Capturing Payment HCCs: Keys to an Effective CDI Program

“Leave no stone unturned” describes the mindset of many physician practices seeking to capture every legitimate dollar of revenue during these challenging times All too often, however, they’re missing out on payment HCCs (hierarchical condition categories). The problem typically stems from providers who don’t document conditions with sufficient specificity to capture payment HCCs which leads to under-reporting of HCCs and forfeiture of the corresponding payments.

During this ICD10monitor webcast, Rose T. Dunn will present the case for an HCC-specific clinical documentation integrity (CDI) program, from understanding documentation requirements, to preventing omissions and errors through concurrent querying. You’ll also learn how to win program buy-in by clearly articulating the positive financial impacts to your organization.

Why This Is Relevant to Coders:

In the outpatient setting, the coder is the ideal candidate for the CDI role as they can serve as a counselor to the provider, know the coding rules, and they can perform concurrent coding at the time of the encounter.

Learning Objectives:

• Understand the need for an effective HCC-specific CDI program
• Recognize the documentation requirements targeted by external and governmental auditors
• Identify the skill sets required to satisfy documentation requirements
• Compare the various staffing options and the benefits of each
• Learn how to make a business case (i.e., the financial justification) for implementing a CDI program

Who Should Attend:

Practice administrator, CDI manager, CDI specialists, HCC coordinator, HCC auditor and HCC coders.