2016 CLINICAL DOCUMENTATION IMPROVEMENT BOOT CAMPS

Transcription

1 2016 CLINICAL DOCUMENTATION IMPROVEMENT BOOT CAMPS UPCOMING DATES CDI BOOT CAMP ORLANDO, FL January SAN DIEGO, CA February 8 11 NASHVILLE, TN March ICD-10 FOR CDI BOOT CAMP TUCSON, AZ January SAVANNAH, GA February HOUSTON, TX March THE PHYSICIAN ADVISOR S ROLE IN CDI BOOT CAMP REDONDO BEACH (LOS ANGELES), CA February 8 9 CDI FOR QUALITY BOOT CAMP NEW BOOT CAMP! ATLANTA, GA March 28 30

2 WHY HCPRO? Our Clinical Documentation Improvement (CDI) Boot Camps are not like other CDI classes. Check out all the benefits we offer: UNMATCHED KNOWLEDGE: Our instructors have a unique combination of real-world CDI experience and adult education experience. As former CDI specialists and/or CDI managers working in the field, they know exactly what CDI specialists need to learn and how to present complex coding topics in an easy-tounderstand manner. RULES-BASED LEARNING: Course materials are based only on recognized source authorities, such as the Official Guidelines for ICD-10-CM and ICD-10-PCS, the AMA s CPT Assistant, and the AHA s Coding Clinic. CUSTOM-DESIGNED COURSE MATERIALS: Proprietary materials and exercises are developed by instructors specifically for this immersion learning format. WE TEACH THEN TEST: CDI is not truly mastered without exercises that test comprehension. Students complete exercises for each module and review the answers with the instructors. We provide answer keys and rationale for all exercises so that coders can refer to the materials long after the Boot Camp is over. EARN VALUABLE CEs TO MAINTAIN YOUR CREDENTIALS: Our courses offer CEs from several major national and state organizations, including nursing, CME, coding, case management, and our own CCDS program. WELL-ESTABLISHED PROGRAM: HCPro is the nation s first organization to offer Boot Camp training courses to healthcare CDI professionals. We currently conduct more than 60 Clinical Documentation Improvement Boot Camps each year. On average, participants have rated HCPro Clinical Documentation Improvement Boot Camps at 4.9 on a 5.0 scale. REGISTER FOR ANY BOOT CAMP BY JANUARY 31, 2016 AND SAVE $100. Use discount code BCSAVE100 when registering to receive discount. 2

3 BRING AN HCPRO BOOT CAMP AND ITS INDUSTRY-LEADING INSTRUCTORS TO YOUR FACILITY! Why bring a Boot Camp to your facility? ACCESS. Our instructors are all yours, so you can ask them questions specific to your facility and apply concepts to your own CDI department. CONSISTENCY. Bring staff together for consistent training and foster team-building and problem solving. CONNECT. Encourage collaboration by inviting staff from other departments to all or part of the Boot Camp. Name Title Telephone address 3

