may 19-21, 2015 - hcpropromos.hcpro.com/pdf/2015_acdis_conference_brochure.pdf · 2015. 4. 30. ·...

MAY 19-21, 2015HENRY B. GONZALEZ CONVENTION CENTER - SAN ANTONIO, TX

FEATURING FOUR EXCITING TRACKS!Management and Leadership • Clinical and CodingQuality and Regulatory Initiatives • Innovative CDI

PRE-CONFERENCES — May 17–18, 2015The Physician Advisor’s Role in CDI Boot Camp

The ICD-10 for CDI Boot Camp™ CDI and Quality: Advancing CDI Boot Camp—Special 2-Day Edition

CCDS EXAM—May 21, 2015

To register, please visit www.hcmarketplace.com or call us at 800-650-6787.

2015 CONFERENCE

8TH ANNUAL

REGISTER BEFORE MARCH 17, 2015, AND SAVE $100!

EXCLUSIVETITLE SPONSOR

The 8th annual ACDIS Conference will feature four tracks that include a diverse range of sessions on the latest trends and cutting-edge techniques to enhance CDI programs.These tracks include:

• Management and Leadership• Clinical and Coding• Quality and Regulatory Initiatives• Innovative CDI

WHAT’S HOT IN 2015?• Pre-conference evening welcome reception on Monday, May 18—unwind and meet

with colleagues, peers, and friends before the program kicks off• Four concurrent sessions to choose from—expanded from three in 2014• Dedicated track on innovative CDI, which includes sessions on outpatient CDI,

postacute CDI, and training physicians in a simulation lab• Separate sessions for CDI managers and for their review staff• Two special panel discussions on CDI and quality and CDI and the revenue cycle• A special conference-long focus on expanding CDI into pediatrics• More than a dozen physicians on the podium presenting or copresenting sessions

Also new for 2015 is an interactive conference app for attendees featuring Twitter notifications, conference materials, a session planner, and audience polls.

As always, ACDIS offers unparalleled peer-to-peer networking and recognition for the CDI profession. Join us for our cocktail and networking reception on the night prior to the conference.

GOING GREEN!Please note that the program materials will be available via download and the conference app only. A download link will be provided prior to the event, but a printed book of the presentations will not be available on site.

WHO SHOULD ATTEND?• CDI specialists• CDI managers/directors• Coding compliance directors/managers• Inpatient coders• Case management directors/managers• Physician champions/advisors to CDI• HIM directors

• DRG coordinators• Coding managers/supervisors• Revenue cycle directors• Quality improvement professionals• Compliance officers• Chief financial officers

REGISTER TODAY! Call 800-650-6787, fax your registration form to 800-785-9212, or visit www.hcmarketplace.com.

Register for both a pre-conference and the ACDIS Conference and save more than 15%!

LEARNING OBJECTIVESAt the completion of this educational activity, the learner will be able to:

• Develop strategies to improve physician participation in CDI programs• Explain benefits and compliance risks of electronic health records and computer-

assisted coding/query programs• Identify documentation and coding requirements under forthcoming ICD-10-CM and

ICD-10-PCS systems• Modify existing CDI programs to include review of emergency department and

outpatient documentation • Construct optimal techniques for medical record review in traditional and severity of

illness-based CDI programs• Incorporate patient safety indicators, hospital-acquired conditions, and present on

admission indicators into traditional CDI reviews• Develop CDI physician education for medical students and surgeons• Use appropriate CDI data to track and report program progress to administration• Apply health reform changes in the IPPS rule and Value-Based Purchasing Program to

CDI reviews• Develop strategies for conducting health record reviews of pediatric patients• Incorporate medical necessity/patient status reviews into existing CDI practice• Identify compliance risks in the query process, including unsupported diagnoses• Explain documentation opportunities to impact risk-adjusted data in the Hierarchical

Condition Category (HCC) model• Review latest clinical definitions of acute kidney injury, sepsis, malnutrition, and heart

failure • Identify opportunities to revitalize stagnant CDI programs

ARE YOU AN ACDIS MEMBER?Membership in ACDIS—the Association of Clinical Documentation Improvement Specialists—offers great ideas and strategies for on-the-floor CDI specialists as well as CDI department managers, case managers, and physician advisors. Join more than 4,000 members and benefit from the new ideas and initiatives developed to help you run a successful CDI program and achieve professional growth.

Join ACDIS today for only $165 and save an additional $100 on your conference registration!

INTERESTED IN EXHIBITING? Call Alex Datalo at 978-223-1724 or visit www.acdis.org for more information.

Become anACDIS member today!

PRE-CONFERENCETHE PHYSICIAN ADVISOR’S ROLE IN CDI BOOT CAMPMay 17–18, 2015 (8:00 A.M. to 5:00 P.M. each day)

The Physician Advisor’s Role in CDI Boot Camp returns as a pre-conference event to the 8th annual ACDIS Conference in San Antonio—but with a twist.

Day 1: Regulatory and coding updateWe’re bringing back our popular day 1 regulatory and coding update session by James S. Kennedy, MD, CCS, CDIP, president of CDIMD-Physician Champions near Nashville. During the session, participants explore and manage clinical documentation improvement integrity (CDI) opportunities in ICD-9-CM/ICD-10-CM/PCS-based MS-DRG, APR-DRG, and other inpatient quality metrics and the evolving applications of these code sets with Hierarchical Condition Categories (HCC). Dr. Kennedy walks participants through ICD-9-CM/ICD-10 clarification opportunities in all the Major Diagnostic Categories (including pediatrics and obstetrics) in this jam-packed day, incorporating the latest clinical criteria, Coding Clinic updates, and the Official ICD-10-CM/PCS Guidelines for Coding and Reporting. He also engages participants to develop infrastructure changes in the electronic health record (EHR) and documentation and query workflow to reduce the burden of obtaining pertinent ICD-9-CM/ICD-10 physician documentation up front.

