Certification Review Includes

  • Anatomy, Physiology, Pharmacology and Medical Terminology

    1. The goal of this module is to provide nurses with information about identifying and applying clinical indicators and queries to common medical conditions, commonly used pharmacological agents and diagnostic tests. After studying the information presented here, the learner will be able to:
      Describe four query opportunities
      Discuss four medical conditions and pharmaceuticals commonly used to treat the conditions in the hospital setting
      Identify five standard medical abbreviations
    2. Contact Hours: 1
  • Communication Skills

    1. The goal of this presentation is to discuss effective communication tools and methods to engage, communicate and educate clinicians effectively. On completion of this module, the learner will be able to:
      Identify three methods used to educate providers
      Describe three primary responsibilities of a CDI
      Explain two ways to resolve DRG/coding discrepancies between working CDI DRG assignment and final DRG assignment by Coder
    2. Contact Hours: 1
  • Health Care Facility CDI Program Analysis

    1. The goal of this module is to provide learners with information about recognizing the importance of metrics for evaluating CDI program performance. After studying the information presented here, the learner will be able to:
      Identify three metrics used to evaluate CDI program performance
      Describe how the PEPPER report will impact a hospital's quality reporting data
      Identify three public websites that patients can access for hospital and/or physician performance data
    2. Contact Hours: 1
  • Health Care Regulations, Reimbursement and Documentation Requirements

    1. The goal of this module is to provide nurses with information about the Inpatient Prospective Payment System (IPPS), Medicare Severity Diagnostic related Groups (MS-DRGs), complications/comorbidities under the MS-DRG system and the responsibilities of providers for documentation to support appropriate IPPS reimbursement.
      Define the IPPS and the process by which it is updated
      Identify two ways that Case Mix Index impacts reimbursement
      Describe surgical hierarchy and how it impacts DRG assignment
    2. Contact Hours: 1
  • Impact of Reportable Diagnoses on Quality of Care

    1. The goal of this module is to examine the accuracy of reportable diagnosis, to improve quality of care. On completion of this module, the learner will be able to:
      Define Observed: Expected mortality ratio
      Describe the four different types of quality metrics used by CMS
      Identify the components of Patient Safety Indicators (PSI) 90
    2. Contact Hours: 1
  • Medical Record Documentation

    1. The goal of this module is to review the elements of the health record that can be used for diagnosis and procedure code assignment. On completion of this module, the learner will be able to:
      Identify three different types of query formats
      Review three scenarios where yes/no queries are considered acceptable
      Name 5 items to include in a query
    2. Contact Hours: 1
  • Official Guidelines for Reporting and coding

    1. The goal of this module is to review the official guidelines for coding and reporting. On completion of this module, the learner will be able to:
      Describe the role of AHA Coding Clinic in code assignment
      Name three guidelines related to principal diagnosis selection
      Name four conditions that have been identified as hospital acquired conditions (HACs)
    2. Contact Hours: 1
  • Professionalism, Ethics and Compliance

    1. The goal of this module is to review confidentiality of information relevant to the practice of CDI, discuss initiatives that ensure DRG compliance and review potential compliance risks. On completion of this module, the learner will be able to:
      Name three initiatives that ensure DRG compliance
      Distinguish a leading query from a non-leading query
      Identify three objectives of a CDI department beyond reimbursement
    2. Contact Hours: 1

Accreditation Information

NURSES

In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.

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