This online boot camp is a great choice for those looking for self-paced training. You receive 24/7 access to the course—with the ability to submit questions to our instructors—for 60 days after purchase. |
Outpatient CDI Boot Camp Online
Course Overview
Premier outpatient education from the most trusted name in CDI
The Outpatient CDI Boot Camp Online is the new go-to source for outpatient CDI professionals and those seeking to begin a CDI program in the outpatient arena. This is the first-of-its kind boot camp from the trusted experts at HCPro and ACDIS.
This course defines the role of CDI specialists in the outpatient arena, provides comprehensive training, and applies ACDIS-endorsed best practices.
The Outpatient CDI Boot Camp Online provides tools for outpatient CDI professionals to practice in the outpatient setting and understand the impact of CDI functions. While outpatient CDI is still in its infancy, ACDIS is taking the lead in defining roles, focus, and establishing standards and core competencies, which are covered in this course. The boot camp examines diagnoses impacting hierarchical condition categories (HCCs), record review and query, medical necessity documentation, CDI role in charge capture, and ethics and compliance.
CDI in the outpatient setting encompasses a variety of different focuses to include ED, observation, primary, and ambulatory care. The regulatory landscape and suggested best practices are rapidly evolving and organizations must work to maintain compliant, effective practices.
Leave the Outpatient CDI Boot Camp Online with a complete understanding of:
- Official guidelines for Coding and Reporting in the outpatient setting
- How to conduct record reviews
- Compliant query practice in the outpatient setting
- Risk adjustment and Risk Adjustment Documentation Validation Audits (RADV)
- Common diagnoses of focus in the outpatient setting
- The process and focus of provider education
The Outpatient CDI Boot Camp Online will help you:
- Implement a step-by-step process for thorough medical record review based on industry guidelines for the outpatient arena
- Develop compliant verbal and written physician queries and understand how to effectively query providers in the outpatient setting
- Recognize significant conditions in the outpatient setting that are a common focus for review, such as HIV disease, neoplasms, diabetes, malnutrition, morbid obesity, substance abuse/dependence, major depressive disorder, COPD, chronic respiratory failure, quadriplegia, paraplegia, hemiplegia, heart failure, cardiomyopathy, angina, CKD, pressure ulcers, chronic wounds, and status codes
Outpatient CDI Boot Camp Online—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.
- Well-established program: Brought to you by the Association of Clinical Documentation Improvement Specialists (ACDIS), this Boot Camp from the industry’s only dedicated CDI association provides the best-in-class education you expect.
- Live interaction with experts: Class size is limited to ensure individual attention. You'll be able to ask questions and get guidance from our instructors during a live office hour call.
Our boot camps are a comprehensive and effective way to strengthen your understanding of CDI. “Our goal as instructors is to offer detailed, thorough, and timely education that can be simply broken down and easily understood and applied in daily practice,” says CDI education director at HCPro, Laurie Prescott.
ACDIS members save $150 off the registration fee. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!
CCDS-O Examination Information
ACDIS offers a certification for outpatient CDI specialists, the Certified Clinical Documentation Specialist-Outpatient (CCDS-O) credential. We recommend the CCDS-O exam for individuals who complete this Boot Camp, meet the exam eligibility criteria, 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-O examination. To download the CCDS-O 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/certification/ccds-o.
For more detailed information about HCPro's Boot Camps, contact us at 800-650-6787 or email sales@hcpro.com.
Outpatient CDI Boot Camp Online
Dates
Below is the current course schedule for upcoming Outpatient CDI Boot Camp Online classes.
To view our cancellation policy, click here.
Course |
Class Dates |
Registration Deadline |
October 2024 - December 2024 |
10/8/2024 - 12/7/2024 | 10/7/2024 |
November 2024 - January 2025 |
11/12/2024 - 1/11/2025 | 11/11/2024 |
December 2024 - February 2025 |
12/3/2024 - 2/1/2025 | 12/2/2024 |
Outpatient CDI Boot Camp Online
Course Outline/Agenda
Module 1: Introduction to Outpatient CDI: The Basics
This module discusses the evolution of CDI from the inpatient to the outpatient setting. The roles of CDI and Coding professionals are reviewed as related to medical record review and provider education. The module also reviews the ICD‐10‐CM and HCPCS/CPT code sets.
