Description: While CAC and CA-CDR have been around for over 10 years to facilitate Coding and CDI Specialist workflow, respectively, reaching Providers with more timely and relevant clarifications can reconcile the clinical indicators needed to optimize coding. Improving timeliness and quantity of clarifications for the increasing emphasis on Quality Integrity such as AHRQ PSI clinical indicators can help reconcile coding. Provider clarification of PSI9: Post-Operative Hemorrhage, can help alert the coder that the patient was on heparin and ask the provider to explicitly state if bleeding was due to the heparin.

Learning Objectives:

• Regarding Quality-sensitive diagnoses such as Other Neuropathies, typical Revenue Integrity with CAC may identify and optimize the MCC for Encephalopathy, but for the Elixhauser, delirium needs to be captured as being due to the Encephalopathy.
• Techniques to reduce alert fatigue require appropriate placement of clarifications within provider workflow, and also to help physicians create better content for their notes from the beginning.
• Empowering Coding and CDI teams through data-driven understanding of likelihood of diseases being present can help deter future denials and reduced revenue cycle.

Webinar Date: This was presented as part of IHIMA’s 2024 Annual Meeting & Exhibit – April 2024 

Duration: 1 hour

Speaker: Dr. Gerry Petratos trained in Medical Informatics in 2001-2003 after which he joined the BioPharma industry in 2003, first for Schering Plough as a medical coder for safety surveillance, and then Roche/Genentech. Gerry immersed himself in Pharmaceutical Medicine after his NIH Fellowship at the National Library of Medicine and a Master's Program in Biomedical Informatics at the University of Utah Health Sciences Center. At the University of Utah, Intermountain Health Care, and the Department of Veterans Affairs he conducted public health research in adverse drug event computerized monitoring for hospitalized patients. His interests blended the business side with the science of health care, and Gerry realized that his potential was to pioneer new innovative business models and analytics technology to help practicing clinicians make better decisions regarding their patients’ health and simplify administrative workflow.

Click HERE to register for this webinar!

Cost: $25 Members/ $35 Non-Members

1 AHIMA CEU*

Domain I: Data Structure, Content, and Information Governance

*AHIMA CEUs are also accepted by the AAPC. Check eligibility on the AAPC website.