Clinical Documentation Improvement (CDI) is the process of improving patient records to ensure optimal patient outcomes; contribute to data quality metrics and drive accurate reimbursement. CDI has been utilized in the hospital environment since 2007 for improving diagnosis capture and more detailed physician documentation. The practice of CDI is not new to Home Health and Hospice but the work efforts need to be more formalized in to a program which may be used to support improved patient outcomes and data quality. States under Value Based Purchasing measures have learned that measures improve with a concentration on CDI. Home health and hospice organizations also need to develop a robust CDI program now with Patient Driven Groupings Model (PDGM) beginning in 2020. Discussed will be lessons learned from IPPS.
o Understand how utilizing CDI strategies achieves better patient outcomes
o Learn the steps for creating a CDI program for home health & hospice
o Understand the importance of compliant queries for meeting regulatory compliance
Audience: This presentation is a necessary topic for Administrators; Compliance; Clinical Management; Billing; Coders; OASIS Reviewers; Medical Records
Presenter: Joan Usher, BS, RHIA, HCS-D, ACE, President, JLU Health Record Systems is a nationally recognized expert in medical record documentation. She has a degree in Health Information Management and has been a home health consultant for over 30 years. Joan is past president of the Massachusetts Health Information Management Association (MaHIMA) and has served as a delegate for American Health Information Management Association (AHIMA). She received the Distinguished Member award from MaHIMA in 2017 and the Professional Achievement Award in 2008. Joan is a published author with book topics such as ICD-10-CM Coding, Billing, Clinical Documentation Improvement and contributing author to the Massachusetts Medico legal Guide. Usher is a past member of the Board of Director of the Home Care Alliance of MA . Joan's webinars consistently earn outstanding reviews from participants.
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