The Physician Advisor’s Role in CDI Boot Camp (ACDIS Pre-conference)

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The Physician Advisor’s Role in CDI Boot Camp (ACDIS Pre-conference)

Product Code: PABC05082017


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$1,249 for ACDIS members.
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Course Overview

The Physician Advisor’s Role in CDI Boot Camp (ACDIS Pre-conference)

May 8–9, 2017 (8:00 a.m. to 5:00 p.m. each day)

The Physician Advisor’s Role in CDI Boot Camp returns to the 10th annual ACDIS Conference in Las Vegas! It’s been fully updated with the latest changes in healthcare regulations, value-based purchasing, and risk adjustment, and features a completely new breakout option on day 2.

Day 1: Regulatory and Coding Update
We’re bringing back our popular day 1 Regulatory and Coding Update session conducted by James S. Kennedy, MD, CCS, CCDS, CDIP, president of CDIMD-Physician Champions near Nashville. Participants will explore and manage clinical documentation integrity (CDI) opportunities in the ever-evolving application of ICD-10-CM/PCS with MS-DRGs, APR-DRGs, inpatient quality metrics, and Hierarchical Condition Categories (HCC) used in physician efficiency modeling. Kennedy will walk participants through ICD-10-CM/PCS clarification opportunities in all the inpatient Major Diagnostic Categories (including pediatrics and obstetrics) in this jam-packed day, incorporating the latest clinical criteria, Coding Clinic, and the Official ICD-10-CM/PCS Guidelines for Coding and Reporting updates.

This year we’re again offering a choice of breakouts on day 2. Select between our popular Physician Advisor 101: Core Skills and Responsibilities, by Trey La Charité, MD, medical director for clinical integration and physician advisor for clinical documentation integrity at the University of Tennessee Medical Center in Knoxville, or Holistic Documentation Improvement: The Physician Advisor as Change Agent by Erica E. Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., and Kelly Skorepa, BSN, RN, CCDS, corporate manager of clinical documentation integrity for University Hospitals Health System.

Day 2, Track 1: Physician Advisor 101: Core Skills and Responsibilities
La Charité, a seasoned physician advisor with over 12 years of experience, teaches you everything he’s learned and implemented in inpatient and outpatient CDI at the University of Tennessee Medical Center and provides actionable strategies to make you a better physician advisor. The program is fully updated and revised from 2016. Physician Advisor 101 will provide an exhaustive introduction to everything the new and seasoned physician advisor needs to know, including enlisting physician buy-in, intervening with problematic physicians and query opportunities, and managing audits and denials.

Day 2, Track 2: Holistic Documentation Improvement: The Physician Advisor as Change Agent
Brand-new for 2017 is Holistic Documentation Improvement: The Physician Advisor as Change Agent. Attendees will learn not only best practice for physician advisors to CDI, but crucially, how a physician advisor can transfer that knowledge to the medical staff and other providers.

Remer, a veteran developer of educational sessions on documentation, reimbursement, clinical documentation integrity, and ICD-10, will convey proven methods to give providers feedback on their documentation, how to handle the query escalation process, and educational techniques for engaging busy physicians. This session will also delve into the physician advisor’s role in denials management, HCCs, and how to get providers to “tell the story” in the health record.

Who should attend?

  • Physician advisors/champions to CDI
  • Hospitalist leadership
  • 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

 

Course Outline/Agenda

DAY 1
Monday, May 8

7:00 a.m.–8:00 a.m.
Registration and continental breakfast

Regulatory and Coding Update*
James S. Kennedy, MD, CCS, CCDS, CDIP
President, CDIMD-Physician Champions
Smyrna, Tennessee

8:00 a.m.–9:30 a.m
CDI Foundations—What Is Clinical Documentation Integrity?

9:30 a.m.–10:30 a.m.
A Pathophysiologic Approach to ICD-10 Coding and DRG Assignment

10:30 a.m.–10:45 a.m.
Refreshment break

10:45 a.m.–12:00 p.m.
A Pathophysiologic Approach to ICD-10 Coding and DRG Assignment (cont.)

12:00 p.m.–1:30 p.m.
Lunch (provided)

1:30 p.m.–2:30 p.m.
A Pathophysiologic Approach to ICD-10 Coding and DRG Assignment (cont.)

