Describe two ways that this educational activity will improve my contribution as a team member. CNE: The Centers for Disease Control and Prevention designates this activity for 1.0 nursing contact hours. Granting of prior approval in no way constitutes endorsement by AAPC for the program content or the program sponsor. Five of these courses introduce key concepts and responsibilities of the CDI specialist: ACDIS has also identified four clinical conditions that every CDI specialist must master. About CDI.edu: Accredited Los Angeles Nursing School. The AAPC Thought Leadership Team is a distinguished consortium of experts, visionaries, and thought leaders committed to shaping the landscape in the industry. As a result, CDI programs were organized so that a team of nurses could concurrently review the inpatient medical record documentation and query a provider concerning anything ambiguous or not complete prior to claim submission. Once the patient leaves, the health record is forwarded to a healthcare coder for code assignment. Percentage of episodes for patients 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic dispensing event. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 2.5 total Category I continuing education contact hours. The course delivers a comprehensive overview of the CCS exam as well as a practice exam. If the answer to any of these questions is less than favorable, then a CDI program may be warranted. These strategies include implementing daily chlorhexidine bathing for at-risk populations, decolonizing patients colonized with MRSA, performing Active Surveillance Testing (AST) for high-risk patient populations and implementing gowning and gloving for all ICU patients. A CDI specialist often has both clinical and medical coding backgrounds. To guarantee their facilitys documentation withstands auditor scrutiny, a CDI specialist needs to be knowledgeable about the federal regulations regarding fraud, abuse, and compliance, as well as payer requirements for clinical presentations of diseases. Maximum advanced level continuing education contact hours available are 0. There are assessment tools available to simplify documenting social parameters, such asPRAPARE(Protocol for Responding to and Assessing Patients Assets, Risks, and Experiences) from the National Association of Community Health Centers (NACHC). After shadowing or speaking to a real-life CDI professional, invest in some training for yourself to help build your skillset. Developed by national infection prevention experts, the curriculum focuses on foundational and targeted infection prevention practices. A CDI program in the outpatient setting can have just as much financial impact as in the inpatient setting. Developed by national infection prevention experts, the curriculum focuses on foundational and HAI-specific prevention practices. Compare and contrast different hand hygiene adherence monitoring methods. There are two training modules that covers Building a Business Case for Infection Prevention. The courses are: Finally, ACDIS has created a module featuring core ACDIS principles and guidelines that provide guidance for practicing in a compliant manner. Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis. I understand these messages will be to the email or phone number provided, and will be about employment opportunities, positions in which Ive been placed, and my employment with AMN companies. What if I need to cancel or transfer my registration? CCMCThis program has been pre-approved by the Commission for Case Manager Certification to provide continuing education credit to CCM board-certified case managers. If your facility has a CDI program, ask if you can shadow them for a day to find out about their daily work. For more information on hosting an on-site course at your facility/offices, click here. Though these programs dont come with a promise of employment, they are vital avenues toward CDI skill development and success within the field. Explain how the GPS assessment can be used to identify barriers to MRSA bacteremia prevention. Multiple choice queries should include the options of clinically undetermined or not clinically significant. In Scenario 1 of this article, a query to the provider was mentioned that resulted in clarification that the patient had acute respiratory failure with hypoxia and hypercapnia in addition to a COPD exacerbation. Accuitys compliance expert, Dr. Bringham Strelow, VP of Revenue Integrity, offers guidance in this whitepaper for creating a plan to implement and maintain a solid compliance program. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 2.0 total Category I continuing education contact hours. 1. Tech & Innovation in Healthcare eNewsletter NEW! Identify ways to engage staff in PPE education and training. A clinical documentation improvement program is a process designed and implemented with the purpose of achieving accurate and thorough medical record documentation. CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. During the online-learning course, apprentices will learn foundational CDI knowledge, become familiar with the ACDIS Code of Ethics and other guiding principles, and learn how to effectively and compliantly query physicians. Analyze why your facility/practice needs a CDI program. Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) For Newhouser, a CDI role presented itself naturally when she was a case manager performing utilization review. In order to be meaningful, the documentation must be clear, consistent, complete, precise, reliable, timely, and legible to accurately reflect the patients disease burden and scope of services provided. AHIMA has developed a query template library that includes more than 140 templates covering documentation needs in both inpatient and outpatient settings. Make sure you have the following available as you watch the courses, review the course material, and complete assignments. Click More Details beside the class date you plan to attend. Introduction to Queries and the Query Process: Provides guidance on how to formulate an effective, compliant query, and reviews major industry developments in query standards and compliance guidance. implementing environmental cleaning process tools and using an EPA registered sporicidal agent, and. There is one training module that covers Strategies for Preventing Healthcare Associated Infections. Prior to joining ACDIS, she was a clinical educator and manager of CDI for a large hospital . A CDI specialist can be instrumental in guaranteeing that the clinical documentation includes the necessary information to meet the criteria of MIPS measures. Describe the components of the CLABSI Guide to Patient Safety (GPS) tool. Individuals who pass the final examination are allowed to use the designation ACDIS-Approved CDI Apprentice in their resumes, biographical information, or email signatures. First, do your research about the profession and try to determine if youd actually like to step into this line of work. By running reports of ICD-10-CM codes submitted on claims, reviewing the medical documentation, educating the provider on certain measures that have not been met, and educating the coding team to report these measures, the CDI specialist bridges the gap between clinical documentation and medical coding. Search for an interim or perm leadership position in healthcare. CAUTI101: Provides background information on the impact CAUTI has on patients, the pathogenesis of CAUTI and Tier 1 strategies to prevent CAUTI. To view the course outline, please see the Course Outline tab within this page. Each course has 1 or more modules. 2023 Coders' Specialty Guides SHIPPING NOW. MRSA 201: Reviews conducting a needs assessment using a MRSA GPS to evaluate possible barriers to implementation of MRSA bacteremia prevention strategies. They have certifications for both inpatient and outpatient CDI, Newhouser says, the CCDS for inpatient and the CCDS-O for outpatient certification. All rights reserved, Certified Clinical Documentation Specialist, Introduce new CDI specialists to their roles and responsibilities and ensure foundational competence, Provide accurate training on important topics and clinical conditions, such as querying and sepsis, Save time and resources developing internal training for new employees who are inexperienced with CDI, Earn ACDIS (4.5 CEUs), AHIMA (4.5CEUs), ANCC (4.5 CEUs), and CABRN (5.4 CEUs) continuing education credits, Introduction to CDI: Core Concepts and Professional Skills: Defines the roles and responsibilities of the CDI profession and explains its value to the healthcare system. Not only have providers needed to adapt to conducting office visits via audio and/or video communication (telehealth visits) because of the pandemic, but assessing mental health, access to proper care, and other social determinants has been an important part of these discussions with patients. a. In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use. Copyright 2023 HCPro, a Simplify Compliance brand. To order a DRG Expert manual from HCPro, visit, A Drug Reference Book: Any drug reference book can be used for class, 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, 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, Discuss and apply basic metrics that support the success and/or progress of a CDI department, individual CDISs, and participating physicians. HH 103 discusses common barriers to the performance of hand hygiene and how external and internal motivators can influence infection prevention behaviors. Both of these backgrounds provide a good foundation to become a CDI professional. With a deep understanding of the profound impact our industry has on society, this council serves as a guiding force, driving the development and implementation of ethical standards in coding practices. I would seek out CDI professionals within their place of employment, Newhouser says. ACDIS tip: Highlights from AHA Coding Clinic, second quarter 2023. If your facility doesnt have a program of its own reach out to neighboring hospitals and ask the same thing. CME: The Centers for Disease Control and Prevention designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 Credits. Consequently, the role of CDI in claims processing in healthcare facilities includes both increasing the accuracy of initial reimbursement and preventing expensive consequences from reviews by authorities. turn data into actionable information to drive improvement. This course series includes 21 webinars that provides a comprehensive educational approach to CDI based on body systems and diagnostic categories. . You'll receive the same content and instruction that you would experience at our classroom-based, nationally recognized Boot Camps. There are 7 training modules that cover CAUTI. 