4 CLINICAL DOCUMENTATION IMPROVEMENT BOOT CAMP OVERVIEW Launch a successful CDI career with help from the experts at ACDIS. The CDI Boot Camp is ACDIS premier training for CDI specialists. Trusted by hundreds of CDI specialists as the go-to source for CDI education, this course defines the role of CDI specialists and provides comprehensive training on their responsibilities. Improve your CDI know-how with ACDIS-endorsed best practices for medical record review and compliant physician querying. Learn the ins and outs of Medicare s IPPS methodology and how it relates to short-term acute care hospital reimbursement, which is often a focus of CDI efforts. Specifically, participants learn about MS-DRG methodology, including how MS-DRGs are assigned and how documentation affects code assignment and sequencing. A majority of the Boot Camp is dedicated to exploring diagnoses typically in need of clarification for proper code assignment and MS-DRG assignment. Armed with this knowledge, CDI specialists can credibly query physicians to ensure accurate claims data and reimbursement. Leave the CDI Boot Camp with a complete understanding of: The ICD-10-CM Official Guidelines for Coding and Reporting, as seen from a CDI perspective Diagnoses frequently in need of additional documentation to support accurate code assignment across all major body systems The value of querying the provider for clarification and best practices associated with the query process Tips for educating physicians on the basics of hospital reimbursement under IPPS and the value of complete documentation on organizational and professional profiling IPPS methodology based on MS-DRG assignment and the impact of diagnosis assignment and sequencing on hospital reimbursement CDI benchmarking basics, compliance risks, and professional ethics THIS BOOT CAMP WILL HELP YOU: Implement a step-by-step process for thorough medical record review based on industry guidelines Develop compliant verbal and written physician queries and understand how to effectively query providers Recognize the important clinical indicators for problematic diagnoses such as heart failure, sepsis, acute renal failure, and encephalopathy Understand the impact of compliance initiatives on CDI, including the Recovery Auditor program and the Office of Inspector General Work Plan UPCOMING DATES 2016 ORLANDO, FL JAN Hyatt Place Orlando/Universal SAN DIEGO, CA FEB 8 11 Homewood Suites by Hilton BRENTWOOD, TN MAR Hyatt Place ENGLEWOOD, CO APR Hyatt Place Denver Tech Center

5 AGENDA Module 1: Module 2: Module 3: Module 4: Module 5: Module 6: Module 7: Module 8: Module 9: Healthcare Data and the Health Record Medicare and Medicaid Diagnosis Codes and Sequencing Introduction to Procedure Code Sets The Inpatient Prospective Payment System (IPPS) and MS-DRGs Record Review and Queries Getting to Know DRG Expert (ICD-10-CM) Key Infectious Diseases and Complications Key Diseases Associated With Injuries Module 10: Key Diseases of the Respiratory System Module 11: Key Diseases of the Digestive, Hepatobiliary, and Urinary Systems Module 12: Neoplasms and Associated Diseases Module 13: Key Diseases Associated With the Circulatory System Module 14: Key Diseases of the Nervous System and Mental Health Module 15: Key Endocrine, Nutritional, and Metabolic Diseases Module 16: Basic CDI Metrics and Professionalism 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 improvement professionals, quality department managers/directors Utilization review/case management managers/directors Revenue cycle managers/directors Physician advisors/champions to CDI Hospitalist leadership $1,499 ACDIS members save $150 off the registration fee. Call to receive your special discount rate or sign up for membership today! *Classes run from 8:00 am 5:00 pm. HOTEL RESERVATIONS/DISCOUNTED ROOM RATES Make your hotel reservations immediately to guarantee the hotel rate and availability, and be sure to identify yourself as a participant of HCPro s Boot Camp to get the special discounted room rates. Most discounts expire four weeks prior to the Boot Camp start date. For more information on hotel room rates and discount deadlines, visit. 5

6 OVERVIEW ICD-10 FOR CDI BOOT CAMP ACDIS popular ICD-10 for CDI Boot Camp has been completely redesigned for the new realities of CDI post-icd-10. This four-day class begins with an in-depth look at the ICD-10-CM conventions and guidelines CDI specialists need to know. It then walks through the major body systems and diagnoses commonly in need of specificity, helping students reconcile clinical terminology with the documentation needed to accurately code in ICD-10. The ICD-10 for CDI Boot Camp also covers ICD-10-PCS, including the mechanics of determining the root operation and strategies and tools for helping your HIM/coding staff arrive at the right PCS code. The class concludes with inpatient procedure review and inclass discussion of case studies to help students apply what they ve learned. THIS BOOT CAMP WILL HELP YOU: Evaluate, revise, and focus physician educational efforts and queries to meet documentation requirements for ICD-10-CM Determine the impact ICD-10-PCS will have on the organization and whether CDI specialists should query for surgical procedures Highlight changes from the ICD-9-CM to ICD-10-CM Official Coding Guidelines so that CDI specialists can get coders the specificity they need Recognize how ICD-10-CM documentation requirements will affect principal diagnosis selection, additional diagnosis reporting, and diagnosis sequencing Identify solutions that will maximize efficiency and limit productivity losses after the transition UPCOMING DATES 2016 TUCSON, AZ JAN Homewood Suites by Hilton Tucson SAVANNAH, GA FEB SpringHill Suites by Marriott HOUSTON, TX MAR Homewood Suites by Hilton Houston EAST NORRITON, PA APR Hyatt House Philadelphia

