Live Virtual CDI and Quality Care Measures Boot Camp

Live Virtual CDI and Quality Care Measures Boot Camp

Overview

Advance your practice to the next level in CDI

The Live Virtual CDI and Quality Care Measures Boot Camp is an intensive course designed for CDI departments/programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues.

This class covers publicly reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing Program. Students will learn the why and how of reviewing complex cases involving Patient Safety Indicators (PSI) and hospital-acquired infections (HAI), and leave with measurable strategies for improving their hospital profiles and positively influencing their facility’s value-based incentive payments.

Who is this class for?
The CDI and Quality Care course is designed for CDI departments and programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues. One year of experience is recommended for this course but not required.

This boot camp will help you to:

• Apply concepts of CDI record review, query, and provider education to CMS quality reporting measures
• Create a strategy to demonstrate accurate public reporting and quality measure scores
• Accurately apply present on admission indicators and identify query opportunities related to the HAC Reduction Program quality measures

Leave this boot camp with an understanding of:

• How quality reporting impacts organization reimbursement
• The application of CDI record review, query, and provider education to demonstrate quality outcomes
• Quality measure reporting and how documentation integrity can positively impact scores
• The impact of diagnoses reporting on quality reporting and organizational revenue

• 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 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.

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 Laurie Prescott, MSN, RN, CCDS, CDIP, CRC, CCDS-O.

How does the Live Virtual CDI and Quality Care Measures Boot Camp work?

Class is held Monday – Thursday from 11:30 a.m. – 5:30 p.m. Eastern Time for one week.

Please Note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.

Class is held Monday – Thursday from December 8 – December 11. Registration cut-off date: 12/1/2025

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

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

Live Virtual CDI and Quality Care Measures Boot Camp

Agenda/Course Outline

Day One

Module 1: Introduction to Healthcare Data

• Uniform Hospital Discharge Data Set (UHDDS)
• Key definitions
• Key elements by setting
• Publically reported quality data
• Types of publically reported data
• Quality or performance data
• Physician Value-Based Modifier Program
• Utilization data
• Clinical condition data

Module 2: ICD-10 Code Sets

• Introduction to diagnosis coding
• Overview of Official Coding Guidelines for Coding and Reporting
• Introduction to hospital inpatient procedure coding

Module 3: Inpatient Prospective Payment System (IPPS) and MS-DRGs

• Overview of the Medicare IPPS system
• Key terminology
• What is an MS-DRG?
• How is an MS-DRG assigned?
• Principal diagnosis
• Complications/comorbidities (CC) and major CCs
• Principal procedure
• The impact of principal diagnosis 
• Medical necessity denials

Module 4: Introduction to Quality

• A history of CMS quality initiatives
• Quality initiatives affected by the inpatient population
• Basic quality concepts
• Early quality efforts
• The relationship between the electronic health record and reporting quality data
• National Quality Initiatives (NQI)
• Different types/categories of quality metrics and their significance

Day Two

Module 5: Hierarchical Condition Categories (HCC)

• Introduction to CMS-HCC payment methodology
• How HCCs are used to adjust quality monitors
• Case studies

Module 6: Hospital-Acquired Conditions (HAC) and Present on Admission Status

• Introduction to traditional HACs
• Significance of the present on admission (POA) indicator on CMS quality metrics
• CMS and OIG studies on POA accuracy
• Hospital-Acquired Conditions Reduction Program (HACRP)
• Complication of care codes as defined by coding guidelines
• The impact on provider documentation on assigning a complication of care code
• Role of ICD-10-CM codes and their associated guidelines
• Hospital-Acquired Conditions Reduction Program
• Case studies

Module 7: Hospital Inpatient Quality Reporting (IQR) Program

• History and evolution of the Hospital IQR Program
• IQR as basis/foundation of other CMS quality initiatives
• Potential impacts of IQR
• Reimbursement
• Organizational reputation
• Role of principal diagnosis assignment in IQR
• Role of ICD-10-CM codes
• Case studies

Module 8: Hospital Value-Based Purchasing (HVBP) Program

• The HVBP program
• Coded data elements that impact the reporting of HVBP
• Impact of the principal diagnosis on HVBP
• Role of ICD-10-CM codes and their associated guidelines

Day Three

Module 9: Hospital Readmissions Reduction Program (HRRP)

