Understanding the DRG and IPPS Systems: Describes how to assign MS- and APR-DRGs, how hospitals are paid under the IPPS, and the nuances of the Medicare reimbursement system. If your are using Internet Explorer on this site, some pricing and checkout options may not function correctly. Specifically, participants learn about MS-DRG methodology, including how MS-DRGs are assigned and how documentation affects code assignment and sequencing. After a four-day stay receiving treatment, the patient was discharged. To download the CCDS Candidate Handbook and view the prerequisites required to take the exam, or to download an application form, visit the ACDIS website at https://acdis.org/sites/acdis/files/ACDIS_CCDS_CandidateHandbook_March2022.pdf. The query could have looked like this: Are the lab results showing PO2 <55, PCO2 >50, and pH <7.35 as well as the 20 hours of ventilator assistance significant to the COPD exacerbation, significant to an as-yet undocumented diagnosis, clinical significance undetermined, or not significant? Describe the key components of a competency- based training program for infection prevention at the completion of the module set. CNE: The Centers for Disease Control and Prevention designates this activity for 2.1 nursing contact hours. 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. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ACDIS members save $100. Is there a discount for ACDIS members? YouTube Link [Video - 29 min] There are 6 training modules that covers CDI. A query was sent to the attending physician. Though these programs dont come with a promise of employment, they are vital avenues toward CDI skill development and success within the field. Describe how interprofessional collaboration in applying PPE aids in prevention of disease transmission. Discuss effective strategies used to engage clinicians and leaders in infection prevention efforts. If there is nonspecific terminology, uncertain diagnoses, diagnostic test results not addressed, or diagnoses in a consult report not reiterated by the attending physician, the CDI specialist can immediately query the provider. a. 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, because of the courses fast-paced nature, it is recommended (but not required) that participants have at least several months experience working in a hospital. 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. Improper claim submissions resulting from poor documentation can result in unfavorable audits, which could require facilities to pay a fine, return money erroneously collected from payers, or both. Some simple Googling, poking around the ACDIS website, reading CDI Strategies and the ACDIS Blog, and listening to ACDIS Radio are all great free resources to help you feel out the industry. As a nationwide organization, ACDIS also has local chapter meetings for CDI professionals to attend. To view our cancellation policy, click here. Disclosures. States Targeting Reduction in Infections via Engagement (STRIVE). Clinical documentation integrity (CDI) will continue to become increasingly important as health care moves toward value-based purchasing and pay-for-performance reimbursement models. Each course has 1 or more modules. Describe essential components of effective feedback and strategies to deliver feedback at the completion of the module set. Youve done your leg work and can demonstrate your capabilities to take on the role of a CDI specialist. Becoming an AHIMA-Approved Clinical Documentation Integrity (CDI) Trainer can help you take your CDI career to the next level. Continuing Competency credits available are 0.5 CDC provider number 98614. Learn best practices fortopics such as denials preventionand management as well as the art and science of CDI. 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. CDI includes a review of disease process, diagnostic findings, and what the documentation might be missing. 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. 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. 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. The patients principal diagnosis and up to 24 secondary diagnoses, including comorbid conditions (CC) or major comorbid conditions (MCC), determine the DRG assignment. This practice resulted in more accurate billing for the facility, and the CDI trend took hold. Medicare Severity Diagnosis Related Groups (MS-DRGs). CDI Boot CampOnline: How does it work? 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. Below is the current course schedule for upcoming CDI and Quality Care Measures Boot Camp Online classes. 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. Preventing unsupported diagnoses from being reported on a claim is one benefit of inpatient CDI programs. For more information on hosting an on-site course at your facility/offices, click here. The module features: Each course in the library is highly interactive, with voice-over narration, and includes Test Your Knowledge questions throughout to reinforce major concepts. This course is taught on a basic to intermediate level. There is clinical evidence for a higher level of severity of a diagnosis than was reported. CAUTI102: Outlines Tier 1 strategies such as the importance of only placing indwelling urinary catheters when necessary and ensuring they are removed as soon as clinically possible. Collaborate. Has a government or payer audit identified deficiencies? For nurses exploring a transition to a CDI career, the best source of insight is often from professionals currently working in the field. Developed by national infection prevention experts, the curriculum focuses on foundational and targeted infection prevention practices. 