At the conclusion of the course, participants will be able to:

• Define payment methodologies beyond Medicare’s inpatient prospective payment system (IPPS), including the Hierarchical Condition Categories (HCC) system
• Describe the potential advantages and documentation opportunities of expanding CDI beyond MS-DRG review/optimization and CC/MCC capture  
• Explain the impact of principal diagnosis assignment (i.e., diagnosis sequencing) on indirect revenue, including that affected by quality metrics and medical necessity denials
• Define the CDI specialist’s role in supporting medical necessity and working collaboratively with utilization review/case management
• Develop documentation strategies to enhance a hospital’s quality metrics without compromising data integrity congruent with official coding guidelines
• And more!