7 AGENDA Module 1: Module 2: Module 3: Module 4: Module 5: Introduction to ICD-10 ICD-9-CM to ICD-10-CM Diagnosis Coding Conventions and Guidelines Infectious and Parasitic Diseases (A00 B99) Neoplasms (C00 D49) Diseases of the Blood and Blood-Forming Organs, and Certain Disorders Involving the Immune Mechanism (D50 D89); Endocrine, Nutritional, and Metabolic Diseases (E00 E89); and Mental and Behavioral Disorders (F01 F99) WHO SHOULD ATTEND CDI specialists: RNs/MDs CDI managers/directors Case management directors/ managers HIM directors/coding managers Revenue cycle directors DRG coordinators Physician advisors/champions Quality improvement personnel Module 6: Module 7: Module 8: Module 9: Endocrine, Nutritional, and Metabolic Diseases Mental and Behavioral Disorders Diseases of the Nervous System and Sense Organs (G00 G99) Diseases of the Circulatory System (I00 I99) Module 10: Diseases of the Respiratory System (J00 J99) Module 11: Diseases of the Digestive System (K00 K95) Module 12: Diseases of the Skin and Subcutaneous Tissue (L00 L99); Diseases of the Musculoskeletal System and Connective Tissue (M00 M99); and Diseases of the Genitourinary System (N00 N99) Module 13: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00 R99) 7

8 Module 14: Injury, Poisoning, and Certain Other Consequences of External Causes (S00 T88) Module 15: Introduction to ICD-10-PCS Module 16: Determining the Root Operation Module 17: Completing a PCS Code Module 18: Inpatient Procedure Review Module 19: Completing the CDI Process in ICD-10 $1,499 ACDIS members save $150 off the registration fee. Call to receive your special discount rate or sign up for membership today! *Classes run from 8:00 am 5:00 pm. HOTEL RESERVATIONS/DISCOUNTED ROOM RATES Make your hotel reservations immediately to guarantee the hotel rate and availability, and be sure to identify yourself as a participant of HCPro s Boot Camp to get the special discounted room rates. Most discounts expire four weeks prior to the Boot Camp start date. For more information on hotel room rates and discount deadlines, visit. CE CREDITS This Boot Camp offers continuing education credits! Go to for more information. 8

9 THE PHYSICIAN ADVISOR S ROLE IN CDI BOOT CAMP OVERVIEW With the transition to ICD-10-CM/PCS and the implementation of the Patient Protection and Affordable Care Act transforming fee-for-service into quality-based alternative payment models and population payment, having a trained physician advisor for your CDI program has never been so important. The Physician Advisor s Role in CDI Boot Camp prepares physician advisors to successfully fulfill the duties of their job. They ll walk away with a firm understanding of ICD-10-CM/PCS fundamentals, ICD-10 s applications to inpatient and outpatient payment and severity and risk adjustment, clarification opportunities inherent to inpatient and outpatient CDI, techniques for engaging the medical staff in CDI, how to identify common documentation deficiencies in the medical record, and new avenues for CDI program growth. For 2016, we ve updated the Boot Camp to focus heavily on new ICD-10-CM/ PCS documentation requirements and how to ensure full and accurate physician documentation to properly code records in ICD-10. We ve also added new sections on inpatient quality measures and the physician advisor s role in Medicare s hospital and physician value-based purchasing programs. Participants will leave with a firm understanding of Medicare severity diagnosis-related groups (MS-DRG), Hierarchical Condition Categories (HCC), AHRQ s Patient Safety Indicators (PSI), and other metrics pertinent to their enterprise. This Boot Camp also covers documentation and clinical issues unique to pediatric patients. THIS BOOT CAMP WILL HELP YOU: Provides a thorough definition of the role of the physician advisor within a CDI program Reviews the goals and objectives of a CDI program Defines problematic terms in ICD-10-CM/PCS and solutions for resolving clashes between clinical and coding terminologies UPCOMING DATES 2016 REDONDO BEACH, CA FEB 8 9 Hilton Garden Inn Redondo Beach PORTLAND, OR JULY Hilton Garden Inn Portland Airport QUINCY, MA OCT Boston Marriott Quincy

