CDI for the ED: Tools and Tips from an Emergency Physician

The emergency department may be a front door to your hospital, but it can also be a portal to subpar documentation, creating serious revenue and compliance hazards. A major sticking point is status determination: Does the ED documentation support inpatient or observation admission? Lack of support for medical necessity may trigger a payer review and subsequent denial. And, what about a present-on-arrival (POA) condition that’s resolved before admission or discharge — how will you get reimbursed for it if the emergency physician doesn’t document it?

These are just a couple of the formidable challenges associated with clinical documentation integrity (CDI) in the ED. During this special ICD10monitor webcast, you’ll learn from Dr. Erica Remer, a former emergency physician who’s now a CDI consultant. From her unique blend of expertise, you’ll learn how to work with your emergency physicians to improve their documentation, leading to consistently accurate POA determinations, stronger support for medical necessity and the ability to capture more risk-adjusting diagnoses.

Why This is Relevant:

Emergency department services come with unique documentation challenges, exacerbated by a fast-paced work environment and overburdened providers. How can you influence your emergency physicians to make certain their documentation accurately and fully captures all diagnoses? By tapping into Dr. Remer’s 25 years of ED experience, coupled with her extensive CDI consulting work. Ultimately, you’ll gain tools and tactics that lead to optimal revenue outcomes, in compliance with payer and regulatory rules.

Learning Objectives:

• Identify legitimate opportunities to increase the number of ED diagnoses per patient
• Learn how to leverage uncertain diagnoses
• Know how to capture significant risk-adjusting POA diagnoses
• Understand what it takes to support medical necessity for status determination
• Learn how to improve the accuracy of mortality and other quality metrics

Who Should Attend:

CDI specialists, physician advisors, emergency physicians and ED administrators.