session will address overdose, poisoning, adverse and toxic effects, and under-dosing. Content will cover chapter-specific guidelines and sequencing of these events, and American Hospital Association Coding Clinic guidance will be examined in the context of various coding scenarios.

Debridement Coding and Documentation Requirements
Leigh Poland, BS, RHIA, CCS, CDIP
This session will review the types of debridement, key terms used for debridement procedures, the instruments used for debridement, and tips to code the debridement procedure accurately. The speaker will outline ICD-10-PCS guidelines, documentation requirements for debridement procedures, and diagnoses commonly associated with debridement procedures. Attendees also will gain a clearer understanding of the financial impact associated with incorrect code assignment and incomplete documentation.

Encephalopathy: Getting Past the Confusion
Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
This session reviews American Hospital Association Coding Clinic and ICD-10-CM Official Guidelines for Coding and Reporting guidance related to reporting encephalopathy. The speaker will discuss both acute and chronic encephalopathies, identifying common etiologies, and highlight the critical thinking required to identify encephalopathy query opportunities.

Social Determinants of Health: Tackling Documentation and Coding Challenges
Michelle Knuckles, RHIA, CDIP
This session will review social determinants of health and outline their impact on healthcare outcomes. The speaker will explore Utah Health's coding and CDI strategy to increase SDoH capture as well as how healthcare facilities can partner with community agencies to improve patient outcomes.

Impellas: Getting to the Heart of the Matter
Alicia Pinsonneault, BSN, RN, CRCR
As a state-of-the-art device allowing for advances in cardiac care and patient outcomes, it is important to understand what an Impella is, how it works, and when and why it is indicated. This session will review the surgical DRGs associated with Impellas, the importance of accurately coding the approach and duration of the Impella, and Coding Clinics associated with various Impella scenarios. The speaker also will provide tips for deciphering Impella documentation for coding and identifying potential query opportunities.

Expedition Discovery: The Search for Physician Engagement Through CDI Education
Sonja Racke, RN, BSBM, CPC, CRCR, and Tammy Brandes, RN, BSN, CCDS, CRCR
The session will look at different provider learning styles and various ways to leverage educational initiatives and materials to meet these different styles. Learn how one site brought about change, achieved success, and increased engagement amongst its medical staff.

Case Study: Automate Malnutrition Documentation to Accurately Reflect Risk and Improve Documentation and Quality Metrics
Trish Dasch, BSN, RN, CCDS; Kevin O'Malley, MD; and Diane Hanna, MBA, RHIA, CCS
Between 2016 and 2019 at Johns Hopkins Hospital, as many as 20–65% of patients with malnutrition confirmed by a registered dietitian were not assigned a malnutrition diagnosis code at the time of final health information management coding. In response, a multidisciplinary team convened. Learn how this team performed intensive manual chart reviews, deployed education to providers and coders, and created an electronic malnutrition documentation tool to more accurately and efficiently represent and report the patient population with malnutrition. This initiative also resulted in improved support for malnutrition to be reported as a secondary diagnosis and decreased query rates.

Benefits of a Reconciliation Process in a CDI Program
Jennifer Kemp, RN, CCDS; Jillian Kotcher, BSN, RN, CCDS; and Valaria Issa, BSN, RN, CCDS
In this session, learn how a well established reconciliation process allows for collaboration between CDI and coding and improves the integrity of the data reported. The speakers will review their process, provide examples of rebilled cases and education for both CDI specialists and coders, and offer evidence for how the reconciliation process assists with correct code assignment for improved metrics and billing.

ACDIS Encore: Clinical & Coding Online – On-Demand

Speakers

Alicia Pinsonneault, BSN, RN, CRCR, graduated from New Mexico State University in 2013 with a bachelor’s degree in nursing and worked as a bedside nurse for eight years. Her experience includes working in cardiovascular intensive care units with recovering post-op cardiac surgery patients, as well as managing cardiac assist devices such as Impella®, Tandem Heart®, ProtekDuo®, IABP, and implantable LVAD/RVADs. She also cross-trained as an ECMO specialist. She transitioned to CDI in July of 2021 and has been reviewing cardiac surgery and cardiac interventional cases for an Ardent Health System facility in Albuquerque, New Mexico for the last two and a half years.