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. Whether you are a student who wants to train and test to be a nurse assistant or a provider who wants to offer this training, consider all that the Red Cross has to offer.The 5,000 students who take our program annually average a 90% graduation rate, and upwards of 80% pass the state exam to become a licensed or certified nurse assistant (CNA). The course delivers a comprehensive overview of the CCS exam as well as a practice exam. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 1. Describe the components of the CLABSI Guide to Patient Safety (GPS) tool. Two rates are reported. We offer a variety of permanent, travel and short-term healthcare careers. Just as the financial impact and patient care outcomes of CDI differ between a hospital and a doctors office, so too does the process of improving clinical documentation. An important proactive approach to outpatient CDI concerns recording social determinants of health (SDOH) with the intention of improving the health outcomes of patients. As mentioned above, there are multiple platforms with which to gain a better understanding of the CDI role but there are innate skills that play heavily into the daily functions of the job. CME: The Centers for Disease Control and Prevention designates this enduring activity for a maximum of2.25 AMA PRA Category 1 Credits. Hospital infection control training on a variety of infection prevention topics including Tier 1 and Tier 2 interventions. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Depending on need, some hospitals may take nurses off the floor and train them for a CDI role. At AMN Healthcare, we're living proof of the power of Diversity, Equality and Inclusion. This course is composed of three modules, each focuses on a specific healthcare setting. Additionally, this module highlights tools and strategies to ensure appropriate catheter use and removal. Maximum advanced level continuing education contact hours available are 0. Incompliance 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. This educational activity for 20 nursing contact hours is provided by HCPro. Healthcare compliance is the formal name given to proactive tasks to prevent fraud, waste, or abuse within a healthcare entity. As a Red Cross Training Provider, you can offer classes in your community or train your own staff at your facility. CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.1 CEUs for this program. The ACDIS CDI Apprenticeship can be used as a pathway for progression toward the goal of CCDS certification and those who participate in the ACDIS CDI Apprenticeship will receive regular networking opportunities, special offers on further education, and support to continue on the journey. CAUTI103: Reviews alternatives to indwelling urinary catheters to consider using prior to catheter insertion. PFE 101: Engaging the elements of patient and family engagement and how patients and families can be active partners in developing, implementing and evaluating programs and services. This course series includes 21 webinars that provides a comprehensive educational approach to CDI based on body systems and diagnostic categories. Copyright 2023 AHIMA. The lab report showed P02 (partial pressure of oxygen) <55, PCO2 (partial pressure of carbon dioxide) >50, and pH (power of hydrogen) <7.35. Developed by national infection prevention experts, the curriculum focuses on foundational and healthcare-associated infection (HAI)-specific prevention practices. All rights reserved, September/October 2018 edition of the CDI Journal, Chapter Advisory Committee: Summer 2023 panel discussion for local leaders. 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. implementing environmental cleaning process tools and using an EPA registered sporicidal agent, and. Table 1: Examples of MIPS Quality Measures for 2022, Coronary Artery Disease (CAD): Antiplatelet Therapy. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 0.5 total Category I continuing education contact hours. Table 2: Comparison of Typical Inpatient Versus Outpatient CDI Process Components, Immediate improvement to clinical documentation, Clinical documentation is improved at next visit. PPE 103: Reviews strategies to coach and train frontline health care professionals in the use of PPE and strategies for auditing appropriate PPE use to identify gaps and improve PPE adherence. 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. Leave the CDI Boot Camp Online with a thorough understanding of: Who is this class for?This course is designed for those seeking to understand the purpose and role of clinical documentation integrity efforts in the inpatient setting. Appropriate Treatment for Upper Respiratory Infection (URI). When her facility opened a dedicated CDI role, she jumped at the opportunity. List factors that influence program sustainability. CNE: The Centers for Disease Control and Prevention designates this activity for 1.0 nursing contact hours. What if I need to cancel or transfer my registration? Accurate and specific clinical documentation is essential to proving medical necessity for the CPTcodes submitted on a claim. CDI programs have been a part of healthcare since long before the term was uttered. CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.1 CEUs for this program. Is our patient base susceptible to SDOH? In addition, each course concludes with a final exam consisting of 10 multiple-choice questions to ensure that the user has mastered the content. CDI 101: Overview of Clostridium difficile Infection, CDI 102: Antibiotic and Lab Testing Stewardship to Prevent Clostridium difficile Infections (CDI), CDI 103: Clostridium difficile Infection: Preventing Transmission, CDI 104: Monitoring for Compliance and Improvement, CDI 201: Using the Guide to Patient Safety (GPS) and Targeted Assessment for Prevention (TAP) to Assess CDI Prevention Efforts, CDI 202: Clostridium difficile Infection Tier 2 Interventions. There are various organizations and programs that offer CDI training for RNs and other professionals seeking development. 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. Discuss the role of external and internal factors that influence behavior change. First, do your research about the profession and try to determine if youd actually like to step into this line of work. Does HCPro offer this course on-site? Events