2:30 p.m.–2:45 p.m.
Refreshment break

2:45 p.m.–3:30 p.m.
A Pathophysiologic Approach to ICD-10 Coding and DRG Assignment (cont.)

3:30 p.m.–5:00 p.m.
Quality Considerations: Present on Admission (POA), Patient Safety Indicators, Inpatient Quality Indicators, and Other Quality Metrics

5:00 p.m.
Adjourn

 



DAY 2
Tuesday, May 9

7:00 a.m.–8:00 a.m.
Continental breakfast

(Choose 1 of the following 2 tracks)

Track 1: Physician Advisor 101: Core Skills and Responsibilities
Trey La Charité, MD, FACP, SFHM, CCDS
Medical Director for Clinical Documentation Integrity and Coding
University of Tennessee Medical Center, Knoxville, Tennessee 6

8:00 a.m.–9:15 a.m.
Achieving Medical Staff Buy-in

  • How to explain the goals of your CDI program
  • What your providers don’t know about their documentation and their data
    • What your providers don’t know about your facility
    • How to explain why CDI is crucial for the future of your providers and your facility

 

9:15 a.m.–10:30 a.m.
Ready, Set, Intervene!  Managing Problems, Pitfalls, and Personality Disorders

  • Understanding the obstacles you and your program will face
  • 10 rules for ensuring CDI program success
  • Strategies to improve medical staff compliance
  • Practical suggestions for that difficult provider conversation


10:30 a.m.–10:45 a.m.
Refreshment break 

10:45 a.m.–11:15 a.m.
Timing Is Everything:  How and When to Query

  • Why do your coders have questions when reading our records?
  • Case examples of challenging records created by poor provider documentation habits
  • Review EMR-specific risks for CDI

 

11:15 a.m.–12:00 p.m.
My CDI Program Did What?

  • Managing your CDI program’s impact on other hospital departments
  • Dealing with other unexpected issues

 

12:00 p.m.–1:30 p.m.
Lunch (provided)

1:30 p.m.–2:30 p.m.
Man the Barricades!  Dealing With Recovery Auditors

  • Who is looking at your records and why
  • How to keep your CDI program on the straight and narrow
  • Understanding the tactics utilized by auditors to recoup reimbursements
  • How to incorporate auditor defense into your CDI program
  • How to transform auditor denials into medical staff action
  • How to appeal an inappropriate denial

 

2:30 p.m.–2:45 p.m.                 
Refreshment break 

2:45 p.m.–3:45 p.m.
CDI:  Not Just for Inpatients Anymore

  • Why you need to take CDI to your outpatient practices
  • What are HCCs, why they are important, and how to capture them

 

3:45 p.m.–4:45 p.m.
Practical Considerations:  CDI Team Structure and PA Position Development

  • CDI team composition and getting them up to speed
  • The other roles of the active CDI physician advisor
  • Who should be your CDI program’s physician advisor?
  • Successful CDI physician advisor characteristics
  • Physician advisor time requirements and getting paid

 

4:45 p.m.–5:00 p.m.
Open Q&A

5:00 p.m.
Adjourn

Track 2: Holistic Documentation Improvement: The Physician Advisor as Change Agent
Erica E. Remer, MD, FACEP, CCDS
Founder and President, Erica Remer, MD, Inc.
Consulting Services in Clinical Documentation, CDI, and ICD-10
Kelly Skorepa, BSN, RN, CCDS
Corporate Manager, Clinical Documentation Integrity
University Hospitals Health System

8:00 a.m.–9:15 a.m.
Interrelationship of Clinical Documentation and Quality

  • Documentation principles and how to teach good practices to your staff
  • Understanding what constitutes quality in medicine and how it is measured
  • Clinical documentation improvement/integrity and case-based key comorbidities


9:15 a.m.–10:30 a.m.
Coding, ICD-10, and CDI Essentials for Non-Coders

  • Coding and ICD-10 essentials
  • CDI essentials, rules of querying, and the escalation process


10:30 a.m.–10:45 a.m.
Refreshment Break
 

10:45 a.m.–12:00 p.m.
Closing the Loop: Feedback and Education

  • Closing the loop: Giving provider feedback
  • Education: Creating presentations; optimal timing


12:00 p.m.–1:30 p.m.
Lunch (provided)
 

