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1 The bestselling CDI Boot Camp is now available online! Clinical Documentation Improvement Boot CampSM CDI-specific education covering: Medical record review and physician queries MS-DRGs and IPPS reimbursement ICD-9-CM coding rules CDI program benchmarking and compliance initiatives Register today! Visit or call 877/ ACDIS members SAVE $150. Call 877/ to receive your discount!

2 Can t take a week off of work to train? Now fit the online course into YOUR schedule! The Clinical Documentation Improvement Boot Camp Online is developed for new CDI specialists or CDI specialists in need of formalized training. Using a combination of online lecture, interactive course work, documentation exercises, and instructor conference calls, this intensive two week course gives you the same content, tools, and skills that our live CDI Boot Camp provides. Here s how it works: Two Weeks of Video Instruction You ll view video sessions and complete course work on a weekly basis prior to instructor office hours. The course covers the same material now offered in our live intensive four-day classroom format. Custom-Designed Course Materials You ll receive your Clinical Documentation Improvement Boot Camp Online materials binder with outlines for each topic and practice exercises. Interactive Learning Course participants work more than 140 exercises and questions based on the course content, and our instructors review the answers in subsequent video sessions. 24-Hour Access Video instruction is available any time of day. You choose the time that works for you. Live Interaction with Experts and Your Peers Class size is limited to ensure individual attention. You ll be able to ask questions and get guidance from our instructors in weekly live office hour calls. You can also interact with classmates through the live chat room. Well-Established Program Backed by the Association of Clinical Documentation Improvement Specialists (ACDIS), this Boot Camp provides the same great education you ve come to rely on.

3 AGENDA Classes are held each month beginning on: September 20, 2010 October 18, 2010 November 8, 2010 December 6, 2010 January 3, 2011 February 7, 2011 March 7, 2011 April 11, 2011 Overview of Clinical Documentation Improvement (CDI) What is CDI? Who is the clinical documentation specialist (CDS)? What is the role of the CDS? Inpatient Prospective Payment System and MS-DRGs Overview of the Medicare system - Key terminology What is an MS-DRG? How is the DRG assigned? - Principal diagnosis - Complications/comorbidities (CCs) and major CCs - Principal procedure Case-mix index (CMI) - Relative weight - Blended rate - How is CMI calculated? - Why does CMI matter? Getting to Know DRG Expert, Official ICD-9-CM Coding Guidelines and Coding Clinic Major Diagnostic Categories (MDC) Medical vs. surgical DRGs ICD-9-CM codes Alpha and numeric indexes Selection of principal diagnosis Reporting of secondary diagnoses Present on admission / hospital-acquired conditions Whose documentation counts? Focused Physiology/Pharmacology Disease Processes Infectious Diseases (MDC 18) - SIRS/sepsis/severe sepsis/septic shock - Postoperative and posttraumatic infections - Fever of unknown origin - Other Diseases of the Respiratory System (MDC 4) - COPD - Simple pneumonia v. complex pneumonia - Aspiration pneumonia - Respiratory failure - Mechanical ventilators - Other Diseases of the Cardiovascular System (MDC 5) - Chest pain/angina/cad - Congestive heart failure - Acute myocardial infarction - Cardiac catheterizations - PTCA and other cardiac procedures Diseases of the Digestive and Hepatobiliary System (MDCs 6, 7) Esophagitis, gastritis GI bleeds Blood loss anemia Cholecystectomies: - Open v. laparoscopic - Common bile duct exploration Diseases of the Urinary System (MDC 11) - Acute and chronic renal failure - Urosepsis v. UTI - UTI and sepsis/sirs related to indwelling catheter - Diabetic renal failure - Admission for dialysis Diseases of the Endocrine System and Nutritional Disorders (MDC 10) - DM Type I and II - Complications of DM - Dehydration and malnutrition - Electrolyte imbalances - Common CC s in this MDC - Amputations - Endocrine Dx Diseases of the Neuro System (MDC 1) - TIA vs. CVA - Seizures vs. epilepsy - Diabetic manifestations - Carotid artery procedures Diseases of the Skin (MDC 9) - Pressure ulcers - Excisional debridements Other Diseases - HIV disease - Obesity and BMI - Anemias - Myeloproliferative diseases and neoplasms - Symptoms Developing Communication Skills with Physicians/Ancillary Staff Teaching physicians what s in it for them CDI and its effect on physician profiles and E/M payments Reviewing the Medical Record Documentation and Constructing Physician Queries What is a query? AHIMA practice brief guidelines for non-leading queries Written v. verbal query processes Concurrent vs. retrospective queries Use of standardized query templates and clinical indicators How to track query response Measuring the Success of a CDI Program What to measure analysis and objectives CMI vs. performance Severity of illness/risk of mortality Performance tracking and trending your performance by - Program - Physician - Hospital department - CDI specialist Professionalism, Ethics and Compliance RAC program - How CDI programs can assist with RAC defense OIG audits *Agenda subject to change Note that all MDC modules discuss relevant Coding Clinic guidelines and/or provide clinical case scenarios, and all other modules are followed by questions to test your comprehension. Who should attend: CDI specialists CDI managers/directors Coding compliance directors/managers HIM directors Coding compliance specialists DRG coordinators Inpatient coders Coding managers/ supervisors Case management directors/managers Revenue cycle directors Physician champions/ advisors to CDI Quality improvement professionals

