Course Provider
Learning Objectives
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 specialists role contributing to successful quality metric reporting
Develop documentation strategies to enhance a hospitals 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