Leveraging CDI in a Value-Based Reimbursement World

By Leigh Poland RHIA, CCS & Suhas Nair


The Value-Based Payment model for medical services is gradually replacing the traditional Fee-for-Service model for payers and healthcare organizations. Clinical documentation programs are being reinvented due to the ever-changing nature of the healthcare industry. Value-based purchasing and other reimbursement issues, such as patient safety indicators, audits, and hospital-acquired complications (HAC), are dependent upon reliable, accurate, and complete documentation. Join us as we discuss the value-based CDI trends that we are seeing in the market and review practical approaches to plan and equip your CDI teams for the changes ahead.

Key Takeaways

  • Gain a brief history of the evolution of CDI
  • Learn more about value-based purchasing and the current reimbursement trends/shifts
  • Receive updates on emerging inpatient CDI trends, including CDI for Quality Outcomes, Severity of Illness (SOI), and Risk of Mortality (ROM)
  • Review analyses of the top outpatient facility and professional coding CDI physician trends, such as querying for risk adjustments and querying for E&M and CPT code assignment
  • Gain recommendations for tools and technology that can be used to enhance your CDI program
  • Review sample CDI reports that will assist you in measuring the success of your CDI program