Learning Objectives:
- Discuss the role of documentation within the health record
- Discuss the evolving roles of CDI and coding professionals
- Distinguish what documentation can be used to report a code from those whose documentation can only be used as clinical indicators of a condition
- Discuss the approved code sets of ICD‐10‐CM and HCPCS/CPT
Module 2: The Official Guidelines for Coding & Reporting
This module reviews the Official Guidelines for Coding and Reporting for ICD‐10‐CM diagnosis reporting with a focus on Section IV: The Diagnostic and Coding Guidelines for Outpatient Services. The module reviews how basic code assignment is performed, coding convention, and regulatory guidance such as AHA Coding Clinic.
Learning Objectives:
- Explain when the Official Guidelines for Coding and Reporting are updated and where to obtain official information,
- Explain the role of AHA Coding Clinic® in code assignment
- Define and apply the principles of first listed diagnosis selection
- Apply Section IV: Diagnostic Coding & Reporting Guidelines for Outpatient Services
Module 3: Healthcare Reimbursement
This module offers a review of the different healthcare reimbursement methodologies including fee for service, value based, and shared risk. The overview compares the Inpatient Prospective Payment System (IPPS) and the Outpatient Prospective Payment System (OPPS).
Learning Objectives:
- Compare & Contrast the following methodologies of healthcare reimbursement
- Fee for Service
- Value Based
- Shared Risk
- Inpatient Prospective Payment System (IPPS)
- Outpatient Prospective Payment System (OPPS)
Module 4: Record Review & Compliant Query
This module addresses basic core functions of CDI: record review and compliant query practice. It reviews principles of record reviews in the outpatient setting and reviews the 2019 AHIMA/ACDIS guidance related to compliant query practice.
Learning Objectives:
- Define the role of a query in CDI/coding
- Identify and discuss the resources available to guide when and how to query based on professional industry standards
- Incorporate industry guidance in the construction of simple queries
- Recognize the importance of creating policies to define the query process and discuss the basic elements that should be addressed in the policy
Module 5: Risk Adjustment
This module reviews key concepts of risk adjustment with a focus on the CMS Hierarchical Condition Categories (HCCs). Discussion includes review of demographic and diagnosis considerations, disease interactions, identification of documentation opportunities, risk score calculation, and Risk Adjustment Documentation Validation (RADV) audits.
Learning Objectives:
- Explain how risk adjustment is applied to healthcare reimbursement
- Identify the different models used in risk adjustment
- Discuss the process of computing the Risk Adjustment Factor (RAF) score for individuals
- Describe the process of Risk Adjustment Data Validation (RADV) audits
Module 6: Anatomy & Physiology
This module reviews diagnoses and conditions that are a common focus in CDI Outpatient reviews. Conditions include: HIV Disease, neoplasms, diabetes, malnutrition, morbid obesity, substance abuse/dependence, major depressive disorder, COPD, chronic respiratory failure, quadriplegia, paraplegia, hemiplegia, heart failure, cardiomyopathy, angina, CKD, pressure ulcers, chronic wounds and status codes.
Learning Objectives:
- Discuss diagnose/conditions that are a common focus in CDI outpatient reviews
- Identify opportunities for query and provider education in the outpatient setting
- Apply Coding Guidelines and AHA Coding Clinic instruction appropriately/accurately
- Discuss diagnostic guidelines and apply clinical validation
Module 7: Evaluation & Management: Professional Services Billing
This module discusses the basic documentation requirements of evaluation and management coding as defined in the both the 1995 and 1997 Guidelines for Evaluation and Management.
Learning Objectives:
- Define the difference between new and established patients
- Define the term Relative Value Units
- Explain the documentation requirements/required components for all E/M levels
- Discuss CDI efforts to assist with E&M levels
Module 8: Quality Reporting
This module reviews quality reporting measures that impact providers in the outpatient setting to include Healthcare Effectiveness Data Information Set (HEDIS), Medicare Access & CHIP Reauthorization Act (MACRA), and Merit Based Incentive Payment System (MIPS). Alternative Payment Models incorporating risk and quality are also discussed such as Accountable Care Organizations and patient Family Centered Medical Homes.