10 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 AGENDA Module 1: CDI Fundamentals Module 2: Introduction to MS-DRGs, APR- DRGs, HCCs, and Other ICD-10- CM/PCS-Based Severity and Risk Adjustment Methodologies With Clinical Examples Module 3: Introduction to DRGs and CDI- Pertinent ICD-10 Transaction Sets, Official Guidelines, and Official Advice With Clinical Examples Module 4: Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MCD 1 Diseases and Disorders of the Nervous System MDCs 2 and 3 Diseases and Disorders of the Eye, Ear, Nose, Mouth, and Throat Module 5: Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 4 Diseases and Disorders of the Respiratory System MCC 5 Diseases and Disorders of the Circulatory System Module 6: Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 6 Diseases and Disorders of the Digestive System MDC 7 Diseases and Disorders of the Hepatobiliary System and Pancreas MDC 8 Diseases and Disorders of the Musculoskeletal System and Connective Tissue 10

11 Module 7: Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 9 Diseases and Disorders of the Skin, Subcutaneous Tissue, and Breast MDC 10 Diseases and Disorders of the Endocrine, Nutritional, and Metabolic System MDC 11 Diseases and Disorders of the Kidney and Urinary Tract MDC 14 Pregnancy, Childbirth, and the Puerperium MDC 15 Newborn and Other Neonates (Perinatal Period) Module 8: Major Diagnostic Categories Overview: Review of Clinical Literature and Query Opportunities MDC 16 Diseases and Disorders of the Blood-Forming Organs and Immunological Disorders MDC 17 Myeloproliferative Diseases and Disorders MDC 18 Infectious and Parasitic Diseases and Disorders MDCs Module 9: General discussion, wrap-up, and Q&A *Note: All times approximate $1,499 ACDIS members save $150 off the registration fee. Call to receive your special discount rate or sign up for membership today! *Classes run from 8:00 am 5:00 pm. HOTEL RESERVATIONS/DISCOUNTED ROOM RATES Make your hotel reservations immediately to guarantee the hotel rate and availability, and be sure to identify yourself as a participant of HCPro s Boot Camp to get the special discounted room rates. Most discounts expire four weeks prior to the Boot Camp start date. For more information on hotel room rates and discount deadlines, visit. CE CREDITS This Boot Camp offers continuing education credits! Go to for more information. 11

12 CDI FOR QUALITY BOOT CAMP NEW BOOT CAMP! OVERVIEW The CDI for Quality Boot Camp is an intensive three-day 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 publically 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. UPCOMING DATES 2016 ATLANTA, GA MAR Hyatt Place Atlanta/Buckhead SCHAUMBURG, IL JUNE 6 8 Hyatt Place Chicago/Schaumburg LAS VEGAS, NV SEPT Hyatt Place Las Vegas

