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CONSULTING & OUTSOURCING GUIDE
AHIMA
2019 | RESOURCE GUIDE
> Billing reviews, HIM/medical record, and privacy
consulting for skilled nursing facilities
> Department-wide and function-specific operational
assessments to streamline hospital HIM efficiency
> APC, DRG, and HCC risk-adjusted ICD-10CM/PCS
coding compliance reviews to ensure revenue
integrity
> HIPAA readiness assessments to mitigate risk
> Human subject research compliance services to
help research organizations navigate the minefield
of regulations
> Release of information guidance and software to
manage HIPAA disclosure activities
>Temporary and interim management to fill HIM
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CONTENTS
See our full profi le onAHIMA ResourceConnect atresourceconnect.ahima.orgAHIMA ResourceConnect advertisers as of 4/19/19.
Administrative ConsultantService, LLC ...............................55
First Class Solutions ....................50
Healthcare Cost Solutions ...........55
Healthcare Resource Group .........52
Labouré College ..........................53
MRO ...........................................54
Perry Johnson &Associates, Inc. ...........................52
Stat Solutions, Inc. ......................55
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50 CONSULTING & OUTSOURCING GUIDE / June 201950
Consultants Use Trainer Program to Sharpen CDI SkillsCHEFS KNOW THAT a dull knife is more dangerous than a sharp one. While a sharp blade can work with speed and precision, a dull blade can easily veer off track and cut indiscriminately—including the chef. The same can be said with consultants and their skills—they are best kept sharp and current, lest they be-come dull and veer a job off course, causing irrepa-rable damage.
AHIMA’s new Clinical Documentation Improvement (CDI) Train the Trainer program serves as a grinding stone for consultants and other CDI professionals, al-lowing them to sharpen their CDI and presentation skills. The program format launched with ICD-10-CM/PCS training, then expanded in late 2018 to of-fer trainer courses in CDI and revenue cycle. The Train the Trainer program is geared toward those looking to create an in-house training program that grows competent staff as well as those who professionally consult in these key healthcare areas. The CDI Train the Trainer is especially enticing for consultants be-cause it allows them to enhance their skills and pro-fessional profiles at a time when CDI skills have never been in higher demand, according to Tammy Combs, RN, MSN, CCS, CCDS, CDIP, director of HIM practice excellence, CDI/nurse planner at AHIMA.
“You want consultants that are experts, who come in and give you guidance on your organization. But how do you really know if they are an expert?” Combs says. “Well, there is the CDIP credential, which is one avenue. But the trainer program takes it another step, so that they are not only recognized as an expert in the subject area, but they are also an expert in CDI training, sharing that information with others. This program really helps consultants stand out.”
The program isn’t for newbies just starting to cook with clinical queries. Participants in the CDI Train the Trainer program must meet eligibility requirements before they can sign up to attend the three-day in-person training workshop at AHIMA’s Chicago, IL headquarters. These requirements—which include having five years of experience in CDI, the CDIP cre-dential, and experience writing or presenting for AHIMA—were put in place to ensure true CDI experts were signing up for the course. These are individuals engaged in the industry and looking to advance it, Combs says.
While popular with consultants, the CDI Train the Trainer program is also a good fit for CDI professionals
working in inpatient or outpatient settings who want to gain additional training that can be shared with staff back in their facilities. A new role emerging in healthcare organizations is a formal CDI trainer, who works to educate health information staff, providers, and others in the organization on proper documenta-tion, Combs says. Professionals in these roles, as well as those in CDI lead or supervisor positions, have also attended Train the Trainer in order to receive addi-tional CDI education and the recognition that comes with the Trainer Badge. This badge is awarded to at-tendees who pass the presentation and exam portion of the program, and can be placed on a resume, web-site, or email signature to signify expertise in CDI.
The program teaches attendees about the seven characteristics of high-quality documentation, walk-ing CDI professionals through each area and homing in on how to apply each characteristic to any given CDI scenario. Attendees learn how to stay compliant while writing a CDI query as well as how to stay compliant while identifying, sending, and applying the results of queries. “We also walk through CDI metrics, so attend-ees are gaining an in-depth knowledge of what those metrics look like from both inpatient and outpatient areas,” Combs says. “With each of these topics they should be well aware of them. We are fine tuning it, we are taking it to the next level, to help them sharpen up their skills in each of these important CDI areas.”
Program participants must also develop and give a presentation to the group at the end of the course, which Combs says helps sharpen consulting and teaching skills. Leadership and communication skills are worked on before the presentations—which Combs says center on CDI best practices and key takeaways learned from the session.
With CDI expanding beyond the inpatient hospital and into physician clinics, home health, and skilled nursing facilities, there is suddenly a large demand for CDI experts to build CDI programs from scratch or help current CDI programs hit key performance indi-cators. Add in that the role of CDI educator is quickly growing in inpatient facilities, and AHIMA felt its train-er program provided the recipe for success for many CDI consultants and professionals. “This is a big driver for this program, to support that growth out there in the CDI industry,” Combs says.
For more information on AHIMA’s Train the Trainer program, visit www.ahima.org/education/traintrainer. ¢
Month 2014 / GUIDE NAME HEREJune 2019 / CONSULTING & OUTSOURCING GUIDE 51
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CONSULTING & OUTSOURCING GUIDE / June 201952
CDIEarn 8 credits
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Labouré’s Program v. Boot Camp Webinars:
Labouré’s program is different from webinar programs and
boot camps because it is a college credit-bearing program.
