CDI-Cast, The Economics of CDI:  Understanding direct and indirect financial impact of clinical documentation practices

Program Description

You invest money in a clinical documentation program for two reasons.  First, there are many regulatory, legal, and accrediting association requirements that stipulate standards for clinical documentation.  And second, documentation is translated into coded data, which in turn determines reimbursement.  Inaccurate documentation means inaccurate reimbursement. In this session we describe pay for performance and severity of illness measurement impact on clinical documentation practices.  Learn about the relationship among case mix index (CMI), severity, and number of inpatients. Two successful stories of clinical documentation programs are described.  In one program, the physician leader, who was passionate about clinical documentation, made a difference.  The second case demonstrates how input from others and feedback from those in the organization who would be affected by the clinical documentation program, all contributed to a smooth implementation 

Session tools

• Pay for performance information packet
• Examples of severity of illness key metrics

Objectives

• Briefly describe the regulatory requirements for clinical documentation
• Briefly describe the translation of clinical documentation into coded data
• Identify current trends in pay for performance that are driven by documentation
• Identify severity of illness measures driven by documentation
• Describe the relationship among CMI, severity, and quantity of patients

Intended audience:

• CFOs and financial managers
• CMOs and medical staff leaders
• Compliance Officers
• Case mix managers
• Clinical documentation managers
• Health information managers
• Physician documentation leaders
• Coders

CDI-Cast Self-assessment: 

Assess your program by answering a few key questions that will be provided at the end of the session.  Use your responses to improve your current CDI program.

Q&A:

You can submit your questions on the CDI-Cast Web site.  We will address as many of the questions as possible and post responses on the Web site.  Responses will only be available for CDI-Cast subscribers to view.

Take-aways

• Identify any senior manager or physician leader in your organization who does not understand the translation of clinical documentation into coded data and describe it for them – or have them listen to that section of the session
• Share pay for performance information with interested managers and physicians and describe the relationship between it and clinical documentation practices

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