Anita Schmidt, BS, RHIA, has expertise in ICD-10-CM/PCS, DRG, and CPT® with more than 15 years’ experience in coding in multiple settings, including inpatient, observation, and same-day surgery. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and ICD-10-PCS codes, and DRG validation. She has conducted training for ICD-10-CM/PCS and EHRs. She has also collaborated with clinical documentation specialists to identify documentation needs and potential areas for physician education. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of AHIMA and the Minnesota Health Information Management Association.

Diana O'Connor, RN, BSN, CCDS, CDIP, CCS, has been a clinical product consultant at Iodine Software since 2019. She brings over 35 years of experience in healthcare to the role, with the last 16 years in clinical documentation integrity and revenue integrity auditing work. She is passionate about bridging the gap in documentation integrity and aiding clients in improving opportunity capture and achieving true documentation accuracy.

Diane Hanna, MBA, RHIA, CCS, is the director of inpatient coding at the Johns Hopkins Health Care System. She has 40 years of HIM experience in large and small academic centers, community hospitals, children’s hospitals, and the Veterans Administration. In addition to HIM, her roles include utilization management, quality assurance, medical staff services, and teaching.

Jennifer Brettler, DO, FACP, CHCQM-PHYADV, is the medical director of clinical documentation integrity for ChristianaCare. With more than a decade of experience in hospital medicine, Brettler also serves as a physician advisor for the utilization management department. She is the liaison between clinical caregivers and the mid-revenue cycle team. She engages the medical staff through various educational programs to facilitate improvement in clinical documentation, risk capture, and quality outcomes. Brettler also works in collaboration with the health information management coding team and the medical staff to ensure accurate DRG assignment, and provides consulting on audit defense.

Jennifer Kemp, RN, CCDS, is employed at Ascension St. John Hospital, a Level 1 Trauma Center in Detroit. She has a background in medical-surgical, inpatient rehab, and home health case management since 2007. She began her career in CDI in 2015, became CCDS-certified in 2022, and is active in the Michigan ACDIS local chapter.

Jillian Kotcher, BSN, RN, CCDS, is a CDI specialist for Ascension in Detroit. She has 15 years of critical care nursing expertise and was the 2011 recipient of Ascension’s Nursing Excellence Award. She has served on numerous committees, including the Quality Improvement Nursing Committee and the Professional Nursing Committee through Ascension. She started her CDI career in 2012, became CCDS certified in 2018, and is involved in the Michigan ACDIS chapter local chapter.

Kevin O'Malley, MD, is an assistant professor in the department of medicine of the Johns Hopkins University School of Medicine and a hospitalist at the Johns Hopkins Hospital. His areas of focus are clinical medicine, clinical informatics, and education.

Laura Anderson, RN, BSN, CCDS, is a registered nurse and CDI specialist/educator with more than 20 years of experience in the healthcare profession. She obtained her BSN at the University of Minnesota and spent most of her bedside nursing career on medical-surgical care units. Her clinical documentation experience began in 2007, covering CDI specialist training, education development, and physician engagement. She has served as a CDI team lead and consultant, working with senior leadership to incorporate CDI work into documentation compliance and quality metrics. Anderson also has a Bachelor of Science degree in biology from Winthrop University, with research experience in liver cancer and radiation-induced leukemia. She has presented at the state and national levels for ACDIS and serves as a co-lead for the Minnesota state chapter.

Laurie L. 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.

Leigh Poland, BS, RHIA, CCS, CDIP, has over 25 years of revenue cycle management experience and has worked extensively in the coding and education realm for the last 20 years. Her true passion is coding education and making sure coders are equipped to do their job accurately and with excellence. On multiple occasions, Poland has presented at the AHIMA National Convention, the ACDIS Convention, and the AAPC Convention. She has been a guest speaker for AHIMA webinars, written articles for the AHIMA Journal, For the Record, and Part B News. Poland has traveled across the U.S. and internationally, providing coding education. At her institution, she is responsible for managing continuous coding education and certification preparatory programs for 3000+ coders. She is a key advisor to the AGS Health International Coding Training Academy.

Michelle Knuckles, RHIA, CDIP, is the manager of inpatient coding and clinical documentation integrity at the University of Utah Health, where she has enjoyed the past 34 years serving in various roles within the health information management department. Knuckles has served in her current role for the past 14 years, fostering a cohesive and collaborative partnership between inpatient CDI specialists, coders, quality and patient safety staff, inpatient rehab prospective payment coordinators, and, most recently, registered dieticians. Using technology and innovative approaches to integrating coding and CDI, Knuckle's team has consistently met and exceeded key performance indicators in financial and quality initiatives, as well as reported outcomes. She is also a clinical documentation integrity preceptor for Weber State University, providing biannual presentations to AAS students in the HIT program, and is passionate about the multi-specialty approach to clinical documentation integrity and code assignment.

Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ, is the director of CDI at Steward Healthcare headquartered in Dallas. 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 utilization review. She obtained a master’s in health leadership with a focus on quality outcomes and population health. Chism holds certifications in clinical documentation, coding, and healthcare quality and is a frequent presenter at national and state ACDIS conferences. She is passionate about education and CDI’s role in ensuring hospitals’ quality data is accurately abstracted and reported.

Shannon Menei, MBA, MSN, CCDS, CCM, CPHQ, is a CDI director. With over 16 years of experience, Menei has held various leadership positions within ChristianaCare. Menei’s journey began as an RN III, honing clinical skills and gaining valuable firsthand experience in patient care. Following this, she transitioned into leadership roles where she assumed responsibilities first as the manager, and then director, of care management. As director, she led the care management team through the COVID-19 pandemic and worked to strengthen the hospital’s partnership with post-acute care facilities/services to break down discharge barriers. In 2022, Menei returned to her true passion as the director of CDI and continues to work toward optimizing the accuracy of provider documentation.

Sonja Racke, RN, BSBM, CPC, CRCR, has over 35 years of nursing experience in the northern Kentucky/Cincinnati metropolitan area. She has worked as a CMS contractor in multiple areas of regulatory compliance and has served as an expert witness alongside the OIG in prosecuting Medicare fraud. Racke assisted the ARHQ in mapping and configuring PSIs during the ICD-10 conversion and aided in performing medical necessity and DRG validation audits for the CMS RAC. Racke began her career in clinical documentation integrity in 2019 with Ensemble Health Partners as the regional manager of CDI for the southwest Ohio region, where she led and oversaw CDI teams at five acute care facilities.

Tammy Brandes, RN, BSN, CCDS, CRCR, is a clinical documentation specialist supervisor. Brandes has been a nurse for more than 20 years, with a background in critical care nursing, case management, and utilization review. She has been in CDI for about 14 years and has been a CDI supervisor for nearly four. Brandes currently participates in two Missouri CDI chapters (St. Louis and Kansas City) and previously served as the vice  president of an ACDIS local chapter.

Trish Dasch is the director of clinical documentation excellence at the Johns Hopkins Health System. In 2008, she was introduced to CDI and has reported to several departments over the years (HIM, QI, and Finance). Dasch is a certified clinical documentation specialist, past vice president of the Maryland ACDIS local chapter, and is currently serving as a member of the ACDIS Leadership Council and the ACDIS Mastermind.

Valaria Issa, BSN, RN, CCDS, is employed at Ascension St. John Hospital, a Level I trauma center in Detroit. In 2012, Issa transitioned to clinical documentation after having worked for more than 20 years as a staff nurse in medical, surgery, women’s health, rehabilitation, and cardiac/telemetry. She is CCDS certified and a member of the Michigan ACDIS local chapter.

ACDIS Encore: Clinical & Coding Online – On-Demand

Who Should Attend

• Clinical documentation integrity specialists
• CDI specialists
• CDI staff
• Inpatient coders
• CDI managers/directors
• HIM managers/directors
• Case managers
• Revenue integrity specialists
• Physician advisors

ACDIS Encore: Clinical & Coding Online – On-Demand

Learning Outcomes

After attending this virtual event, participants will be able to:

• List the challenges of identifying and documenting sepsis
• Formulate compliant and concise queries
• Articulate the impact of social determinants of health on healthcare outcomes
• Outline the benefits of an established reconciliation process

ACDIS Encore: Clinical & Coding Online – On-Demand

Pricing

• Retail price: $399.00
• Membership price: $379.00
• 2024 ACDIS National Conference attendee price: $299.00

Group pricing is as follows:

• 4-10 attendees = each attendee receives 10% discount off retail price
• 11-15 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

ACDIS Encore: Clinical & Coding Online – On-Demand

Continuing Education

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 10 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 10 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 10 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 10 nursing contact hours is provided by HCPro.

CCMC
This program is approved by the Commission for Case Manager Certification for 10 Continuing Education Units.

NAHRI
This program has been approved for 10 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).