Sick or Not: Only the Documentation Knows For Sure
LEARNING OBJECTIVES:
- Recognize how documentation can impact medical necessity determination,
- Understand how to teach providers how to improve their documentation to support medical necessity and intensity of service.
- Explain how to integrate medical necessity considerations into CDI review.
Dr. Erica Remer
President, Erica Remer, MD, Inc.
Member, ACPA Board of Directors
Co-Chair, ACPA Clinical Documentation Integrity Committee
A practicing emergency physician for 25 years and physician advisor of a large multi-hospital system turned independent consultant, Dr. Erica Remer is a national expert on documentation, CDI, and ICD-10. She has authored numerous articles and is the co-host of a weekly national podcast, Talk Ten Tuesdays. Remer is a member of the Board of Directors of ACPA and the co-chair of the CDI Committee, on the Editorial Board of ICD10Monitor, and a past member of the ACDIS Advisory Board. Her passion is educating CDI specialists, coders, physician advisors, and healthcare providers with engaging, case-based presentations and the goal of putting MENTATION back into Documentation.
Dr. Ronald Hirsch
Vice President Regulations And Education Group, R1 Rcm, Inc.
Member, ACPA Advisory Board
Editor, ACPA Update
Dr. Ronald Hirsch is a Vice President of the Regulations and Education Group at R1 Physician Advisory Services. He completed his internal medicine residency at Kaiser Permanente Medical Center in Hollywood, CA. Dr. Hirsch was Medical Director of Case Management at Sherman Hospital in Elgin, IL from 2006 to 2012 and also served on the Medical Executive Committee. Dr. Hirsch is certified in Health Care Quality and Management by the American Board of Quality Assurance and Utilization Review Physicians, is a member of the American Case Management Association, on the Advisory Board of the American College of Physician Advisors, a Fellow of the American College of Physicians, and on the advisory board of the National Association of Healthcare Revenue Integrity. He is the co-author of The Hospital Guide to Contemporary Utilization Review, which was published in 2021. In 1996 he was a guest on the Jerry Springer Show.