• About the HRRP
• Coded data elements that can impact the reporting of HHRP measures
• Impact of the principal diagnosis on the HRRP
• Case studies

Module 10: PSI 90: The Composite Patient Safety Indicators (PSI)

• An introduction to PSIs
• Impact of PSI 90 on CMS quality programs
• Elements of PSI 90
• Pressure ulcer rate (PSI 3)
• Iatrogenic pneumothorax rate (PSI 6)
• Postoperative hip fracture rate (PSI 8)
• Perioperative hemorrhage or hematoma rate (PSI 9)
• Postoperative Acute Kidney Injury Rate (PSI 10)
• Postoperative Respiratory Failure Rate (PS 11)
• Postoperative pulmonary embolism (PE) or deep vein thrombosis rate (DVT) (PSI 12)
• Postoperative sepsis rate (PSI 13)
• Postoperative wound dehiscence rate (PSI 14)
• Accidental puncture and laceration rate (PSI 15)
• Case studies

Module 11: Hospital-Acquired Infections (HAI)

• HAI methodology
• Nosocomial infections
• HAIs that may or may not be a HAC
• Surveillance data vs. coded data
• HAIs currently used in CMS quality metrics
• CLABSI
• CAUTI
• SSI
• VAP
• Adjourn

Module 12: Record Review and Queries

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

*Course Outline/Agenda subject to change.

Live Virtual CDI and Quality Care Measures Boot Camp

Schedule

December — Class Schedule (Eastern time)

Live Virtual CDI and Quality Care Measures Boot Camp

Learning Outcomes

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

• Contrast and compare differing healthcare payment methodologies such as IPPS, OPPS, risk based (shared savings) and fee for service. 
• Explain the impact of principal diagnosis assignment (i.e., diagnosis sequencing) on indirect revenue, including that affected by quality metrics 
• Define the CDI specialist’s role contributing to successful quality metric reporting
• Develop documentation strategies to enhance a hospital’s quality metrics without compromising data integrity congruent with official coding guidelines
• Communicate to physicians how their documentation impacts various quality metrics through coded data, compared to abstracted data and surveillance data
• Conduct reviews and/or develop appropriate review processes to ensure accurate reporting of Patient Safety Indicator (PSI) 90
• Develop strategies to leverage collaboration within the revenue cycle, including CDI, coding, infection control, quality, and case management (utilization review) to promote consistency in the reporting of metrics associated with Hospital Value-Based Purchasing (HVBP) and other quality indicators

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 22.5 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 22.5 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 22.5 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 22.5 nursing contact hours is provided by HCPro.

CCMC
This program is approved by the Commission for Case Manager Certification for 22.5 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

Live Virtual CDI and Quality Care Measures Boot Camp

Questions/Answers

Who is the class for? 
Live Virtual CDI and Quality Care Measures Boot Camp is aimed at intermediate to advanced CDI specialists. It is also designed for experienced coders looking to increase their clinical knowledge, as well as physicians looking for a refresher in CDI.

This Boot Camp is not recommended for new CDI specialists as it does not concentrate on the process of CDI or the basics of reimbursement and MS-DRGs. If you have never had any training, then our foundational CDI Boot Camp is the program for you. Similarly, physicians seeking to learn the fundamentals of CDI would likely benefit more from that foundational course.

What computer set-up do I need to attend this class?
This will be hosted on the GoToMeeting platform. Attendees should have access to a computer that has a microphone and speakers to participate, there is also an option to dial-in over a phone line if you need to connect on your phone. You can read the full system requirements for GoToMeeting by visiting https://support.goto.com/meeting/help/system-requirements-for-attendees-g2m010003. You can also test your system by visiting https://support.logmeininc.com/gotomeeting/get-ready.

Live Virtual CDI and Quality Care Measures Boot Camp also doubles as a refresher course for anyone who had formal training prior to ICD-10 implementation. It includes many of the key changes to coding guidelines and Coding Clinic advice under ICD-10. Think of it as a two-for-one—a course with a focus on pathophysiology and a review of what you’ve already learned. 

Are there any prerequisites? 
The Boot Camp is intended for students who have already taken basic CDI training: either on the job or in a general CDI specialist course.

The material presented is at an intermediate level and assumes students have a baseline understanding of DRGs, coding guidelines, and basic query opportunities.

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 integrity 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? 
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! 

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

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? 

• 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 customer service at 800-650-6787 or email customerservice@hcpro.com.