1:30 p.m.–2:30 p.m.
HACs, PSIs, and Mortality Review

  • Designing a review process


2:30 p.m.–2:45 p.m.
Refreshment Break

2:45 p.m.–3:45 p.m.
Denials

  • Medical necessity and clinical validation denials; how to fight denials effectively


3:45 p.m.–4:45 p.m.
HCCs: “Outpatient” CDI

  • MACRA/MIPS/APMs


4:45 p.m.–5:00 p.m.
Open Q&A

5:00 p.m.
Adjourn

*Agendas subject to change

Learning Objectives

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

  • Explain the fundamental objectives and elements of a successful inpatient and outpatient CDI program
  • Describe the most problematic terms in ICD-10-CM/PCS and best practices for resolving incomplete, imprecise, conflicting, or unreliable provider documentation or clinically incongruent code assignment
  • Identify common problem areas and deficiencies in inpatient and outpatient physician documentation and ICD-10-CM/PCS code assignment
  • Outline optimal techniques for engaging physicians, coders, and CDI specialists in a CDI program
  • Develop and implement best practices for capturing documentation to ensure accurate code capture in ICD-10
  • Develop methods for building credibility with medical staff, physician extenders, and other clinical staff
  • Develop strategies for managing denials and appeals by Recovery Auditors
  • Describe optimal techniques for educating the medical staff on critical documentation elements
  • Identify areas of opportunity for CDI in the outpatient setting, including risk-adjusted payments
  • Develop a successful methodology for escalating and resolving unanswered queries in the health record
  • Establish review techniques for impacting quality metrics, including Patient Safety Indicators and hospital-acquired conditions

Continuing Education

Association of Clinical Documentation Improvement Specialists (ACDIS)

This program has been approved for 14 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).

Commission for Case Manager Certification (CCMC)

This program has been submitted to the Commission for Case Manager Certification for approval to provide board certified case managers with 14 clock hours.

Accreditation Council for Continuing Medical 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 14 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.


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.

Instructors

James S. Kennedy, MD, CCS, CCDS, CDIP, is the president of CDIMD-Physician Champions, a Nashville-based group of physicians, coders, and clinicians engaged nationwide as CDI physician advisors, ICD-10 medical informaticists, and DRG and HCC compliance advocates. His experience includes the private practice of medicine along with successful entrepreneurial healthcare-related business startups in the public and private sector. His expertise includes physician and hospital leadership, healthcare systems improvement, healthcare documentation and coding compliance, and government relations. He previously served on the ACDIS Advisory Board.

Trey A. La Charité, MD, FACP, SFHM, CCDS, is the medical director of clinical documentation integrity and coding for UT Hospitalists at the University of Tennessee Medical Center (UTMC). He is a former member of the ACDIS Advisory Board. La Charité is a practicing hospitalist and a clinical assistant professor in the department of internal medicine, where he is the curriculum director of the residency program’s hospitalist rotation. He is also the medical director for UTMC’s clinical integration project, where he recently started an outpatient CDI initiative for UTMC’s large primary care network focusing on PCP HCC capture and outpatient procedure order justification. He has authored or co-authored two books for ACDIS/HCPro, including CDI Companion for Physician Advisors: Notes From the Field.

Erica E. Remer, MD, FACEP, CCDS, is founder and president of Erica Remer, MD, Inc. Consulting Services in Clinical Documentation, CDI, and ICD-10. Prior to entering the consulting field, she served as the clinical documentation integrity officer of University Hospitals in Cleveland. Dr. Remer practiced emergency medicine for 25 years, and has expertise in both the professional and technical sides of billing. She has provided consultation for the FBI and on ICD-10, and has given over 110 presentations on documentation, reimbursement, clinical documentation integrity, and ICD-10.

Kelly Skorepa, BSN, RN, CCDS, is corporate manager of clinical documentation integrity for University Hospitals Health System in Cleveland. 

Hotel Information

Book your hotel room by April 12, 2017 and get a special hotel rate of $169 (tax not included).

MGM Grand
3799 Las Vegas Boulevard South
Las Vegas, NV 89109
Discounted Room Rate: $169 (tax not included)
Reservations: 877-880-0880 I 702-891-7777
Or book your room online here.

If calling to make your reservation, please mention "ACDIS" to receive the discounted rate.