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Glenn and Ernie have learned that just pursing more diagnoses or even improving documentation isn't enough: YOU have to decide to become excellent, and it's not as hard as you might think!
Ernie & Glenn offer an innovative - but truly necessary - way to think about why you see so many denials, and how you can learn to continually beat the Payers at their own game.
If there's anyone that can best support better documentation, it's a CDI. So... you need to know the Standards, right?
And neither will better coding! Want to save your job? Ernie explains what what he's learned about the three things that WILL save your hospital and job.
Our coaches outline the best working strategies to use CDI to transform Denials Management to Denials Avoidance.
Our coaches outline the intricacies to dissecting a medical record, provide guidance and instruction on the key methodologies of chart review. Most importantly, attendees will learn to identify true documentation insufficiencies, once and for all.
Glenn Krauss outlines working strategies for CDI to use to play a crucial role in establishment of medical necessity for through advocation, promotion, and achievement of fully complete and accurate physician clinical documentation.
Glenn Krauss & Dr. Maria Johar review Two Medical Necessity Denials, outlining and highlighting the case details, identify the insufficiencies of the documentation, and discuss potential solutions & to enable the TRUE role of CDI.
Two modules from our course on Transforming CDI, on getting the necessary VISION and the kind of ACTION needed to enable true change.
Learn to DODGE denials in REAL TIME and engage your physicians to avoid both obvious and subtle insufficiencies in documentation.
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Hear Glenn Krauss & Ernie de los Santos review how ANY job - but especially a CODER - can learn enough about CDI principles to drive down denials and literally SAVE JOBS.
The following webinars have been recorded LIVE, or will soon be offered LIVE, and then the recordings will be posted for Members. Some are encore presentations with some updates, some will be new material. Members get them all, included in their paid membership subscription.
Ernie de los Santos reprises his popular talk on why the Payers will so often, and how you can learn to turn the tables on them, by learning to play by the rules of The Infinite Game.
A retired surgeon uses the word E.N.G.A.G.E. as an acronym, to offer six different areas to consider to increase engagement, which has frustrated hospital leaders for a long time.
Glenn Krauss and John Zelem review the standards of documentation to accurately capture clinical acuity and complexity, to avoid insufficient documentation that leads to denials instead of secure, audit-proof claims.
Dr. Jacob Martin and Glenn Krauss review how effective and complete physician documentation is even more critical during the COVID-19 era, making CDI Specialists the great facilitators of better communication of the patient story and patient care.
Each Coach at Top Gun Audit School Academy offers short coaching modules (similar to podcasts) on their areas of expertise, and each one will offer at least one more module every month for members.
John Zelem offers various topics on what is necessary to produce quality documentation, particularly with emphasis on making sure that medical necessity is recorded in the patient record.
Maria Johar shares how she created DRG Tools that improved reimbursements and reduced denials by focusing on a team approach that even included transportation personnel, and worked for more than one DRG, more than one hospital, and is still in use, years later.
CDI Transformation Evangelist Glenn Krauss offers coaching on pursuing EXCELLENCE in CDI, including better KPIs and the different nature of Outpatient vs. Inpatient CDI.
CDI Visionary, Change Agent, and AHIMA Approved CDI Trainer Heidi Hillstrom offers her perspectives and suggestions on leading a successful (VERY) CDI Team, by working to tear down common silos in the revenue cycle.
Top Gun Audit School Academy is adding the following Coaches and Coaching Modules, to be added in June, 2020.
Sharon Easterling is a seasoned veteran of many tasks inside the Revenue Cycle, and is offering new skills training and coaching to upgrade your job and career skills, including skills with computer applications, as well as HIM/HIT career changes.
Medical Coding Mentor and Instructor Mary Gregory offers various coding topics, including reviews of current guidelines, MS-DRGs, Unspecified codes, Status indicators, and PCS Test Prep.
Ernie de los Santos, Optimist, Author and Creator of Finally Friday! LIVE offers coaching on Leadership, Culture Change, Communication, Productivity, Teamwork,
and Career Change.
Coaching by a well-known speaker and consultant (TBA), a former hospital executive, chief nursing officer and senior consultant with Johnson & Johnson, also a contributing author to the 2nd and the recently published 3rd edition of CMSA's Core Curriculum.
Coaching and training by another well-known speaker and consultant (TBA), with many successful and happy clients, nationwide, providing coaching on case management program design, process improvement, team building, and integration of Social Workers and Nursing.