Day 2, Track 1: Physician advisor 101 But new for 2015 is your choice of day 2 breakouts. Select between “Physician Advisor 101: Core Skills and Responsibilities” by Trey La Charité, MD, medical director for clinical integration and physician advisor for clinical documentation integrity and coding for the University of Tennessee Medical Center in Knoxville, or “Multi-Hospital Management for the Physician Advisor” by Sam Antonios, MD, FACP, FHM, senior administrator of medical information and ICD-10 physician advisor for Via Christi Health in Wichita, Kansas.

“Physician Advisor 101” provides an exhaustive introduction to everything the new and seasoned physician advisor needs to know, including enlisting physician buy-in, intervening with problematic physicians and query opportunities, and managing audits and denials. Dr. La Charité, a seasoned physician advisor with over 10 years of experience, teaches you everything he’s learned and implemented in inpatient and outpatient CDI at the University of Tennessee Medical Center and provides actionable strategies to make you a better physician advisor.

Day 2, Track 2: Multi-hospital management“Multi-Hospital Management” is for established physician advisors grappling with ICD-10 training and EHR implementation. You’ll learn how to use individual data and reports to educate physicians on their documentation deficiencies and improve systemwide performance metrics. Dr. Antonios, who oversees four hospitals for Via Christi Health in Wichita, Kansas, shares his unique perspective and experience on how to establish processes, confront challenges, and incorporate big changes (ICD-10, EHR implementation) across disparate facilities using established principles integral to executive change management.

FACULTY James S. Kennedy, MD, CCS, CDIP | Trey La Charité, MD | Sam Antonios, MD, FACP, FHM


AGENDADAY 1

James S. Kennedy, MD, CCS, CDIP President, CDIMD-Physician Champions Smyrna, Tennessee

8:00 A.M.–9:30 A.M. CDI Foundations—What Is Clinical Documentation Integrity? 9:30 A.M.–10:30 A.M. A Pathophysiologic Approach to ICD-9 and ICD-10 Coding and DRG Assignment 10:30 A.M.–10:45 A.M. Break10:45 A.M.–12:00 P.M. A Pathophysiologic Approach to ICD-9 and ICD-10 Coding and DRG Assignment (continued) 12:00 P.M.–1:00 P.M. Lunch (provided)1:00 P.M.–2:30 P.M. A Pathophysiologic Approach to ICD-9 and ICD-10 Coding and DRG Assignment (continued) 2:30 P.M.–2:45 P.M. Afternoon break2:45 P.M.–3:30 P.M. A Pathophysiologic Approach to ICD-9 and ICD-10 Coding and DRG Assignment (continued) 3:30 P.M.–5:00 P.M. Quality Considerations: Present on Admission (POA), Patient Safety Indicators, Inpatient Quality Indicators, and Other Quality Metrics 5:00 P.M. Adjourn

DAY 2

Track 1: Physician Advisor 101: Core Skills and Responsibilities

Trey La Charité, MD Medical Director for Clinical Integration, Physician Advisor for Clinical Documentation Integrity and Coding University of Tennessee Medical Center, Knoxville

8:00 A.M.–9:00 A.M. Achieving Medical Staff Buy-in 9:00 A.M.–10:30 A.M. Ready, Set, Intervene! Managing Problems, Pitfalls, and Personality Disorders 10:30 A.M.–10:45 A.M. Break 10:45 A.M.–12:00 P.M. Timing Is Everything: How and When to Query 12:00 P.M.–1:30 P.M. Lunch (on your own) 1:30 P.M.–2:30 P.M. RACs, MICs, and UPICs (MACs and ZPICs) 2:30 P.M.–2:45 P.M. Break 2:45 P.M.–3:45 P.M. CDI: Much More Than Just Accurate MS-DRG or APR-DRG Assignment 3:45 P.M.–4:30 P.M. Position Development and Practical Considerations 4:30 P.M.–5:00 P.M. Open Q&A 5:00 P.M. Adjourn


Track 2: Multi-Hospital Management for the Physician Advisor

Sam Antonios, MD, FACP, FHM Senior Administrator of Medical Information, ICD-10 Physician Advisor Via Christi Health, Wichita, Kansas

7:00 A.M.–8:00 A.M. Continental breakfast and instructor Q&A 8:00 A.M.–9:00 A.M. What Is Change Management and Why Is It Important? 9:00 A.M.–10:30 A.M. Challenges and Opportunities With CDI: Lessons From a Health System Perspective 10:30 A.M.–10:45 A.M. Break 10:45 A.M.–12:00 P.M. ICD-10 Preparation 12:00 P.M.–1:30 P.M. Lunch (on your own) 1:30 P.M.–2:30 P.M. Meaningful Use: Good or Bad for CDI? 2:30 P.M.–2:45 P.M. Break 2:45 P.M.–3:45 P.M. CDI and EHRs—The New Frontier 3:45 P.M.–4:30 P.M. Open Q&A 4:30 P.M. Adjourn

*Agenda subject to change.

COSTNon-ACDIS members $1,149ACDIS members $1,049

CONTINUING EDUCATION CREDITSVisit www.hcmarketplace.com for specific information about continuing education credits that will be provided for this program.


PRE-CONFERENCETHE ICD-10 FOR CDI BOOT CAMPMay 17–18, 2015 (8:00 A.M. to 5:00 P.M. each day)

The ICD-10 for CDI Boot Camp provides experienced CDI specialists with in-depth education on new and changing ICD-10-CM documentation requirements.

The documentation issues that exist with ICD-9 will continue in ICD-10. The ICD-10 for CDI Boot Camp provides strategies that can be implemented immediately to improve documentation and facilitate a smooth transition to ICD-10-CM.

