Virtual Physician Advisor Training: Building Blocks to Break Down Departmental Silos Across the Hospital Revenue Cycle

Thursday, Feb. 11, 2021: 9:00 a.m. – 4:00 p.m. ET

$499

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Learn how to become a more valuable physician advisor in your hospital.

Earn AMA Category 1 CME Credit.

Physician Advisor Presenters & Topics

Trey La Charite, MD, FACP, SFHM, CCDS, CCS

Physician Advisor, Director of CDI

Physician Advisor Basics

&

Conducting a Compliant Physician Advisor Program

Timothy Brundage

Timothy N. Brundage, MD, CCDS

CEO, Medical Director

Breaking Down Silos Across the Hospital Revenue Cycle

&

Audit Proof Documentation

Hiten Patel

Hiten D. Patel, DO

Physician Advisor, Director of Utilization Management

Medical Necessity

&

Patient Status Assignment

Brett Hoggard

Thomas "Brett" Hoggard, MD, CCDS

CMO, Director of Quality

Documentation to Support Quality / HACs & PSIs

&

Mortality O/E Optimization

What You Will Learn

Physician Advisor Basics / Conducting a Compliant Physician Advisor Program

  • The top rules to ensure a successful physician advisor program
  • Strategies to improve medical staff compliance and buy-in to CDI program goals
  • Practical suggestions for difficult provider conversations
  • Documentation techniques that every provider should be using
  • How and when to issue a CDI query
  • The impact of CDI efforts on other hospital departments
  • EMR-specific issues that impact CDI efforts

Breaking Down Silos Across the Hospital Revenue Cycle / Audit Proof Documentation

  • How physician documentation leads to value-based penalties or bonuses
  • Documentation to support medical necessity, DRG assignment and quality
  • Present on Admission status and significance
  • Risk adjustment basics and optimization of mortality O/E for AMI and Pneumonia
  • Create savvy surgeons in the quality tracking documentation era
  • Impact of audits and denials on clinical work
  • Clinical conditions that are frequent targets for denial

Medical Necessity / Patient Status Assignment

  • Different approaches for assigning compliant level of care for Medicare and non-Medicare cases
  • The three key elements that define medical necessity today
  • Incorporate a robust risk profile to justify inpatient status
  • The Two-Midnight Rule and its application to Medicare Fee For Service patients
  • Use of Condition Code 44 to downgrade a patient from inpatient to observation status

Documentation to Support Quality / HACs & PSIs / Mortality O/E Optimization

  • Patient Safety Indicators (PSI) and Hospital Acquired Conditions (HAC)
  • Validate physician advisor value in documentation review for quality reporting
  • CMS mortality measure definitions, datasets, risk adjustment methodology and O:E ratio
  • Publicly reported mortality data and its effect on Medicare reimbursement under the inpatient Value Based Purchasing Program
  • How clinical documentation improvement affects accurate reporting of mortality measures
  • Best practices for managing morality measure data

What Past Attendees Say

I absolutely loved the conference, thought all the speakers were outstanding and it was fantastic to have their knowledge and expertise available for questions that I either already had before the conference or that arose during the conference…Grade: A+

It was very informative and very relevant. As a surgeon who is making a career change into a possible CMO position in the near future, understanding the issues is imperative to success as the face of healthcare continues to change and challenge us.

Phenomenal group of presenters and great audience questions. Keep up the good work!