Learning Objectives:
- Describe the purpose of HEDIS Measures
- Discuss the types of measures monitored within HEDIS measures
- Describe MACRA and MIPS Reporting
- Discuss Alternative Payment Models
- Identify how CDI function can offer impact to the above quality measures
Module 9: CDI Function in Charge Capture
This module discusses the function of CDI in the outpatient setting related to charge capture. We discuss activities related to denials management, medical necessity of care such as work related to National and Local Coverage Determinations. Charge capture related to observation charges, injections/infusions and chargemaster are discussed.
Learning Objectives:
- Discuss the role of CDI in denials management
- Define the purpose of NCD/LCDs and how they can be used to promote supportive documentation
- Discuss reimbursement related to observation status and how CDI can assist with accurate capture
- Define the term Chargemaster and functions to manage charge practices
Module 10: Physician Engagement & Education
This module reviews CDI activities related to physician engagement and education.
Learning Objectives:
- Discuss the challenges related to provider education in the outpatient setting
- Develop a provider education plan
- Identify key concepts to include in provider education
- Explore educational strategies to successfully communicate concepts
Module 11: CDI Metrics, Ethics & Compliance
This module discusses common metrics used to measure and communicate the impact of CDI efforts. We review efforts to minimize vulnerability and to understand the functions government audit agencies, office of the Inspector General and the False Claims Act. The ACDIS Code of Ethics is reviewed.
Learning Objectives:
- Discuss common metrics used to measure CDI impact
- Review the ACDIS Code of Ethics
- Describe the function and focus of the following audit initiatives
- Comprehensive Error Rate Testing
- Recovery Auditors
- Program Safeguard Contractors and Zone Program Integrity Contractor
- Office of Inspector General
- Medicare Administrative Contractor
- Commercial Audit
- Risk Adjustment Data Validation
- Wrap up and Question/Answer/Discussion (30 minutes)
Module 12: CCDS‐O Exam Preparation
This module ends the course with a discussion of the CCDS‐O exam, prioritizing preparation needs and the test taking experience.
*Agenda is subject to change.
Outpatient CDI Boot Camp Online
Questions/Answers
Outpatient CDI Boot Camp Online—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.
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.
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.
What is the focus of the Outpatient CDI Boot Camp Camp Online?
The Outpatient CDI Boot Camp Online is an intensive training course that will teach outpatient CDI and coding specialists the skills necessary to succeed in their jobs. It focuses on:
- Common diagnoses impacting hierarchical condition categories (HCCs)
- Record review and query
- Medical necessity documentation
- CDI role in charge capture
- Ethics and compliance
The Outpatient CDI Boot Camp Online will also benefit organizations with established outpatient CDI programs that need additional development.
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 on a basic to intermediate level.
Who should attend?
- Clinical documentation improvement (CDI) specialists
- CDI managers/directors
- Coding compliance directors/managers
- Coding compliance specialists
- Outpatient coders
- HIM directors
- Revenue cycle directors
- Physician champions/advisors to CDI
- Quality improvement professionals
- Coding managers/supervisors
- Denials and appeals managers
- Compliance officers
Is there a discount for ACDIS members?
ACDIS members save $150 off the registration fee. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!
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."
What if I need to cancel or transfer my registration?
Please click here to view our cancellation policy.
How do I get more information?
Contact us at 800-650-6787 or email sales@hcpro.com.
Outpatient CDI Boot Camp Online
Learning Objectives
At the conclusion of the course, participants will be able to:
- Identify a step-by-step process for thorough medical record review based on industry guidelines for the outpatient arena
- Develop compliant verbal and written physician queries and understand how to effectively query providers in the outpatient setting
- Recognize the important conditions in the outpatient setting that are a common focus for review, such as HIV disease, neoplasms, diabetes, malnutrition, morbid obesity, substance abuse/dependence, major depressive disorder, COPD, chronic respiratory failure, quadriplegia, paraplegia, hemiplegia, heart failure, cardiomyopathy, angina, CKD, pressure ulcers, chronic wounds, and status codes
Continuing Education
AAPC
This program has the prior approval of AAPC for 10 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
ACDIS
This program has been approved for 10 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).
AHIMA
This program has been approved for 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.