ࡱ> qsp mbjbj :4   8B,nL r(rrrrrrrtwrrr===r=r==fipp0xwXL?FlDrr0rFl|?x?xpp?xp=rrsr?x :  TopicDiscussionWelcome & IntroductionWelcome & Introduction to Pinnacle Health CDI program reports to HIM department and began in 2002 They have 13.5 FTEs who review All Payers at 3 hospitals Utilize OPTUM and EPIC 39 participants presentHot TopicsOutpatient CDI Reading Hospital began in the ED. CDI review emergency room records and they have designated time to sit in the ED and verbally communicate with the physicians. Penn State Health is starting outpatient CDI There are no set criteria for outpatient CDI. Many of the diagnoses are not CC/MCCs. Need to work with clinicians to allow them to see what is in it for them. For outpatient clinicians have to document a diagnosis at least once a year to avoid being penalized Palliative Care Effective October 1st 2016, CMS is now requiring Palliative Care code, Z515, to be classified as Present on Admission. Only when the palliative care code is classified as Y, 1, E, W would the code contribute to the patients expected values in applicable risk models. Sepsis Surviving Sepsis Guidelines were updated using Sepsis 2 definition Facilities are being audited based on Sepsis 3 criteria Audits Many facilities are short staffed and do not have the time to appeal cases Facilities should appeal cases by sending the medical record, outline information in chart from ancillary departments to help support why clinician documented and diagnosed the patient with a specific diagnosis, include support coding clinics & guidelines Makes the case stronger if the record is reviewed and appeal letter is signed by a Physician Clinical Validation audits are being done. Hospitals should be able to provide the most up to date literature and supporting documentation from the record MI Type 2 Coding Clinic 1st qtr 2017 - Type 2 MI due to demand ischemia is captured as NSTEMI and can be captured as principal or secondary dx depending on reason for admission Discussion of these patients being captured as a MI and failing core measures Physician Advisor / Champion Benefits of having a proactive physician advisor Assist with queries, escalation process, audits, education and much moreSpeaker: Documentation Opportunities in TAVI/TAVR PopulationDr Hemel Gada Medical Director of Structural Heart Program Presentation included information on: Patients who receive TAVR Pathophysiology of AS Common CC/MCC associated within this population pre and postoperatively What Drives TAVR cost DRG 266 vs DRG 267 See powerpoint presentation Business MeetingThanked E4 for supporting our chapter and sponsoring this meeting. They provided literature and lunch Topics suggested for future meetings outpatient CDI, CDI/Coder Collaboration ACDIS Annual Conference will be in Las Vegas May 9-12 2017. A few people stated they will be attending Vote for Advisory Board for ACDIS. Gave away four prizes and E4 raffled off a $50 gift card Need a host for next meeting in June 2017Speaker: Improving Clinical Documentation through Collaboration with Surgical Residency ProgramDr Douglas Anderson Surgery Resident Presentation included information on: General Surgery resident role with CDI Communication system Escalation policy See powerpoint presentation New Email / New Member LinkPlease send all emails, questions, comments concerns to  HYPERLINK "mailto:acdiscentralpa@gmail.com" \t "_blank" acdiscentralpa@gmail.com and also add to your address book to avoid emails being rejected. 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