Description
Students will discuss common metrics and methods for their development, such as denials, physician query response, query volume, working DRGs vs final, and the development of program success metrics. Given sample data, students will study and develop sample methodology to trend and track query content and provider. Students will also study CDI benchmarking for metrics.
Students will study and practice the development of educational sessions on the implications of accurate coding and the need to assign diagnoses and procedures to their highest level of specificity and the implications of accurate coding with respect to research, public health reporting, case management, and reimbursement.
Students will study the development of physician education regarding their rights and responsibilities in a CDI program that applies CDI best practices and all regulations to CDI policies and procedures, in coordination with compliance department. Students will study case studies of how to advocate