Workshops

The UM & CDI Continuum from the ED to the QIO – Part 2

Utilization Management and CDI are often discussed in silos, but they shouldn’t be. Impactful transformation happens when data is leveraged from both of these vectors in the clinical revenue cycle to establish a real baseline. Join us for another journey through the Clinical Revenue Cycle from the emergency department to the QIO and beyond.

The UM & CDI Continuum from the ED to the QIO

Utilization Management and CDI are often discussed in silos, but they shouldn’t be. Impactful transformation happens when data is leveraged from both of these vectors in the clinical revenue cycle to establish a real baseline. Join us for a journey through the...

HCC’s: What’s the 411 for the Inpatient CDS & Coder

Join us for an overview of CMS HCC risk adjustment fundamentals for the inpatient clinical documentation specialist and coder. We will review the top ten commonly under-reported diagnoses that map to a CMS HCC, review how risk scores are calculated, impact payment, and benefit from improved clinical documentation and comprehensive coding.

The Coronavirus Public Health Emergency (PHE) is coming to an end. What happens now?

What happens to the Healthcare Industry once the Coronavirus Public Health Emergency (PHE) comes to an end? In this workshop we will share insights with hospital staff, from the front lines to the executive level, as to what is looming on the horizon as the healthcare...

HCC’s: What’s the 411 for the Inpatient CDS & Coder

Join us for an overview of CMS HCC risk adjustment fundamentals for the inpatient clinical documentation specialist and coder. We will review the top ten commonly under-reported diagnoses that map to a CMS HCC, review how risk scores are calculated, impact payment, and benefit from improved clinical documentation and comprehensive coding.

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Savvy Sequencing Using the “Two or More” Guideline

Savvy Sequencing Using the “Two or More” Guideline

You’re confident your team is doing it all it can to ensure appropriate reimbursement. You perform CDI reviews, diligently review mismatches, perform coding quality assurance reviews, and utilize prebill DRG optimization applications, but are you certain that your team uncovered all the revenue optimization opportunities? Join this session to learn more, ask questions, and engage with Angela Carmichael.

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Medicare Advantage Organizations and the Games They Play

Medicare Advantage Organizations and the Games They Play

Physician Advisors sit at the intersection of clinical decisions, regulatory requirements, managed care contracts and reimbursement. Impacting operational and financial performance requires analytics and tools beyond managing the observation and denial rates. This workshop will help you understand the right analytics to measure to comprehensively assess and impact operational and Medicare Advantage Organization performance.

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