ACDIS’ ICD-10 for CDI Boot Camp is the only training developed with CDI specialists—not coders—in mind. Our instructors have in-the-field CDI experience and know exactly what CDI specialists need to learn about the new coding system. You will get a CDI perspective on how to:

• 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 during and after the transition

FACULTY

Laurie L. Prescott, RN, MSN-Ed, CCDS, CDIP, AHIMA-Approved ICD-10-CM/PCS TrainerLaurie Prescott is a CDI education specialist for HCPro. In 2007, Prescott initiated and fostered a clinical documentation program at a community hospital in North

Carolina. The majority of her nursing career has been spent in acute care, primarily medical surgical, with experience in ICU, PACU, endoscopy, and one-day surgery. She has worked as unit manager of med-surg and ICU units, served as an adjunct professor for an ADN program, and later stepped into the role of director of education and clinical support of nursing staff. Prescott’s 30 years of nursing experience encompasses large academic medical centers, small community hospitals, and physician offices. In addition, she has experience with both regulatory and compliance issues.


AGENDADAY 1

• Introduction to ICD-10• ICD-9-CM to ICD-10-CM Diagnosis Coding Conventions and Guidelines• ICD-10-PCS: Inpatient Medical Interventions• Infectious and Parasitic Diseases (A00–B99)• Neoplasms (C00–D49)

DAY 2

• Diseases of the Blood; Blood-Forming Organs; Certain Disorders Involving the Immune Mechanism (D50–D89); Endocrine, Nutritional, and Metabolic Diseases (E00–E89); Mental and Behavioral Disorders (F01–F99)

• Diseases of the Nervous System and Sense Organs (G00–G99)• Diseases of the Circulatory System (I00–I99)• Diseases of the Respiratory System (J00–J99)• Diseases of the Digestive System (K00–K95)• Diseases of the Skin and Subcutaneous Tissue (L00–L99); Diseases of the

Musculoskeletal System and Connective Tissue (M00–M99); Diseases of the Genitourinary System (N00–N99)

• Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99)

• Injury, Poisoning, and Certain Other Consequences of External Causes (S00–T88)


COST$1,049



PRE-CONFERENCECDI AND QUALITY: ADVANCING CDI BOOT CAMP— SPECIAL 2-DAY EDITIONMay 17–18, 2015 (8:00 A.M. to 5:00 P.M. each day)

As CMS moves to a “pay-for-quality” system and hospitals face shrinking profit margins, CDI specialists are being asked to expand beyond traditional MS-DRG review. CDI and Quality: Advancing CDI Boot Camp—Special 2-Day Edition shows you the additional ways CDI efforts can impact incremental revenue and the reported data that influences an organization’s reputation.

Walk away with ready-to-implement strategies for achieving accurate quality indicators and optimal reimbursement under a variety of CMS quality programs, as well as knowledge of how documentation and code assignment affect the revenue cycle.

Attend this special two-day carve-out seminar from our popular new Advancing CDI Boot Camp as a pre-conference event to ACDIS 2015, and you’ll leave with a complete understanding of:

• Healthcare data code sets. Discover the impact of code assignments on Medicarereimbursement in a variety of settings.

• The relationship between quality metrics and reimbursement. Learn howdiagnosis assignment may increase direct revenue through MS-DRG assignment, butnegatively impact quality ratings and/or lead to penalties under CMS quality initiatives.

• CMS quality programs. Learn about changes to existing CMS quality programs(e.g., inpatient quality reporting) as well as newer CMS quality initiatives (e.g., HospitalReadmission Reduction Program, Hospital Acquired Conditions Reduction Program,Hospital Value-Based Purchasing) where poor performance can result in financialpenalties.

• Reviewing Patient Safety Indicators (PSI). Learn the intricacies and nuances ofreviewing elements of PSI 90 and clarifying documentation with physicians for accuratereporting and profiling.

FACULTY

Cheryl Ericson, RN, MS, CCDS, CDIP, AHIMA-Approved ICD-10-CM/PCS TrainerCheryl Ericson is the clinical documentation improvement (CDI) education director for HCPro and the Association of Clinical Documentation Improvement Specialists

(ACDIS) in Danvers, Massachusetts. She is responsible for the development and revision of CDI Boot Camp content and serves as the lead trainer. Ericson is a CDI subject matter expert for a variety of HCPro and ACDIS publications as well as serving as an advisor on several initiatives that affect CDI professionals. Prior to joining HCPro, she managed clinical documentation integrity, core measures abstraction, and utilization review departments at a large academic medical center. She has an extensive background in adult education, data analysis, healthcare revenue cycle, and CMS guidelines.


Ericson currently serves on the CCDS exam committee for ACDIS as well as the association’s advisory board; she has served on several AHIMA workgroups, including the 2010 and 2013 CDI/query practice briefs, and was a contributor to the AHIMA exam for CDI. Within the field of CDI, her expertise includes CDI implementation, CMS quality metrics/Hospital Value-Based Purchasing (HVBP), ICD-10-CM/PCS, InterQual guidelines/medical necessity, mortality reviews, PEPPER data, and querying. She has shared her expertise through a variety of speaking engagements for ACDIS, AHIMA, the American Hospital Association, the National Medicare RAC Summit, the National Medicare/Medicaid Summit, and the University HealthSystem Consortium.

