Clinical documentation integrity (CDI) initiatives directed to surgeons are critical due to the significant impact surgeons have on hospital quality measures and reimbursement. That's because in the surgeon's world—unlike the world of general practitioners— there are patient safety indicators (PSIs) primarily resulting from surgical patients. Surgical DRGs are higher weighted than their medical counterparts and which, in turn, affect case mix index (CMI). Capturing procedure codes and complicating conditions, and having patients end up in the correct tier, all depend on surgeons' accurate clinical documentation.
But clinical documentation integrity specialists (CDISs) face unique challenges with CDI initiatives for surgeons. Surgeons are paid according to a global surgical fee for major procedures—procedures which are not documentation-based like evaluation and management (E&M) services are for medical doctors. As a result, the financial incentive for documentation improvement may be lacking. And, because their temperament can be stereotypically decisive, confident, even arrogant, it can be difficult for non-physicians to approach and educate them. Moreover, CDISs may not always be familiar with PSIs and the conditions which are more often seen in surgical patients or on surgical services, making it even more daunting to engage with surgeons.
During this ICD10monitor webcast, CDI authority Erica Remer, MD, FACEP, CCDS, will help to empower CDISs to be successful when engaging surgeons. She'll give insight into the surgical mentality and provide tips on how to approach surgeons and to seek a surgeon's active participation in CDI endeavors. Dr. Remer will also provide education on the PSIs and conditions that are primarily found in the surgical patient population. And finally, she will address key points to effective query composition, empowering you and your team to provide specific education that will be pertinent to a surgeon's practice.
Why This is Relevant:
The surgeon's impact on CMI, quality metrics, and reimbursement is significant. Yet, CDISs may be unfamiliar with the CC/MCCs and PSIs that are found in the surgical population. Therefore, gaining insight into these conditions, and how to effectively compose queries for surgeons, will optimize CDI initiatives.
Take this brief quiz to see if you and your team could benefit from this webcast:
- Why is CDI for the surgeon different than any other provider?
- What are some magic buzz words for CDI for the surgeon?
- How can you help your surgeons avoid penalties for PSIs when they are not applicable?
- How can you optimize your query to get surgeons to cooperate?
- Learn how to explain to surgeons the relationship between documentation, quality determination, and reimbursement
- Understand how to analyze documentation for surgical conditions which are risk-adjusting and pose opportunities for improvement
- Identify comorbid conditions which are pertinent to surgeons
- Eliminate documentation which leads to inappropriate PSIs
- Compose cogent queries for surgeons
Who Should Attend:
This timely webcast will be most relevant to coders, CDISs, CDI managers and directors, and HIM managers and directors.