Solid Documentation for Medical Decision Making in E/M: Ensure Your Providers Get a GOLD Medal and Not a “Participation” Trophy
Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, director of HIM and coding at HCPro in Middleton, Massachusetts....

What You Don’t Know Can Hurt You: How Payers Use Your Documentation and Claims Data
Virginia “Jennie” Bryan, MBA, RHIA, CCS, director of provider solutions at CGI, Inc. based in Louisville, Kentucky, and Leah N. Savage, MSN, RN, CCDS, CDI auditor/educator at Baptist...

Updates in Challenging Pediatric Diagnoses: Kawasaki Disease, MIS-C, Heart Failure, and Immunodeficiency
Lucinda Lo, MD, pediatric attending hospitalist and physician advisor for CDI & CM at Children’s Hospital of Philadelphia in Media, Pennsylvania, Amy Sanderson...

Bridging the Gap Between Quality and CDI
Loni J. Johnston, MSN, RN, CCDS, for Optum for facilities in southern and central California, and Tamra O’Bryan, MHA, RHIA, CPHQ, system director of quality at CommonSpirit Health in Chicago, Illinois
Collaboration...

Shifting Gears: The Value of Concurrent CDI Audits
Shawn MacPhee, MSN, RN, CCDS, CDIP, corporate director of CDI for McLaren Health Care based in Grand Blanc, Michigan
Examine the benefits of shifting from retrospective, post-bill CDI educational audits to a...

Capturing Severity in the Outpatient Setting
Susan Egan, CPC, CPMA, CRC, CEDC, associate director, Jessica M. Thurman, PA-C, MBA, MSPA, associate director of healthcare revenue cycle management-CDI, and April Vogel, RHIA, CHC, managing consultant, healthcare, at...

Assert Yourself
Laurie L. Prescott, MSN, RN, CCDS, CCDS-O, CDIP, CRC, interim director of ACDIS at HCPro in Middleton, Massachusetts
No matter the message, assertive communication can help ensure that message gets received. In contrast to passive or...

794 or 795: Identifying Complicating Factors in Newborns and Neonates
Glen Nielson, MSN, RN, CDI specialist with Optum360 in Chandler, Arizona, and Heather Sandstrom Schipma, RN, CDI specialist with Optum360 in Phoenix, Arizona
Denial prevention has become a...

Break Down Those Silos! Creating a Collaborative CDI, Quality Management, and Provider Leadership Team for Harm and Mortality Reviews
Mary Alice Dewees, RN, CCDS, CDI system manager, and Padmanabhan Premkumar, MD, vice president, at Hartford HealthCare in Newington,...

There’s No Place Like Home: Remote CDI
Autumn L. Reiter, MBA, RN, CCDS, CCDS-O, CDIP, CCS, vice president of CDI services and tech enablement for CorroHealth, and Laura J. Werner, DC, MSN, RN, CDIP, CSS, senior director of CDI for Huron serving Adventist Health in El...

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