AGENDADAY 1

• Introduction to Healthcare Data and Code Sets Impacting CMS Quality Initiatives for the Hospital Inpatient Setting

• Reviewing the Medical Record • Overview of CMS Reimbursement Methodology Affecting CMS Quality Initiatives for

the Hospital Inpatient Setting• Introduction to Quality • Hospital Inpatient Quality Reporting (IQR)

DAY 2

• Hospital-Acquired Condition and Present on Admission Status• Hospital Value-Based Purchasing (HVBP) and Readmission Reduction Program (RRP)• PSI 90: The Composite Patient Safety Indicators (PSI) • Hospital Acquired Infections (HAI)


COST$1,049



AGENDAMAIN CONFERENCE MONDAY, MAY 18, 2015

Pre-registration and Welcome Reception

2:00 P.M.-6:00 P.M. Pre-registration/exhibitors and attendees6:00 P.M.-8:00 P.M. Welcome Reception

Day 1—Tuesday, May 19, 2015

7:00 A.M.–8:00 A.M. Registration and breakfast

8:00 A.M.–8:30 A.M. Welcome remarks, ACDIS update, and 2015 awards presentation Brian Murphy, Director, ACDIS

8:30 A.M.–9:30 A.M. GENERAL SESSION Analyzing the Realistic Impact of ICD-10 on APR-DRGs Donna Smith, RHIA

This session will demonstrate a step-by-step analysis that can be used to determine the areas and service lines with the greatest exposure under ICD-10, along with mitigation opportunities using documentation specificity. Presenter Donna Smith will give real-world examples of the reimbursement impact for organizations paid under APR-DRGs. Variations in DRG calculations will be reviewed and specific clinical examples provided.

9:45 A.M.–10:45 A.M. BREAKOUT SESSIONS (choose one of four)

Track 1: Management and Leadership

Revitalizing a CDI Program for Physician Engagement Karen Chase, RN, BSN

This session is a must for anyone that is trying to start a new CDI program, revamp an existing program, engage physicians, or prove to administration that CDI can make a difference in both quality and reimbursement. It will include metrics and methodologies for improvement.

Track 2: Clinical and Coding

Coding Clinic Update for CDI James S. Kennedy, MD, CCS, CDIP

This session will describe the role of Coding Clinic and its impact on documentation and coding integrity. It will review recent Coding Clinic advice for which queries are indicated and offer strategies for using Coding Clinic in audit defense.


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GOING GREEN!Please note that the program materials will be available via download and the conference app only.

Track 3: Quality and Regulatory Initiatives

A Matter of Life and Death: CDI Impact on Mortality Risk AdjustmentAllison Q. Clerval, RN, BSN, CCDS; Kathleen M. Shindle, RN, BSN, CCDSA relatively new term being discussed among CDI professionals is “risk adjustment.” Learn how Thomas Jefferson University Hospital utilizes the University HealthCare Consortium (UHC) risk model variables to benchmark patient outcomes and accurately reflect expected patient mortality.

Track 4: Innovative CDI

Physician Advisors’ Perspective: Juggling Medical Necessity, EHRStephanie Lee Ciccarelli, MD, FACP; Rhonda West-Haynes, MHA, BSN, RHIA, CCDSThis case study will show the evolution of a full-time hospitalist to a full-time physician advisor, with part-time responsibilities for appeals and medical necessity reviews. It will include overall and program goals and incorporating an EHR into the CDI program, demonstrating how electronic queries and alerts led to an increase in response rates.

10:45 A.M.–11:15 A.M. NETWORKING BREAK Exhibit hall open

11:15 A.M.–12:15 P.M. BREAKOUT SESSIONS (choose one of four)

Track 1

Coding and Physician Self-Defense: Engaging Docs in CDI William E. Haik, MD, FCCP, CDIP, AHIMA-Approved ICD-10-CM/PCS Trainer

Attend a live presentation to the general medical staff regarding why and how physicians should be involved in the documentation of the health record, interrupted by staged comments and questions from the “audience” as well as an open microphone. During the presentation, the “three Ps” of how physicians are impacted by coding, and how they should involve themselves in the documentation process, will be presented to the medical staff.

Track 2

Eliminating Documentation Opportunities With PSI 15, 90 Is No AccidentMary Kay Brooks, RN, MSN, CPHQWhen addressing documentation opportunities with PSI 15 (Accidental Puncture and Laceration), do not underestimate the power of one for a sustainable outcome. This session will teach different strategies to address documentation opportunities and standardize processes for improvement for both PSI 15 and PSI 90.



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Track 3

CDI and Concurrent Core Measures: Creating Impact Beyond the DRGDawn R. LaRoque, RN, BSN, CCDS, CPHQ; Amy R. Herndon, RN, BSN, CCDSHistorically, most of the data related to core measures has been collected retrospectively. This session will provide you with the tools needed to implement a concurrent core measures program, allowing you the opportunity to intervene and avoid “misses,” and more importantly ensure that your patients receive the best care at the right time. This can improve publicly reported data and avoid financial losses by increasing Value-Based Purchasing scores.

Track 4

A Unique Collaboration of Residency Program, the Simulation Lab, and CDI to Educate New ResidentsEileen Finnin, RN, BSCreate good documentation habits from day one with this innovative approach to communicate with and engage physicians. Presented by a speaker who spearheaded the incorporation of CDI into her facility’s simulation lab, this session will discuss the lab and its simulated scenarios, along with a statistical analysis of documentation to assess improvement. It will also include limitations and ideas for future improvement.

12:15 P.M.–1:30 P.M. BUFFET LUNCH Exhibit hall open

1:30 P.M.–2:30 P.M. BREAKOUT SESSIONS (choose one of four)

Track 1

CDI Success: Keys to Healthy CDI and Medical Provider RelationshipsJohn R. Houskamp, MD; Jennifer M. Conroy, RN, BSNGundersen Health System’s high response rate is a sign of its strong relationship with medical providers and is a key to the success of its CDI department. This session will describe how the system achieved this high level of engagement and the strategies it employed. It is presented by Gundersen’s CDI physician leader, who is also a practicing hospitalist with firsthand knowledge of the multitude of factors that can cause a medical provider to become disengaged with documentation integrity.

EARN VALUABLE CONTINUING EDUCATION CREDITS!Please refer to www.acdis.org for complete information about continuing education credits available.

