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NYHIMA Webinars: CDI Webinar Double Session
Wednesday, October 20, 2021, 1:00 PM - 4:30 PM EDT
Category: Online Education Session

CDI Webinar Double Session
Wednesday, October 20, 2021

"Physician Documentation - It Is Not So Just because the Physician Said It Is So"
1:00pm

"Transforming CDI - Lessons Learned from Real Life Experiences"
3:00pm

Member Fees:
Both Sessions - $55.00
"Physician Documentation" only - $30.00
"Transforming CDI" only $30.00

Nonmember Fees:
Both Sessions - $75.00
"Physician Documentation" only - $40.00
"Transforming CDI" only $40.00

Student members attend FREE!

Each webinar will offer 1.0 CEU for AHIMA and AAPC

REGISTER HERE!


Physician Documentation - It Is Not So Just because the Physician Said It Is So; 1:00 pm
In the past payers would accept coded diagnoses documented by the physician to be clinically validated and reimburse the billed DRG as sent for payment. The payment environment has evolved over the last few years where all payers have become more aggressive in denying more and more diagnoses as documented by the physician in the electronic health record based on the contention of “clinical validation.” In essence, documentation of diagnoses, especially those queried by the Clinical Documentation Integrity Specialists, are being denied by the payer second guessing physician’s clinical judgment and medical decision making in arriving at a clinical diagnosis or diagnoses. Often, the documentation is consistent throughout the record including reporting the diagnoses in the discharge summary, yet the diagnosis is still refuted by the payer. Attend this webinar where Glenn Krauss and Dr. Jacob Martin will outline and showcase strategies to incorporate into your CDI program that have been proven to drive down and alleviate costly clinical validation denials and DRG downgrades through promotion of a preemptive proactive approach to physician documentation. In addition, attendees will be provided with resources to put to immediate use in education physicians on complete and accurate documentation that will help in their business of the practice of medicine

Transforming CDI - Lessons Learned from Real Life Experiences; 3:00 pm
The CDI profession has been in existence for ten years, formally recognized as a profession with more and more hospitals implementing and continuing to grow their programs in both inpatient and outpatient arena. Unfortunately, programs in most cases are slow to evolve to meet the changing requirements of documentation from both a quality of care and reimbursement perspective. Payers are continuing to hold the upper hand when it comes to reimbursement to providers, denying payment based on medical necessity, clinical validation and DRG downgrades. Most of these denials can be avoided through incorporating a different approach to CDI that embraces education and teachings of physicians on best practice standards and principles of documentation as an integral part of CDI versus relying upon transactional, repetitive, and reactionary queries that fail to change overall physician behavioral patterns of documentation. Attend this webinar presented by Glenn Krauss and Dr. Jacob Martin, veterans in the CDI profession, where they will share personal experiences in transforming current CDI processes to address continual physician documentation shortfalls that lead to unnecessary payment denials from payers. Attendees will gain a deep understanding of how to develop an effective roadmap to guide CDI transformation at one’s facility, migrating successfully away from relying upon queries as the mainstay and hallmark of CDI and implementing a true CDI engaging educational program for physicians that drive real meaningful measurable sustainable improvement in documentation quality and completeness. Several take away resources to utilize in planning and implementing an approach to CDI that incorporates proactive preemptive denials avoidance documentation going well beyond diagnosis capture will be shared with all attendees that can be immediately utilized at your facility to jumpstart a transformative CDI initiative starting with buy-in from hospital administrators including the CFO.


PRESENTERS

Glenn Krauss is a well-recognized & respected subject matter expert in the revenue cycle with an emphasis & focus upon collaborating & working closely with physicians in promoting, advocating for, educating & achieving sustainable improvement in clinical documentation that accurately reflects & reports the communication of fully informed coordinated patient care. He possesses 25 plus years of progressive practical hands-on experience in clinical coding & documentation improvement, subscribing to the philosophy that quality of medical record documentation strongly correlates with overall quality of care & the overall achievement of a high performing revenue cycle. What sets Glenn apart in the clinical documentation improvement arena is the recognition of clinical documentation effectiveness, accuracy, completeness & contextual consistency as fundamentally integral with all components of the revenue cycle.

Jacob Martin MD, Certified-PA-CDI, Certified Instructor-CDI, Diplomate ABPM, and Diplomate ABQAURP is a physician with over 40 years’ experience including emergency medicine, sports medicine, forensic medicine, preventive medicine-occupational medicine, and insurance medicine. He holds permanent board certification through the ABPM, as well as board certification through the ABQAURP with recertification every 2 years. Dr. Martin is a certified CDI instructor and certified PA-CDI, with 20+ years in the CDI space having worked across the United States in hospital settings partnering with new and established CDI programs as a physician champion – educator. He believes that complete, accurate, and clinically relevant clinical documentation is a sine qua non for a revenue cycle’s efficacious functioning. In this stead, he continues to provide clinical documentation education while partnering with CDI RNs and attending physicians as well as professional coders, case management/UR professionals, and revenue cycle professionals. This reflects what has been termed a “holistic” approach to attainment of best practices in clinical documentation in the setting of a high-functioning revenue cycle.


 

REGISTER HERE!