Labouré College’s CDI program stands alone in
its structured, group approach to learning a new
healthcare discipline in an online format.
All courses are online and taught by nurses and doctors credentialed in CDI. The program includes weekly assignments, recorded lectures, hands-on practice activities, and discussion groups. Most importantly, the program provides students with an experienced instructor who is available to answer their questions. Students also have the opportunity to learn from fellow classmates with diverse professional backgrounds.
Each of the four courses covers one or more of the six CDI core competency groups. The eight credits of academic coursework represent 120 hours of instruction and approximately 250 hours of reading or written assignments. In total, this program represents approximately 10 weeks of training. This is a significant bonus to healthcare organizations hiring Labouré CDI graduates - they can start immediately on the clinical practice component of their education and training.
Labouré College’s online Clinical Documentation Improvement Certificate is a structured, academic program designed for credentialed healthcare workers identified by ACDIS or AHIMA (RN, RHIA, RHIT, CCS, MD
and DO).
Graduates gain a solid background in CDI and daily processes and are ready to begin their clinical practice in the CDI department immediately – without preparatory training by the healthcare facility.
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• Start in September, January, or May• Can be completed in two semesters• Earn eight college credits• College accredited by NECHE• Taught by CDI credentialed nurses and doctors • Graduates are fully prepared to begin clinical practice in CDI departments
• Tuition: $2,920 - payment plans are available (because this program qualifies for college credit it is commonly approved for tuition reimbursement by hospitals and healthcare organizations)
For more information: Please visit laboure.edu or contact the Admissions team at (617) 322-3575 or [email protected].
Program Chair, Elise Belanger, RHIA is also available at [email protected].
Courses: 2 credits each
• Record Review and Document Clarification• Clinical Coding Practice • Metrics and Education• Compliance and Leadership
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Month 2014 / GUIDE NAME HEREJune 2019 / CONSULTING & OUTSOURCING GUIDE 53
SEE OUR DISPLAY AD ON THE BACK COVER.
Learn more at www.mrocorp.com
RATED ##1 FOR RELEASE
OF INFORMATION
KLAS CATEGORY LEADER FOR ROI SINCE 2013HIM leaders gain peace of mind and more time back in their day when partnering with MRO, the KLAS-rated ##1 industry leader for Release of Information (ROI) services. MRO’s cutting-edge technologies provide high levels of visibility and control through transparent reporting and compliance tools and sophisticated workflows that offer industry-leading turnaround times. Epic integrations are available.
MRO mitigates breach risk by incorporating multiple quality checks performed by highly trained ROI specialists at client locations and our centralized National Service Center. Plus, our patented IdentiScan®®
application uses optical character recognition technology to drive 99.99% disclosure accuracy.
By deploying our ROI Online®® solution as a centralized platform, healthcare organizations can better manage PHI disclosure, standardize processes and improve compliance throughout the healthcare enterprise.
KLAS Reports: What MRO Clients SayIn addition to being the KLAS-rated ##1 Category Leader for ROI for six consecutive years, MRO is also the leader for overall performance and service quality in the KLAS report “Release of Information 2018: Who Delivers Most Consistently Across Customers?” Three ROI service providers had statistically adequate client bases to be included in the report.
Key highlights from the 2018 ROI report include:
•• On a 100-point scale, MRO’s reported overall performance score was over a 90.
•• MRO’s performance ratings for overall satisfaction, quality of service staff and turnaround time are rated highest among the vendors.
•• MRO is noted as the consistent high performer and well-rounded firm with good communication, good employees and strong delivery of ROI services.
•• 95 percent of MRO’s clients say they would hire our company again, a percentage much higher than the other vendors.
•• MRO has the proven scalability to meet large client needs and implementations.
Quality and Ability to Scale The 2018 ROI report notably features quality as a key theme related to MRO’s services, highlighting “top notch employees and outstanding customer service.” KLAS’s research found that MRO clients appreciate the responsiveness of our customer service and say they can always speak with someone when they need to. Additionally, the report states “MRO has proven the ability to scale and provide quality ROI services to both large and small clients.”
QUALITY AND COMPLIANCEMRO Corp. is very committed to quality and compliance. We feel confident in their leadership, their organizational structure, and their commitment to customer service. Another big thing is their relationship with Epic. We are an Epic shop, so that relationship is very important to us.
-Director, June 2018
INNOVATIVE TECHNOLOGY
AND WORKFLOWS The software that MRO Corp. and other similar companies use is an advantage. They don’t have to do manual final checks to make sure we are releasing the right information to the right people. That provides checks and balances that we don’t usually have. The software is very valuable for keeping us out of trouble.
-Director, June 2018
RESPONSIVE SUPPORTOur work with MRO Corp. is going very well. They are very responsive when we have an issue, so they have great support. They address any issues right away. ROI is complicated with all the requests for information that we get, and MRO Corp. provides great service.
-VP/Other Executive, June 2018
CONSISTENT STAFFINGMRO Corp. provides consistency with their staffing. We have worked with the same people for years. One of those people is outstanding.
-Director, June 2018
EASY IMPLEMENTATIONSOur experience with MRO Corp. has been positive. Our implementation went smoothly, and they have listened to our concerns and addressed our needs.
-VP/Other Executive, June 2018
CONSULTING & OUTSOURCING GUIDE / June 201954
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Month 2014 / GUIDE NAME HEREJune 2019 / CONSULTING & OUTSOURCING GUIDE 55