Track 2

Diagnostic Criteria 101: Criteria to Diagnose the 15 Common Hospital Medicine DiagnosesTimothy N. Brundage, MD, CCDSThis session will provide the clinical criteria for the top 15 medical diagnoses for hospitalized medical patients, presented by a board-certified internal medicine MD who practices clinically and provides documentation education. Learn the evidence-based medicine, as well as the references for these clinical criteria, to support your documentation improvement efforts.

Track 3

Completing the Circle: The Importance of CDIS Participation in the Denial Management ProcessSarah C. Mendiola, Esq., LPN, CPCThis interactive session is conducted by an associate attorney whose work focuses on appeal of denied claims by CMS contractors. She will present actual examples of costly denials that could have been prevented with CDIS intervention. These include 2-midnight rule denials, medical necessity for major joint replacement (as outlined by CMS), and justification of MCCs that are difficult to support clinically while maintaining compliance guidelines. It will also provide a sample of and explain the impact of a Corporate Integrity Agreement on the CDIS and your organization.

Track 4

Through the Looking Glass: Examining APR-DRGs in the Pediatric PopulationKaren L. Bridgeman, MSN, RN, CCDS; Tina H. Smith, BSN, RN, CCDSThis presentation will examine the nuances in the pediatric population, from neonates through adolescents. Join us through the looking glass to learn the ins and outs of the APR-DRG system on the pediatric population, and enhance your pediatric CDI practice with an in-depth discussion and practical applications.

2:30 P.M.–3:15 P.M. NETWORKING BREAK Exhibit hall open


Track 1

Doc for Docs: Giving “The Talk” to PhysiciansJonathan L. Elion, MD, FACCHow do you give “the talk” to a new crop of house staff that need training, or to a reluctant physician? This presentation takes the form of a “talk within a talk”: It provides a presentation that is ready to be given to physicians while also supplying commentary about the presentation, along with examples, tips, and stories about the challenges of this important task.



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4:15 P.M.

Track 2

ICD-10-PCS Code Assignment: Uncovering Missing DocumentationLaurie L. Prescott, RN, MSN-Ed, CCDS, CDIP, AHIMA-Approved ICD-10-CM/PCS Trainer; Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDSICD-10-PCS includes key elements that must be present in the documentation for accurate code assignment—there are no characters that stand for “the documentation doesn’t say.” There are specific codes for all aspects of a procedure, which may necessitate the clinical knowledge of the CDI team to assist in ensuring clear, supportive documentation. This session is not for ICD-10 beginners but will be lots of fun!

Track 3

CDI for Risk Adjustment CodingAdele L. Towers, MD, MPH, FACPRisk adjustment coding is not just for insurance companies anymore. Physicians, ACOs, and healthcare and physician groups need to understand the risk adjustment model and the different opportunities it presents. This session will discuss the effectiveness of an automated CDI process in risk adjustment coding. CDI specialists will learn best methods to leverage their expertise to manage automated processes and network flows that will greatly improve coding documentation.

Track 4

Leading Your CDI Program to Become a Strategic Force within Your OrganizationKaren DiMeglio, RN, MS, CPC, CCDS; Ann Kashmanian, MBA, CPACDI programs are uniquely positioned to be the driving force behind improving quality metrics and positioning hospitals to receive recognition for high quality care and accurate reimbursement. This presentation will provide critical knowledge and strategies to lead your program. It will focus on developing a high-performance team, translating data into actionable reports, utilizing a multifaceted approach to communication, selecting initiatives to improve hospital metrics, and identifying opportunities for collaboration to ensure success.

ADJOURN

DAY 2—WEDNESDAY, MAY 20, 2015

7:00 A.M.–8:00 A.M. BREAKFAST Exhibit hall open

8:00 A.M.–9:00 A.M. KEYNOTE SESSION Caring for Your Caregivers Will Miller, MD

9:15 A.M.–10:15 A.M. BREAKOUT SESSIONS (choose one of four)


The Impact of a Targeted CDI Intervention on the Documentation Patterns of Surgery Residents: Can They Improve?David R. Jeffcoach, MD; Trey A. La Charité, MDResident physicians, especially surgery residents, are an untapped resource in many institutions. Often, these physicians’ productivity is limited not by a lack of desire but a lack of education and experience in CDI. At the conclusion of the presentation, attendees will be able to describe a training model that yields impressive results and can be reproduced within their own institutions.


Clinical Evidence Queries: Tips, Tricks, CaveatsMillie G. Alexander, RN, BS, CCDSThis session will include an in-depth look at how to write clinical evidence queries. The speaker is a former RAC auditor with experience denying diagnoses based on lack of clinical evidence, and a Potentially Preventable Condition (PPC) consultant with the goal of validating conditions POA, not POA, and not clinically supported.


PSI 90—To Review or Not to Review: The Untold StorySherri Wacha, RN, CCDS; Mark LeBlanc, RN, MBA, CCDSCDI has always been the concurrent reviewer of inpatient charts, and CDI specialists are thus often asked to add more work to their review besides accurate coding capture. This session will show how PSI/HAC review can be incorporated into the review process with little impact on productivity but a huge effect on the bottom line.



Welcome to Munchkin Land—the Land of Pediatric CDITamara Ashley Hicks, RN, BSN, MHA, CCS, CCDS, ACM, AHIMA-Approved ICD-10-CM/PCS Trainer; Melinda B. Matthews, RN, BSN, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerThis session will discuss successful strategies for implementing a pediatric CDI program as developed at a children’s hospital designated as a level one pediatric trauma center. The discussion will include how to adjust an adult CDI program and transform it into a successful pediatric-focused program; tools to establish, improve, and maintain physician buy-in; and meaningful metrics to demonstrate successful implementation.

