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Mentor Health presents

 Moving in the Right Direction in Addressing Current CDI Shortfalls- Strengthening Overall Revenue Cycle Processes Through Proper Repositioning Webinar

Current CDI programs potentially increase compliance risk as well risks of financial recoupments and takebacks associated with attempts to improve documentation through the query process.

Course Description/Agenda

Overview:

Current CDI programs potentially increase compliance risk as well risks of financial recoupments and takebacks associated with attempts to improve documentation through the query process.

Overemphasis is placed upon the query process as the primary means of improving clinical documentation with increasing use of software to prioritize and enhance efficiency in CDI specialist chart review.

Reviewing more charts and issuing more queries exponentially increases compliance risk and significantly detracts from the integrity and performance of the revenue cycle through exposure to prepayment and postpayment third party payer reviews and denials. 

By attending this highly informative session, attendees will learn how to complete an assessment of their facility's current CDI processes, identify strengths, weaknesses, threats and opportunities to be used as the basis for reformulating, rebranding, reengineering and repositioning CDI foundations and processes to best support achievement and reporting of quality of care outcomes while aligning, integrating, strengthening and supporting the hospital's revenue cycle performance. 

Why should you Attend: CDI programs in their present format have the real potential to significantly increase compliance concerns and be a real drag on the revenue cycle by increasing outlier risk, financial recoupments and denials. 

Cost to collect in the revenue cycle rises in tandem with increasing number of queries issued as third-party payers refute billed claims on the basis of medical necessity and clinical validation. 

CDI programs also heighten compliance risk through potentially aberrant coding and billing patters identified by the OIG, Recovery Auditors, Medicare Administrative Contractors, CERT Contractors, PEPPER reports as well as commercial payers and their cost containment contractors. CDI programs if not positioned properly can accomplish serious disservice to the hospital's financial position causing undisputable financial harm and repercussions. 

Hospitals and health systems must take a close look and rebrand, redesign and repurpose current CDI programs to address known shortcomings and shore up alignment and integration with the revenue cycle and the accurate reflection, capture and reporting of patient care provided and true achieved quality. 


Areas Covered in the Session:

• Identify, Compare and Contrast current CDI programs versus ideal components of a "best practice" program
• How and why do CDI programs exponentially increase compliance risk and medical necessity/clinical validation denials
• What are the basic foundations and operational processes required to strengthen CDI program and bring them in line with revenue cycle processes and overall financial performance of the hospital
• How to redesign and reposition CDI programs to drive down unnecessary denials through appropriate planning, inventory assessment and alignment with all relevant healthcare stakeholders
• Implement a continuous quality improvement feedback loop to continually strengthen and improve program outcomes while reducing compliance and financial risk
  
  Who Will Benefit:

• VP Revenue Cycle
• COOs
• CFOs
• Revenue Cycle Managers
• Revenue Cycle Directors
• CDI Directors
• CDI Managers
• CDI Specialists
• Patient Financial Service Directors
• PFS Managers
• HIM Directors
• HIM Managers
• Denials and Appeals Staff

Instructor:

Speaker Profile 

Glenn Krauss is well-recognized and respected subject matter expert in the revenue cycle with a specialized emphasis and focus upon collaborating and working closely with physicians in promoting, advocating for, educating and achieving sustainable improvement in clinical documentation that accurately reflects and reports the communication of fully informed coordinated patient care. His experiences include working with a wide variety of healthcare systems spanning the entire spectrum ranging from critical access hospitals, community hospitals, Federal Qualified Healthcare Centers to large academic medical centers and fully integrated healthcare systems. He possesses twenty-five plus years of progressive practical hands on experience in clinical coding and documentation improvement, subscribing to the philosophy that quality of medical record documentation strongly correlates with overall quality of care achieved and the overall achievement of a high performing revenue cycle. Glenn has demonstrated the unique skill sets and core knowledge of principles and standards in best practices of clinical documentation, effectively and successfully driving physician engagement through proven strategies that create and foster a sustainable model for clinical documentation improvement.

 

More Webinar Information

Mentor Health Course Summary Current CDI programs potentially increase compliance risk as well risks of financial recoupments and takebacks associated with attempts to improve documentation through the query process. Delivery Method  Virtual Classroom (Live) Who Should Attend • VP Revenue Cycle • COOs • CFOs • Revenue Cycle Managers • Revenue Cycle Directors • CDI Directors • CDI Managers • CDI Specialists • Patient Financial Service Directors • PFS Managers • HIM Directors • HIM Managers • Denials and Appeals Staff

 

All Date/Location Information