13 AGENDA Module 1: Module 2: Module 3: Module 4: Module 5: Module 6: Module 7: Module 8: Module 9: Introduction to Healthcare Data ICD-10 Code Sets Inpatient Prospective Payment System (IPPS) and MS-DRGs Introduction to Quality Hierarchical Condition Categories (HCC) Hospital-Acquired Conditions (HAC) and Present on Admission Status Hospital Inpatient Quality Reporting (IQR) Program Hospital Value-Based Purchasing (HVBP) Program Hospital Readmissions Reduction Program (HRRP) 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 Module 10: PSI 90: The Composite Patient Safety Indicators (PSI) Module 11: Hospital-Acquired Infections (HAI) $1,399 ACDIS members save $150 off the registration fee. Call to receive your special discount rate or sign up for membership today! *Classes run from 8:00 am 5:00 pm. HOTEL RESERVATIONS/DISCOUNTED ROOM RATES Make your hotel reservations immediately to guarantee the hotel rate and availability, and be sure to identify yourself as a participant of HCPro s Boot Camp to get the special discounted room rates. Most discounts expire four weeks prior to the Boot Camp start date. For more information on hotel room rates and discount deadlines, visit. 13

14 CAN T TAKE TIME OUT OF WORK? Fit clinical documentation improvement education into YOUR schedule! The Online Clinical Documentation Improvement Boot Camps are available throughout the year. ATTEND ONLINE Our Online Clinical Documentation Improvement Boot Camps provide the same content and instruction that you would experience at our live classroom-based Boot Camps, but you ll be taking the course from the convenience of your home or office. Benefits of Online Clinical Documentation Improvement Boot Camps include: 60-day access to online instruction: View sessions and complete all assignments including review of all answer keys. Custom-designed course materials: You ll receive your Boot Camp materials with presentations and practice exercises prior to the start of class. Interactive learning: Course participants work more than 140 exercises and questions based on the course content. 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. 24-hour access: Instruction is available any time of day. You choose the time that works for you. You can also questions to our instructors. We try to answer all questions either via or phone within two business days. Well-established program: Backed by the Association of Clinical Documentation Improvement Specialists (ACDIS), this Boot Camp provides the same great education you ve come to rely on. DATES (Students must register one week prior to the start of the Boot Camp to ensure time for materials delivery.) Clinical Documentation Improvement Boot Camp Online ICD-10 for CDI Boot Camp Online ICD-10 PCS for CDI Boot Camp Online: Coming in May! Quality & CDI Boot Camp Online: Coming in May! Outpatient CDI Risk-Adjusted Payment Boot Camp Online: Coming in September! 2016 start dates for the Online Clinical Documentation Improvement Boot Camps are as follows: JANUARY 4 FEBRUARY 1 MARCH 7 APRIL 4 14

15 EXPERT TRAINERS LAURIE L. PRESCOTT MSN, RN, CCDS, CDIP, AHIMA-approved ICD-10-CM/ PCS trainer, is CDI education director with HCPro. She has worked in a number of nursing roles, including as manager in the areas of medical/ surgical, ICU, PACU, and endoscopy. Prescott completed her MSN with a focus in nursing education at the University of Phoenix and taught nursing as an adjunct instructor to ADN students. She served as the director of education at Danville Regional Medical Center before leaving to develop and implement a CDI program. SYLVIA HOFFMAN RN, C-CDI, CCDS, CDIP, AHIMA-approved ICD-10- CM/PCS trainer, served as a clinical documentation specialist at a 1000-bed hospital in Tampa, Florida, before starting her own Tampa-based CDI consulting practice. Previously, Hoffman served as a senior associate in the forensic division at KPMG, where she provided clinical documentation education and retrospective record reviews throughout Florida, Texas, and Georgia. She has 15 years of acute care hospital based experience and 10 years of case management experience. Hoffman is past president of the Florida ACDIS regional chapter. SHARME BRODIE RN, CCDS, AHIMA-approved ICD-10-CM/PCS trainer, is a CDI education specialist with HCPro. Her six years of CDI experience includes a background in consulting in which she provided program reviews and training to medical staffs, including physician education at various healthcare facilities. Brodie has implemented and overseen a CDI department in a small community hospital and helped with the revitalization of CDI at another facility. Her nursing experience includes mother/baby, L&D, pediatrics with urgent care, GI lab, and case management. JAMES S. KENNEDY MD, CCS, 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. To view complete bios for our faculty, visit 15