10:15 A.M.–11:00 A.M. NETWORKING BREAK Exhibit hall open

11:00 A.M.–12:00 P.M. BREAKOUT SESSIONS (choose one of four)

Track 1

EHR Documentation and CDI: What to Expect and How to Successfully Handle the TransitionSam Antonios, MD, FACP, FHMGoing to electronic documentation in your EHR? Get ready—it’s a new world. This session will explain what to expect, how to prepare, and how you will benefit from the opportunities of EHR while overcoming its challenges. Included are best practices for managing the problem list and the diagnosis list, copy-paste and cloned notes, and available vocabularies such as ICD-9, SNOMED, and IMO.

Track 2

Go After the Truth, the Clinical Truth—That’s What Matters at the End of the Day!Kelli A. Estes, RN, CCDS; Cesar M. Limjoco, MDThis session is intended to encourage an alignment between CDI specialists and coders to understand the need for capturing conditions based on the clinical truth instead of jumping at indicative numbers. This session will employ clinical examples and consider circumstances that do not necessarily support clinical conditions such as ABLA, hyponatremia, malnutrition, or AKI.


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12:00 P.M.–1:30 P.M.

1:30 P.M.–2:30 P.M.

Track 3

Motivating Your Medical Staff: Leveraging the Medicare Physician Value-Based Payment Fee Modifier for CDIRichard D. Pinson, MD, FACP, CCSMedicare has implemented both hospital and physician value-based initiatives that reward or penalize based on quality of care provided; these initiatives are highly dependent on accurate and complete documentation. This session will provide the learner with knowledge of Medicare’s physician VBPM to successfully leverage physician motivation to provide complete and precise documentation terminology.

Track 4

Expansion of CDI in the Postacute SettingWendy De Vreugd, RN, BSN, PHN, FNP, CCDS, MBA; Genevir del Mundo, CDIP, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer; Kimberly A. Klem, RN, MSN, NE-BCCDI is expanding beyond the short-term acute care environment into postacute settings. Hear from a representative of a long-term acute care hospital (LTCAH), a physician, and a CDI in an inpatient rehab facility (IRF) about their interdisciplinary approach to documentation integrity and CDI across the spectrum of care. This session will include discussion on the post-acute benefits of a CDI program, the reimbursement methodologies of the LTACH and IRF settings, and targeted CDI opportunities in each.

BOXED LUNCH Exhibit hall open

BREAKOUT SESSIONS (choose one of four)

Track 1

Revenue Cycle: Overview and Its Relationship to CDIAdelaide M. La Rosa, RN, BSN, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer and Ambassador; J. Peter Savini, BA, MHACDI specialists need to learn how to talk the talk not only with the clinical team but also the financial team to further advance their role in the healthcare industry. This session will define key roles and components of the revenue cycle and CDI’s place within it, as well as opportunities for performance improvement and working in tandem with denial management.


Track 2

Pediatric Surgical Documentation Specificity for the ICD-10-Enabled Organization: How to Minimize the Effects of ICD-10-PCSJohn P. Glatthorn, BSBAThis session will focus on how to leverage your EHR when reviewing and amending operative notes to meet ICD-10-PCS needs. While most lectures of this sort focus exclusively on root operations and their effectiveness in pediatrics, this talk explores the root operations as they relate to the coder-clinician language barrier in the pediatric space, and how you may not be as far from a PCS code as you might think.

Track 3

Creating and Using an Effective Pre-Billing Review to Identify PSIsIrina Zusman, RHIA, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer; Mary McGrady, MSN, RN, CCDSThis session is a detailed case study on using CDI to recognize potential PSIs during concurrent review. Participants will gain an understanding of inclusion and exclusion criteria for PSIs and a process for partnering CDI with quality initiatives; they’ll also develop tactics for writing queries related to PSI clarification.

Track 4

The Emergency Department: How CDI in the ED Is Crucial to a Successful CDI ProgramVictor Freeman, MD, MPPHear the lessons learned from a CDI-trained physician who spent four days researching CDI issues in an ED in order to teach effective documentation to ED physicians. Included in the session are an explanation of the need for evidence-based diagnostic criteria in the ED, why sepsis, acute renal failure, and acute respiratory failure are so poorly documented in the ED, and why capturing these diagnoses is critical for ensuring/promoting diagnosis capture in the rest of the record.

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2:30 P.M.–3:15 P.M. NETWORKING BREAK Exhibit hall open


Track 1

Problems Solved! Using the EMR to Improve Accuracy and Obtain Supporting Documentation With the Problem ListMary Kay Brooks, RN, MSN, CPHQAn inaccurate and nonspecific problem list can result in headaches for coders, nurses, and physicians. The University of Iowa embarked on a project to establish guidelines and structure for its inpatient problem list that resulted in improved documentation and coding for these conditions.

Track 2

“Did You Take All of That Out?”: Preparing Surgeons for ICD-10-PCS Documentation RequirementsGwen S. Regenwether, BSN, RN; Cheree A. Lueck, RN, BSNThis session describes how ICD-10-PCS implementation canimpact your facility’s cash flow. You will be able to pinpointyour vulnerabilities, organize an educational plan of action foryour surgical staff, and collaborate with coding professionals andinterdisciplinary team members. You’ll return to your facility withthe tools to create accurate procedural documentation and billing.

Track 3

Panel Session: Quality and CDIThis special panel session includes a roundtable discussion on CDI and its overlap with quality improvement initiatives and its impact on quality metrics, followed by an extended Q&A session with the audience.

Track 4

A Full-Time Physician Advisor Program From Zero to Sixty: Exploration, Development, Test, and ExecutionDonald A. Butler, RN, BSN; Vaughn M. Matacale, MDThis session will describe the development, trial period, analysis, model proposal, and execution for a full-time physician advisor (PA) program at a tertiary medical center. It includes what one can expect from a PA program, how to build the case for approval, and how to go about getting it done.

4:15 P.M. ADJOURN


DAY 3—THURSDAY, MAY 21, 2015

7:00 A.M.–8:00 A.M.

8:00 A.M.–9:00 A.M.