4 Faculty information Lynne Spryszak, RN, CCDS, CPC-A, is the CDI Education Director for HCPro, Inc., in Marblehead MA. Her areas of expertise include clinical documentation and coding compliance, quality improvement, physician education, leadership, and program development. Prior to joining HCPro, she was a manager with Precyse Solutions, LLC, and a Senior Consultant with FTI Healthcare s Clinical Documentation and Coding Integrity Program, assisting with Clinical Documentation Integrity (CDI) program implementations. She has several years experience as the manager of the CDI program at Alexian Brothers Medical Center, a 400-bed acute care facility. She is also a member of the ACDIS advisory board and the CCDS exam committee. Margi Brown, RHIA, CCS, CCS-P, CPC, CCDS, has extensive experience with coding for both physician and hospital services. She is a contractor working with several companies specializing in coding; computer assisted coding; CDI; audits involving all levels for inpatient, outpatient, and physicians; education and training; denial management; RAC appeals; and other HIM activities for hospitals, clinics, third-party payers, consulting companies, and law firms. She is a co-author of the Physician Queries Handbook: Guide to Compliant and Effective Communication, from HCPro and a member of the ACDIS CCDS exam committee. Faculty subject to change. Faculty Disclosure Statement: HCPro, Inc., has confirmed that none of the faculty presenters or contributors have any relevant financial relationships to disclose related to the content of this educational activity. Become a member of The Association of Clinical Documentation Improvement Specialists The Association of Clinical Documentation Improvement Specialists (ACDIS) is a membership association created especially for CDI professionals to bring together people of various backgrounds into one forum. Members share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Members save on Clinical Documentation Improvement Boot Camp programs, the annual ACDIS conference, and select CDI products from HCPro. To join or learn more, visit or call 877/ ACDIS members save $150 off the registration fee. Call 877/ to receive your special discount rate or sign up for membership today!

5 ACDIS members SAVE $150. Call 877/ to receive your member discount! Are there any required materials? You will need a copy of the current year DRG Expert published by Ingenix. How much does this course cost? The registration fee is $1,299 ACDIS members save $150. Your fee includes course materials. For information regarding administrative policies, such as cancellations, transfers, refunds, or comments, call 877/ or visit HCPro, Inc. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and the Joint Commission trademarks. Are continuing education credits provided? Continuing education credits are available for this program. Visit for more information. If you have a group to train, hosting a Boot camp at your organization is easy and cost-effective. Eliminate travel costs and enjoy a group discount while ensuring your staff is up to date on the latest regulations and guidelines. Call 877/ to learn more. Rather attend in person? The Clinical Documentation Improvement Boot Camp is also available as a live one-week class in cities across the country. To find dates and locations, go to MT94461

6 Course Registration Please mail or fax the completed form to: HCPro, Inc. 200 Hoods Lane Marblehead, MA Phone: 800/ Fax: 800/ ACDIS members SAVE $150 off the registration fee. Call 877/ to receive your special discount rate or sign up for membership today! 200 Hoods Lane P.O. Box 1168 Marblehead, MA Registration Rate: Standard rate $1299 Name Organization Title Address Nickname City State ZIP Phone Fax Address Payment Type A check for my course fee is enclosed (made payable to HCPro, Inc.) Charge my course fee to (circle one): Visa MasterCard American Express Discover Name on Card Signature Cardholder Street Address Card Number ZIP Exp. Date Upon receipt of this form and your course fee, we will send confirmation of your registration, including information about any manuals/texts required for class (this information is also available on our Web site at