Course Provider
Learning Objectives
Explain the goals and objectives of a CDI department and the role of the CDI specialist (CDIS)
Describe what population of records to review, how often to review them, and when a review is complete
Demonstrate an understanding of Medicares IPPS and how it relates to the role of the CDIS
Demonstrate an understanding of how specific and accurate provider documentation affects hospital reimbursement through the assignment of a principal diagnosis, secondary diagnoses, and coded data
Discuss general ICD-10-CM coding guidelines and apply these guidelines when assigning the principal diagnosis and secondary diagnoses as part of the MS-DRG assignment process
Discuss the significance of Coding Clinic for ICD10CM guidance when assigning and sequencing codes, and applying its guidance to documentation and query scenarios
Develop techniques for detailed medical record review in order to identify incomplete, vague, and/or missing diagnoses based on clinical indicators within the medical record
Discuss physician education strategies related to the impact of improved documentation on hospital reimbursement and individual physician profiles
Develop compliant physician query techniques based on industry standards and best practices
Describe professional ethics associated with the CDI role as related to compliance initiatives, including those monitored by Recovery Auditors and the OIG