CDI Deconstructed: Achieving More Accurate Benchmarks

Could your clinical documentation integrity (CDI) program be painting a distorted picture of patient acuity? The problem may be key performance indicators (KPIs) and benchmarking that haven’t kept up with the times. In many instances, the reliance on traditional industry standards and benchmarks has resulted in CDI becoming an “assembly line” of queries for complication and comorbidity (CC) or major CC (MCC) capture — in other words, a chase after an elusive case mix index. Conversely, hospitals may be under-reporting the acuity of their patient populations by 20% to 30%.

You can do better. Start by joining us for this ICD10monitor webcast, as prominent revenue cycle expert Robin Sewell deconstructs CDI to help you achieve more accurate benchmarks and true severity reporting. She’ll help you understand how aligning all aspects of CDI — including outpatient CDI (hierarchical condition category [HCC] reporting), inpatient CDI (quality and severity), coding and clinical validation — opens the door to unique opportunities and empowers you to improve your benchmarking.

Why This is Relevant:

Inaccurate severity reporting comes with real-life consequences, including payer denials, missed revenue opportunities and a distorted clinical picture that skews public health data. From this webcast, you’ll learn how to refine your CDI efforts, leading to more accurate industry benchmarking and optimal reimbursement outcomes. In the process, you’ll also reduce repetitive queries and prevent provider burnout.

Learning Objectives:

• Identify common industry KPIs and metrics
• Understand the pitfalls of traditional industry benchmarking
• Recognize the vital importance of correctly reporting HCCs
• Fully comprehend the impacts of payer denials
• Learn how to arrive at meaningful benchmarks

Who Should Attend:

Clinical documentation integrity (CDI) specialists, coding supervisors, HIM directors and physician advisors.