Algorithms: The Asymmetrical Battle Hospitals Are Waging to Avoid DRG Downgrading

Program 262
Tuesday, Dec. 13, 2016
10-10:30 a.m. ET; 7-7:30 a.m. PT
James P. Jones, MD
Mount Sinai Health System
Rudy Braccili, Jr., MBA, CPAM, CRCE;
Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS, AHIMA-approved ICD-10-CM/PCS Trainer;
Laurie Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10 CM/PCS Trainer;
Holly Louie, RN, CHBME; and Edward Roche, PhD, JD
Weaponized algorithms deployed by third-party auditors represent the tools of asymmetrical warfare hospitals and health systems are waging today as they try to ensure the integrity of their medical records and reimbursement. Join us for the next edition of Talk Ten Tuesdays when James Jones, MD, senior medical director of clinical documentation and quality improvement (CDQI) at Mount Sinai Health System, will return with an update on their battle against diagnosis-related group (DRG) downgrading.

Also scheduled to be featured on the broadcast:

  • Clinical Documentation Improvement (CDI) Report: Former American Health Information Management Association (AHIMA) President Rose Dunn will return with a report on the need for improvement in clinical documentation in physician offices.
  • 21st-Century Cures: Having been overwhelmingly approved by the U.S. Senate, the bill is expected to be signed by President Obama. Tucked inside are provisions for curing the issues associated with local coverage determinations (LCDs). But do they? Holly Louie, the president of the Healthcare Billing and Management Association, will deliver an assessment.
  • Algorithms Exposed: Edward Roche will provide a practical, hands-on reveal of algorithms as a preface to Dr. Jones’s appearance as the Talk Ten Tuesdays special guest.
  • Revenue Cycle Report: Rudy Braccili will discuss the impact of coding and documentation on the revenue cycle.
  • News Desk: Laurie Johnson, who anchors the Talk Ten Tuesdays news desk, will check in with the latest ICD-10 headline news.
Register now to learn more about these stories and other news coming your way on Tuesday, Dec. 13, 2016 at 10 a.m. ET.

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