This session will help strengthen understanding of the impact of coding and clinical documentation on hospital financial performance under CMS Pay for Performance programs, promote engagement of clinical documentation improvement and coding functions in organizational performance improvement efforts, and refine current clinical documentation improvement and coding efforts to support efficient and effective contributions for PSI #90 performance improvement.
Session Objectives:
At the conclusion of this program, participants will be able to:
- Appreciate the impact of PSI #90 performance on hospital reimbursement under the CMS Hospital Acquired Condition Reduction and Hospital Value-Based Purchasing Programs.
- Understand PSI #90 measure specifications and the risk adjustment methodology.
- Explain the impact that coding and clinical documentation improvement can have on the PSI #90 performance.
- Identify common coding and clinical documentation vulnerabilities for PSI #15, Accidental Puncture and Laceration, which is one of the measures in the PSI #90 composite.
- Initiate engagement of the coding and clinical documentation program in PSI #90 improvement efforts.
AHDI CEC: 1 PD