BREAKFAST Exhibit hall open



No Orientation Manual Needed … Oh Wait, That’s Not True: The Struggle and the Triumph of Orienting a New CDS Rachel Mack, RN, MSN, CCDS; Natalie Esquibel, RN, BSN, CCDS You’ve hired a new CDS—now what? Boot camp? On-the-job training? “Good luck, figure it out?” This session will detail the benefits of having a CDI educator instruct a new CDS one on one with an orientation manual to get him or her on track to high performance within three months of hire.


Coding of Complications: Past, Present, and FutureKyra E. Brown, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer Understanding the issues related to coding and documentation of complications can be a challenge. This session will address issues that lead to high complication rates and will focus on documentation tips to assist in physician, coding, and CDI staff education and promote accurate complication rates. It will include AHRQ and Coding Clinic references.


Prepayment Review: Is Your Organization Prepared?Mark Michelman, MD, MBAPrepayment review is a CMS eight-state pilot that allows your fiscal intermediary up to 60 days to review a claim for payment. If the hospital payment is denied, any physician payment will be recouped. This speaker has two years of experience with the pilot and will provide strategies to promote collaboration between hospitals and their respective medical staffs.


Medical Necessity: What CDI Departments Need to Understand About Patient StatusCheryl E. Ericson, RN, MS, CCDS, CDIP, AHIMA-Approved ICD-10-CM/PCS Trainer; Kimberly A. H. Baker, JD, CPCMany organizations struggle with the changing regulations differentiating an inpatient claim from an outpatient/observation claim, which can lead to medical necessity denials when billed incorrectly. This session will review the key elements required to support an inpatient admission as well as the impact of provider documentation, which affects principal diagnosis assignment and

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9:15 A.M.–10:15 A.M.

can make a claim more vulnerable to medical necessity denials.


Track 1

Using Metrics and Data Analytics to Support CDI Current and Future StatesJudy Moreau, RN, MBA; Andrea J. Eastwood, RHIT, BASThis case study will take you on a journey of standardization and consolidation, utilizing benchmarks and metrics to drive CDI performance across a healthcare system. The speakers will share their vision of the role of CDI and their preparations for migrating from a fee-for-service to a population health payment model. It will also discuss the speakers’ use of technology and lessons learned to improve CDI productivity and effectiveness.

Track 2

How Do Quality Factors Really Affect Hospital Payments?Kimberly A. H. Baker, JD, CPCThis session will demystify the quality provisions that affect hospital payment, with a focus on understanding how the provisions operate and the actual dollar impact they have on payment at a hospital. A case study will be used to demonstrate the free government pricing tool, including how it can be used to calculate payments and see the impact of the quality adjustments, or changes to the DRG, for specific cases at your hospital.

Track 3

Medicare Risk Adjustment, the New Payment Methodology: What Your Physicians Need to KnowLynn H. Lowery, CPC, CFPC; Trey A. La Charité, MDHealthcare reform is rapidly changing. Payers increasingly want to reimburse providers for outcomes of care as opposed to fee for service. Primary care physicians now need to be the focus of your CDI efforts in the outpatient setting. This session will include HCC reporting and missed opportunities for capturing HCCs with strategies for success.


10:15 A.M.–10:45 A.M.

10:45 A.M.–11:45 A.M.

Track 4

Pediatric CDI: Lessons Learned From a Tertiary, Freestanding Children’s HospitalJodi P. Carter, MD; Nancy C. Rush, RN, BSN, CCM; Mary Ellen Fee, RN, CCDSThe Phoenix Children’s Hospital CDI program began in 2011 and has since become nationally recognized for its successes. After attending this session, learners will be able to describe top-performing pediatric queries, understand queries unique to the pediatric surgical and ICU populations, and identify opportunities to increase pediatric SOI and ROM.

NETWORKING BREAK Exhibit hall open


Track 1

Outpatient CDI: Tools to get started Lisa Lanier, BS, CCSIf you are interested in expanding your traditional inpatient CDI program into the outpatient side, this session will help get you started with take away tools and common areas of focus. You’ll leave with a better understanding on how to determine the need for OP CDI at your facility and the components of an OP CDI program. It will cover ensuring medical necessity for common outpatient services, including improving documentation to secure diagnoses needed to support diagnostic tests and procedures performed in the ED and clinic setting.

Track 2

Beyond the Numbers: What Laboratory Values Mean for CDI SpecialistsVerona A. Lodholz, DC, MT(ASCP), CPC, CCDSUnderstanding laboratory results enhances the CDS’s ability to provide concise and accurate queries and increases confidence when interacting with providers. The session will review the various laboratory sections and case studies, allowing participants to test their understanding of the materials presented. Lab sections covered will include hematology, coagulation, transfusion services, chemistry, and microbiology.

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Track 3

Coming to a Hospital Near You: “UHC Mortality Reviews” Based on Actual EventsJennifer Roberts Love, RN, BA, CCDS, CDIPUHC mortality reviews are a new and interesting area where CDI professionals can make an impact. This presentation will discuss common diagnoses seen in mortality reviews. The speaker shares how to capture this documentation while entertaining and captivating you with personal stories related to the case studies provided.

Track 4

Panel Session: CDI and the Revenue CycleThis special panel session features a roundtable discussion on how CDI fits into the hospital revenue cycle, including best practices for CDI integration and positioning, followed by an extended Q&A session with the audience. Coding, compliance, and CDI representatives will be on the panel.

11:45 A.M. ADJOURN

CERTIFIED CLINICAL DOCUMENTATION SPECIALIST (CCDS) EXAM

Thursday, May 21, 2015, 1:00 P.M–4:00 P.M.

WHAT IS IT? The Certified Clinical Documentation Specialist (CCDS) credential is the recognized professional certification for CDI specialists.

WHEN IS THE TEST?A paper-and-pencil administration will be held Thursday, May 21, 2015 in San Antonio from 1:00 P.M.–4:00 P.M. (immediately following the conference). Exams are also held at computerized testing centers nationwide.