4. Review the reviews. List four ways this educational activity will impact my healthcare team. See the American Hospital Associations HRET STRIVE page Getting Hospitals to Zeroexternal icon. We care about your success as much as you do. Only highly qualified professionals should be hired to perform CDI reviews. The online portal for your class sessions and materials is accessible for 60 days from your purchase date. However, they got a boost in popularity around 2007 when the Centers for Medicare & Medicaid Services (CMS) implementedMedicare Severity Diagnosis Related Groups (MS-DRGs). HH 102 illustrates different methods to use to monitor hand hygiene adherenec and components to include on monitoring tools and feedback reports about hand hygiene adherence. Look for both the good and the bad practices when implementing a CDI program; meaningful outcomes should be the driving force of sustainability and growth. Explain the mechanisms by which antibiotic stewardship impacts C. difficile infection. Both certifications require two years of experience in CDI to sit for the exam. Take your clinical documentation integrity (CDI) department completely online and mobile. Upon passing the final exam, youll be allowed to use the designation of ACDIS-Approved CDI Apprentice on your resume, in your biographical information, or in your email signature to set you apart from other potential applicants. The lab report showed P02 (partial pressure of oxygen) <55, PCO2 (partial pressure of carbon dioxide) >50, and pH (power of hydrogen) <7.35. List one way to improve collaborative practice across the infection control team. Developed by national infection prevention experts, the curriculum focuses on foundational and healthcare-associated infection (HAI)-specific prevention practices. Describe the core concepts of patient and family engagement, List strategies to overcome barriers to patient engagement, Identify ways to apply patient and family engagement principles in your hospitals infection prevention efforts. Describe the key components of a competency- based training program for infection prevention at the completion of the module set. A query is a message to the provider to request clarification of clinical documentation. Outline the importance of effective hand hygiene for protection of healthcare personnel and patients. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0 total Category I continuing education contact hours. Identify the enhanced Tier 2 strategies that can be used to prevention CLABSI. To receive email updates about this page, enter your email address: Competency-based Training, Audits and Feedback - WB4220, Personal Protective Equipment (PPE) - WB4225, Centers for Disease Control and Prevention. Check out our live course: https://hcmarketplace.com/product-type/boot-camps/clinical-doc-integrity-boot-camp-1, From: Gain insights on how to secure buy-in from clinicians and work effectively alongside a variety of stakeholders to maximize the value from AI initiatives. The ACDIS CDI Apprenticeship demonstrates that an individual has foundational CDI knowledge and has familiarity with the ACDIS Code of Ethics and other guiding principles for compliant query practice. For more information about the CDI Apprenticeship program, click here. Please use another browser for shopping/ordering or contact customer service if you have trouble. CDI specialists will learn the basic skills necessary for success in the profession. CAUTI103: Reviews alternatives to indwelling urinary catheters to consider using prior to catheter insertion. After updates, the CDI specialist can continue to assist by reviewing documentation and claims to validate the diagnosis codes accurately reflect what the provider recorded and support medical necessity for the level of E/M code reported on the claim. ACCMEHCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. YouTube Link [Video - 1 hr 11 mins] Slideset [PDF - 3 MB] Refresher: MRSA Bacteremia and C. difficile LabID Event Reporting - March 2021. Launch a successful CDI career with help from the experts at ACDIS. Specifically, participants learn about MS-DRG methodology, including how MS-DRGs are assigned and how documentation affects code assignment and sequencing. SP 101: Strategies for Preventing Healthcare Associated Infections. 3M educational boot camps for advanced CDI training. In fact, Newhouser uses CDI Professional as the preferred nomenclature for the role, since it isnt a sub-specialty of a specific field but its own profession, open to qualified personnel from different foundational backgrounds. First, it is important to note that CDI is not restricted to RNswhile most CDI professionals are RNs, other healthcare professions can be successful in CDI with the right skillset. Developed by national infection prevention experts, the curriculum focuses on foundational and targeted infection prevention practices. This activity provides 0.9 contact hours. Some community colleges offer one-year certificate programs on healthcare coding, so that part of the CDI role can be obtained through formal schooling.. As a nationwide organization, ACDIS also has local chapter meetings for CDI professionals to attend. The primary focus of a CDI program for physicians in an office or outpatient environment is to help prevent these denials and amendments while also ensuring documentation is complete for clinical purposes. Becoming a member of ACDIS comes with