*Digital product and event terms may vary. Access ourhealthcare workforce insights and case studies to learn how AMN Healthcare has partnered withour clients to create impactful solutions. Prior to joining ACDIS, she was a clinical educator and manager of CDI for a large hospital . Payers have taken note of these benefits and created programs to promote them. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All rights reserved, Self-Paced Clinical Documentation Improvement (CDI) Inpatient-Outpatient Academy, The Self-Paced CDI Inpatient-Outpatient Academy is a, comprehensive series of 18 lessons that cover the, all-inclusive guide to establishing and enhancing CDI programs for the outpatient and professional fee, The Impact of Technology on Clinical Documentation Integrity. Describes the overarching socio-adaptive issues to consider when implementing quality improvement work. Check out our live course: https://hcmarketplace.com/product-type/boot-camps/clinical-doc-integrity-boot-camp-1, From: We recommend the CCDS exam for individuals who meet the exam requirements, complete this Boot Camp, and desire to pursue certification. Best of luck! Developed by national infection prevention experts, the curriculum focuses on foundational and healthcare-associated infection (HAI)-specific prevention practices. AMN Healthcare Revenue Cycle Solutions also has a CDI Academy that includes lessons for aspiring CDI professionals. 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. Clinical Documentation Integrity (CDI) is a key cog in the patient treatment process but remains relatively unknown in the larger healthcare spectrum. CNE: The Centers for Disease Control and Prevention designates this activity for 0.6 nursing contact hours. EC 103: Explores using quality improvement strategies, like Plan-Do-Study-Act (PDSA), to monitor and guide infection prevention improvement initiatives. 5. The CDC/STRIVE curriculum was developed by national infection prevention experts led by the Health Research & Educational Trust (HRET) for CDC. Maximum advanced level continuing education contact hours available are 0. Describe three ways that this educational activity will improve my contribution as a team member. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks). Highlights key strategies to ensure patient and family engagement in hospitals infection prevention efforts. CME:The Centers for Disease Control and Prevention designates this enduringactivity for a maximum of 1.0 AMA PRA Category 1 Credits. While most hiring facilities seek out some form of training for the role, there are no formal qualifications required to become a CDI professional. The CDI nurse did not suggest the diagnosis of acute respiratory failure with hypoxia and hypercapnia, but, with the clinical facts, the query did prompt the provider to clarify a more specific diagnosis regarding the data available and treatment required. 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. Another fundamental purpose for codes is appropriate billing. JavaScript seems to be disabled in your browser. Once you have signed in successfully, click on the Upcoming Classes tab. 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. 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. Only highly qualified professionals should be hired to perform CDI reviews. PPE 102: Describes the different types of Transmission-Based Precautions, the PPE that should be used for these enhanced precautions, and how to implement and apply these practices. Describes roles, responsibilities, and scope of practice as a healthcare professional. The following other materials are optional, but may be helpful (note: These are NOT required): At the conclusion of the course, participants will be able to: In order to receive CE credits participants must complete the quiz that will be provided in the survey evaluation following the conclusion of this online boot camp. The patient was discharged on day four with the diagnoses of COPD with acute exacerbation and acute respiratory failure with hypoxia and hypercapnia resulting in more accurate DRG assignment: Acute respiratory failure with hypercapnia, Assistance with respiratory ventilation, less than 24 consecutive hours, continuous positive airway pressure. When a patient visits a provider in any settingan office, hospital, or rehab center, for examplethe provider documents the visit, detailing their medical decision making surrounding the patients signs/symptoms, and any other relevant information from the visit. Developed by national infection prevention experts, the curriculum focuses on foundational and targeted infection prevention practices. The new AHIMA-ACDIS practice brief serves as an essential resource for coding and clinical documentation integrity (CDI), and other healthcare professionals with the underlying goal of validating the clinical documentation within the health record to accurately represent the clinical status of the patient. A CDI specialist often has both clinical and medical coding backgrounds. ANCCHCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers Commission on Accreditation. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1 total Category I continuing education contact hours. For instance, the department of Health and Human Services (HHS) tasks the Office of Inspector General (OIG) with identifying, by way of the OIGs Work Plan, incidences of fraud, waste, and abuse within medical claims submitted to the federal government. 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. Take the next step. The Nevada Nurse Practice Act requires all renewing RNs and LPNs to complete 30 hours of nursing-related continuing education per renewal cycle. This module also reviews the advantages of horizontal infection prevention strategies and the importance of following recommendations and best practices. YouTube Link [Video - 1 hr 11 mins] Slideset [PDF - 3 MB] Refresher: MRSA Bacteremia and C. difficile LabID Event Reporting - March 2021. The CDI Progression Ladder represents and supports all stages of a CDI professionals career, including the educational level of each product. This book is for experienced CDI professionals to test their knowledge regarding high-quality documentation and prepare to sit for AHIMA's CDIP exam. and management as well as the art and science of CDI. The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 1.0 CPH recertification credits for this program. PPE 101: Identifies the key principles of Standard Precautions practice in the health care environment and reviews appropriate and effective PPE use. Nurses have a strong clinical background which helps them identify gaps in the clinical evidence and documentation. Clinical Documentation Improvement is essential for providers to be successful within fee for service and quality initiatives. Compare and contrast different hand hygiene adherence monitoring methods. Search for an interim or perm leadership position in healthcare. 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. The Association of Clinical Documentation Integrity Specialists (ACDIS) is proud to launch a new certificate program for those seeking to enter the clinical documentation profession. CDC did not accept commercial support for this continuing education activity. For example, just because the provider did not state a patients diabetes mellitus was controlled based on expected lab values does not mean the CDI specialist would query the provider. Tech & Innovation in Healthcare eNewsletter NEW! 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 course was designed for clinicians working in CDI who are preparing to take the Certified Coding Specialist (CCS) exam. Saving Lives, Protecting People, Foundational Infection Prevention (IP) Strategies, Competency-based Training, Audits and Feedback WB4220, Building a Business Case for Infection Prevention WB4227, Catheter-Associated Urinary Tract Infection (CAUTI) WB4222, Central Line-Associated Blood Stream Infection (CLABSI) WB4229, 9 Simple Steps to Get Your Continuing Education (CE), Competency-based Training, Audits and Feedback Course WB4220, CBT 101: Competency-based Training for IP, CBT 102: Using Audits to Monitor IP Practices, HH 101: Core Concepts for Hand Hygiene: Clean Hands for Health Care Personnel, HH 102: Hand Hygiene: Education, Monitoring and Feedback, HH 103: Identifying Motivators for Hand Hygiene: External and Internal Factors, Strategies for Preventing HAIs Course WB4223, Personal Protective Equipment Course WB4225, Patient and Family Engagement Course WB4226, Building a Business Case for Infection Prevention Course WB4227, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), Standard Precautions for All Patient Care, Catheter-associated urinary tract infections (CAUTI), Intravascular catheter-related infection (BSI), Infection Control in Healthcare Personnel, CME from CDC: What You Need to Know About Infection Control, International Infection Control Program (IICP), Global Action in Healthcare Network (GAIHN), Global Action in Healthcare Network Antimicrobial Resistance Module (GAIHN AR module), Global Action in Healthcare Network Healthcare-Associated Infection Module (GAIHN HAI module), U.S. Department of Health & Human Services, Infection Prevention and Control Team/Committee, Complete the Evaluation and Posttest see instructions on. The goal of periodic CDI compliance reviews is to evaluate not only the flow and results of the CDI program but also to determine whether the process follows ethical standards. Shadowing is an effective and practical orientation to the role, allowing nurses to find out if its a real fit for them through their own observations. Table 1 shows examples of2021 MIPS quality measures. It provides strategies to engage senior leaders and physicians in quality improvement initiatives and highlights approaches for overcoming common barriers that arise during new initiatives and quality improvement work. Describe how to design and implement audits for infection prevention practices at the completion of the module set. Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider. Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness and accuracy. Identify the enhanced Tier 2 strategies that can be used to prevention CLABSI. Describe the components of the MRSA Guide to Patient Safety (GPS) tool. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.5 total Category I continuing education contact hours. Keep vital information at your fingertips with the 2023 edition of the originalCDI Pocket Guide. The natures of inpatient and outpatient CDI programs vary, but they share a goal of increasing the accuracy of clinical documentation and coding.