WHO IS ELIGIBLE?Candidates who wish to take the exam must meet general requirements and one of four specified routes.

HOW DO I APPLY?Candidates must complete and submit an application form by March 17, 2015. Go to www.hcpro.com/acdis/certif ication.cfm to learn more about prerequisites or to apply.

HOW MUCH IS IT?$355 for non-ACDIS members$255 for ACDIS members

*Agenda subject to change


LOCATIONHENRY B. GONZALEZ CONVENTION CENTER

200 E. Market Street San Antonio, TX 78205 210-207-8500 http://www.sahbgcc.com/

Two Hotel Options:

San Antonio Marriott Rivercenter 101 Bowie Street San Antonio, TX 78205-3901 http://www.marriott.com/hotels/travel/satrc-san-antonio-marriott-rivercenter/

San Antonio Marriott Riverwalk 889 E. Market San Antonio, TX 78205-3901 http://www.marriott.com/hotels/travel/satdt-san-antonio-marriott-riverwalk/

Hotel cutoff date: April 23, 2015 Discounted room rate: $169 for either hotel

For the discounted room rate, reservations must be made by April 23, 2015. Call Marriott’s main reservation line at 800-648-4462 and be sure to mention ACDIS HCPRO 2015 to receive the discounted rate. Rooms are available on a first-come, first-served basis and often sell out before the cutoff date. Make your hotel reservations immediately to guarantee rate and availability.

MentionACDIS

HCPRO 2015when you reserve

your room to receive

discounted rate!


WHAT ACDIS ATTENDEES ARE SAYING…

“It is the one place where everyone speaks my language. It is fun to compare facilities and very helpful to have all the

vendors there to see what is available out there.”—Karen MacArthur, UCSF Benioff Children’s Hospital, Oakland, Calif.

“This was my third conference. I return to work with new networking opportunities, information to share with

coworkers, and MOTIVATED to do more!”—Colleen Martin, Portsmouth Regional Hospital, Portsmouth, NH

“The expertise and content of the presentations were extremely applicable to our current “world” of CDI and provided excellent “take-away” concepts and process-

improvement information.”— Susan Chamberlain, Havasu Regional Medical Center, Lake Havasu City, Ariz.

“This is our conference for our profession; you learn a lot and get to meet other CDIs and

compare how we all do our job.”—Cynthia Asher, Tucson, Ariz.


REGISTRATION FEESINDIVIDUAL PROGRAM DISCOUNT:

2015 ACDIS Conference—May 19-21, 2015

$1,005 individual standard rate

(early-bird rate $905 if registered before March 17, 2015)

$905 ACDIS member individual standard rate

(early-bird rate $805 for ACDIS members if registered before

March 17, 2015)

PRE-CONFERENCE: Physician Advisor’s Role in CDI—May 17-18, 2015


$1,049 ACDIS member individual standard rate

PRE-CONFERENCE: ICD-10 for CDI Boot Camp—May 17-18, 2015


PRE-CONFERENCE: CDI and Quality: Advancing CDI Boot Camp – Special 2-Day Edition—May 17-18, 2015


ACDIS Membership

$165 for a one-year membership

MULTIPLE PROGRAM DISCOUNT:

2015 ACDIS Conference and Physician Advisor’s Role in CDI—May 17-21, 2015

$1,830 individual standard rate (15% savings off the

standard rate)

2015 ACDIS Conference and ICD-10 for CDI Boot Camp—May 17-21, 2015

$1,745 individual standard rate (15% savings off the

standard rate)

2015 ACDIS Conference and CDI and Quality: Advancing CDI Boot Camp – Special 2-Day Edition—May 17-21, 2015


(15% savings off the standard rate)

POST-EXAM: ACDIS Certified Clinical Documentation Specialist—May 21, 2015

Please send me information regarding eligibility

requirements and the application process.

Visit www.hcpro.com/acdis/certif ication.cfm for details.

Faculty Disclosure—HCPro has a conflict-of-interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentation materials. It is not assumed that these financial interests or affiliations will have an adverse effect on faculty presentations; they are simply noted here to fully inform the participants.Cancellation Policy—All cancelations must be confirmed in writing. Written cancellations received by HCPro 30 days or more prior to the boot camp or seminar are eligible for a credit or refund, less a $250 cancellation fee. The credit will be valid for up to six months from date of cancellation.ADA—We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us better serve you. Please notify us of your needs at least two weeks in advance of the program by calling 800-650-6787.

NAME OF ATTENDEE: (Seminar confirmation will be sent via email.)

Name: Title:

Dept: Organization:

Street address:

City: State: ZIP:

Tel: Fax:

Email:

CONTACT PERSON NAME: (If different from attendee)

Name: Email:

SELECT YOUR METHOD OF PAYMENT: (Payment is due immediately upon receipt.)

Check enclosed (Payable to HCPro) Bill my credit card (Check one): VISA MasterCard AMEX Discover

Signature Account no. Exp. date

(Required for authorization. Your credit card bill will ref lect a charge from HCPro)

REGISTRATION FORMFax to 800-785-9212, call 800-650-6787, or visit www.hcmarketplace.com.

Register a team of 4 and your 5th member attends FREE!

Call for special team discounts!

2015 ACDIS CONFERENCEHENRY B. GONZALEZ CONVENTION CENTER • SAN ANTONIO, TX • MAY 19-21, 2015

PRESORTED STDUS POSTAGE PAID

HCPRO

P.O. Box 3049 | Peabody, MA 01961-3049


MAY 19-21, 2015HENRY B. GONZALEZ CONVENTION CENTER - SAN ANTONIO, TX

2015 CONFERENCE

8TH ANNUAL

may 19-21, 2015 - hcpropromos.hcpro.com/pdf/2015_acdis_conference_brochure.pdf · 2015. 4. 30. ·...

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