incentives, including free CEUs, discounted admission to annual conferences, and access to CDI certifications. Are we meeting compliance and regulatory standards? Disclosure Statement:HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity. CDI can be challenging if all parties involved in implementing a CDI program (physicians, administrators, CDI specialists, and coding and billing staff) do not understand the purpose and process of CDI and how each role is vital. This educational activity for 20 nursing contact hours is provided by HCPro. Has a government or payer audit identified deficiencies? Describe the components of the CDI Guide to Patient Safety (GPS) tool. CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. CNE: The Centers for Disease Control and Prevention designates this activity for 2.1 nursing contact hours. A CDI specialist can coordinate efforts such as having a patient fill out an SDOH assessment form before a visit, identifying areas of SDOH to be addressed by the provider, and including the form in the patients medical record. MRSA 102: Reviews the importance of Tier 1 strategies such as conducting a MRSA risk assessment to prioritize prevention strategies, what data to use in the MRSA risk assessment and how to use the risk assessment to drive MRSA prevention actions. In addition to our online and open registration courses, we also offer the CDI Boot Camp as an on-site course (with a substantial discount) for organizations that have a number of employees who need training. There are 3 training modules that cover competency based training, audits and feedback. The CDI specialist can inform the provider about how this documentation affects coding. Clinical Documentation Improvement (CDI)Online Prep Course. The training includes five modules devoted to key concepts and responsibilities of CDI specialists, four modules devoted to clinical conditions that every CDI specialist must master, and one module devoted to core ACDIS guidelines, including the ACDIS Code of Ethics and the AHIMA/ACDIS Guide to Compliant Query Practice. During the online-learning course, apprentices will learn foundational CDI knowledge, become familiar with the ACDIS Code of Ethics and other guiding principles, and learn how to effectively and compliantly query physicians. Seeking to attend a chapter meeting is an excellent opportunity to gain further perspective from CDI professionals. Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12-month period who were prescribed aspirin or clopidogrel. The Nurse Practice Act requires a one-time 4-hour bioterrorism course to be completed. Click the gray bar for the class title you wish to attend. Depending on need, some hospitals may take nurses off the floor and train them for a CDI role. Contact us at 615-724-7200 or emailPD-IS@SimplifyCompliance.com. This course is composed of three modules, each focuses on a specific healthcare setting. Table 2: Comparison of Typical Inpatient Versus Outpatient CDI Process Components, Immediate improvement to clinical documentation, Clinical documentation is improved at next visit. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Describe when it is appropriate to use indwelling urinary catheters for common clinical scenarios, Identify alternatives to the indwelling urinary catheter that can be used in various patient care settings, Discuss the role asymptomatic bacteriuria (ASB) plays in antibiotic stewardship, Describe the components of the Guide to Patient Safety (GPS) tool and Targeted Assessment for Prevention (TAP) Strategy, Identify strategies to overcome barriers associated with the additional CAUTI interventions. The clinical courses in the review the pathophysiology, critical coding guidelines, and documentation requirements for these conditions, as well as providing sample queries. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. In addition, each course concludes with a final exam consisting of 10 multiple-choice questions to ensure that the user has mastered the content. Clinical Documentation Integrity (CDI) is a key cog in the patient treatment process but remains relatively unknown in the larger healthcare spectrum. Appropriate Treatment for Upper Respiratory Infection (URI). All rights reserved, September/October 2018 edition of the CDI Journal, Chapter Advisory Committee: Summer 2023 panel discussion for local leaders. See privacy policy or cookie policy for more details. MRSA 202: Outlines Tier 2 enhanced MRSA prevention strategies and how to implement them. Does the course require any previous experience or training? Use an analysis rubric to identify areas of improvement, nonbeneficial activities, and the successful results of the program. This isn't just any CDI course. Clinical documentation integrity (CDI) will continue to become increasingly important as health care moves toward value-based purchasing and pay-for-performance reimbursement models. Describe essential components of effective feedback and strategies to deliver feedback at the completion of the module set. The CDI and Quality Outcomes course provides information on the impact CDI programs have on quality reporting within various healthcare settings. EC 101: Describes the important role that the hospital environment can play in pathogen transmission and shares useful concepts to improve a hospital cleaning and disinfection program. CME: The Centers for Disease Control and Prevention designates this enduring activity for a maximum of 2.5 AMA PRA Category 1 Credits. Communication to the provider in the outpatient setting is more along the lines of documentation improvement education and not a query as is seen in the inpatient facility. In 200 claims reviewed in this audit, 164 contained severe malnutrition diagnosis codes when they should have had other forms of malnutrition or no malnutrition diagnosis codes at all. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. Healthcare compliance is the formal name given to proactive tasks to prevent fraud, waste, or abuse within a healthcare entity. The concurrent review of documentation by the CDI specialist enhances communication between all providers involved in the patients care in a timely manner, which may reduce the length of stay for the patient. Continuing Competency credits available are 1 CDC provider number 98614. The ACDIS CDI Apprenticeship can be used to: To sign up, please visit our marketplace page. The Inpatient Prospective Payment System (IPPS) and MS-DRGs, Key Infectious Diseases and Complications, Key Diseases Associated With Injuries, the Musculoskeletal System, and the Skin, Key Diseases of the Digestive, Hepatobiliary, and Urinary Systems, Key Diseases Associated With the Circulatory System, Key Diseases of the Nervous System and Mental Health, Key Endocrine, Nutritional, and Metabolic Diseases. https://acdis.org/sites/acdis/files/ACDIS_CCDS_CandidateHandbook_March2022.pdf, Coding and reporting requirements related to COVID-19 and its manifestations, The ICD-10-CM Official Guidelines for Coding and Reporting, as seen from a CDI perspective, Diagnoses frequently in need of additional documentation to support accurate code assignment across all major body systems, The value of compliant provider query practice and best practices associated with the query process, Core provider education concepts such as IPPS reimbursement, documentation integrity, and quality metrics, IPPS methodology based on MS-DRG assignment and the impact of diagnosis assignment and sequencing on hospital reimbursement, CDI benchmarking basics, compliance risks, and professional ethics, Implement a step-by-step process for thorough medical record review based on industry guidelines, Develop compliant verbal and written physician queries and understand how to effectively query providers, Recognize significant clinical indicators supporting problematic diagnoses such as heart failure, sepsis, acute renal failure, and encephalopathy, Understand the impact of compliance initiatives on CDI, including the Recovery Auditor program and the Office of Inspector General Work Plan, Principal diagnosis guidelines in ICD-10-CM, Impact of complications/comorbidities (CCs) and major CCs (MCCs), Poisoning, adverse effects, and underdosing, Oxygen therapy and mechanical ventilation, Transient ischemic attack (TIA)/cerebrovascular accident (CVA), Recovery Auditors (aka Recovery Audit Contractors or RACs), CDI specialists, CDI supervisors, CDI managers/directors, Inpatient coders, coding supervisors, coding managers/directors, Coding compliance specialists, coding compliance supervisors/managers/directors, Quality integrity professionals, quality department managers/directors, Utilization review/case management managers/directors, A current DRG Expert / DRG Expert is published by Optum Coding. There are 6 training modules that covers CDI. If your state has an ACDIS Local Chapter, reach out to the leadership and ask if you can attend a meeting. Another avenue for prospective CDI RNs to gain valuable information about the role is through shadowing a CDI professional for a day. Thats where CDI professionals come in. Similarly, a CDI program can help reduce avoidable readmissions by improving communication and care coordination between patients and their caregivers at the time of discharge. Describes the overarching socio-adaptive issues to consider when implementing quality improvement work. We spoke with Karen Newhouser, of AMN Healthcare Revenue Cycle Solutions, to outline the CDI profession and how an RN can successfully transition to a CDI career. Editors note: Advice provided in this article was adapted from the September/October 2018 edition of the CDI Journal and from an ACDIS Blog article about training new CDI professionals. The process of a CDI program in an outpatient setting is retrospective, meaning a CDI specialist reviews the medical record documentation after the office visit has occurred and the patient has left the face-to-face encounter. Candidates who pass the final exam receive a certificate of CDI foundational training and are allowed to designate themselves as an ACDIS-Approved CDI Apprentice. The CDC/STRIVE curriculum was developed by national infection prevention experts led by the Health Research & Educational Trust (HRET) for CDC. Continuing Competency credits available are 0.5 CDC provider number 98614. After a four-day stay receiving treatment, the patient was discharged. Developed by national infection prevention experts, the curriculum focuses on foundational and healthcare-associated infection (HAI)-specific prevention practices. Additionally, with the pandemic moving many CDI roles to remote settings, professionals who flourish in a remote environment might find CDI an attractive opportunityparticularly those with disabilities.
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