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Helping your organization be SMART about CDI & ICD-10.

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Presentation on theme: "Helping your organization be SMART about CDI & ICD-10."— Presentation transcript:

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2 Helping your organization be SMART about CDI & ICD-10

3 SMART Code™ Reference Tool Overview SMART Code™ is a clinical documentation program (CDI) reference tool developed by CODESMART Group. Our proprietary tool is a web based subscription service designed by clinical staff with experience as clinical documentation specialists and supports the clinician in identifying the MS-DRG. Additionally, it displays the strategies for MS-DRG, ICD-10 CM and ICD-10 PCS documentation and facilitates identification of MCC /CC and severity Levels. Lastly, the tool identifies HCC’s, quality indicators, and potential denials so staff can notify the needed staff to assure concurrent resolution of issues. Key elements of SMART Code™ include:  Translated terms from coding to clinical friendly terminology  Clinically focused MS-DRG, ICD-10 CM and ICD-10 PCS documentation strategies  Search filter capabilities to view any clinical term by specific element  Allows multiple diagnosis and surgical terms to be viewed side by side with the pertinent MS-DRG, relative weight, and strategy information. This facilitates the CDI thought process by allowing the clinician to compare and contrast to determine the best option  Assures appropriate documentation for ICD-10 DRG and HCC revenue and quality initiatives  Allows for a more comprehensive approach to documentation improvement to assure maximum benefit to your organization’s bottom line. SMART Code™ Reference Tool Overview SMART Code™ is a clinical documentation program (CDI) reference tool developed by CODESMART Group. Our proprietary tool is a web based subscription service designed by clinical staff with experience as clinical documentation specialists and supports the clinician in identifying the MS-DRG. Additionally, it displays the strategies for MS-DRG, ICD-10 CM and ICD-10 PCS documentation and facilitates identification of MCC /CC and severity Levels. Lastly, the tool identifies HCC’s, quality indicators, and potential denials so staff can notify the needed staff to assure concurrent resolution of issues. Key elements of SMART Code™ include:  Translated terms from coding to clinical friendly terminology  Clinically focused MS-DRG, ICD-10 CM and ICD-10 PCS documentation strategies  Search filter capabilities to view any clinical term by specific element  Allows multiple diagnosis and surgical terms to be viewed side by side with the pertinent MS-DRG, relative weight, and strategy information. This facilitates the CDI thought process by allowing the clinician to compare and contrast to determine the best option  Assures appropriate documentation for ICD-10 DRG and HCC revenue and quality initiatives  Allows for a more comprehensive approach to documentation improvement to assure maximum benefit to your organization’s bottom line. Helping your organization be SMART about CDI & ICD-10

4 How to Use SMART Code™ Upon purchase of a SMART Code license, you will receive a link to the SMART Code Reference tool website with your log-in and temporary password. The password may be reset by each user to the word of their choice Help Desk A subscription to the CDI SMART™ reference tool includes help desk support. Our help desk can be contacted toll free at CDISMART ( ) or via at Our staff can answer questions regarding search and filter functions, password issues, etc. Also, suggestions regarding the addition of terms or strategies can be submitted via for consideration in the next Helping your organization be SMART about CDI & ICD-10

5 Common Acronyms Helping your organization be SMART about CDI & ICD-10 AcronymFull Term CC/MCCComplication and comorbidity / Major complication and comorbidity CDIClinical documentation improvement CDSClinical documentation specialist DenialCode may result in denial of the inpatient stay HACHospital Acquired Condition HCCHierarchical Condition Category GLOSGeometric length of stay IQIInpatient Quality Indicator PSIPatient Safety Indicator

6 Search and Filter Functions Helping your organization be SMART about CDI & ICD-10

7 Search Function: Helping your organization be SMART about CDI & ICD-10 CHF

8 Search Results:

9 . Helping your organization be SMART about CDI & ICD-10 Choosing Diagnoses to Further Research:

10 Helping your organization be SMART about CDI & ICD-10 View Detail:

11 Looking Up Multiple Diagnoses Helping your organization be SMART about CDI & ICD-10 CHF;CAP pneumonia;respiratory fail Search

12 Choosing Diagnoses Helping your organization be SMART about CDI & ICD-10

13 Comparing and Contrasting DRGs Helping your organization be SMART about CDI & ICD-10

14 I10 Searching by ICD-9 or ICD-10 Code

15 Helping your organization be SMART about CDI & ICD-10 Multi-Term Search Function: Total hip replacement;CHF;Diabetes type 2

16 Helping your organization be SMART about CDI & ICD-10 Cholecyst Other Ways to Use the Filter Function

17 Helping your organization be SMART about CDI & ICD-10 Other Ways to Use the Filter Function

18 Helping your organization be SMART about CDI & ICD-10 Finding CCs, MCCs, etc…

19 Helping your organization be SMART about CDI & ICD-10 Other Filter Options

20 Helping your organization be SMART about CDI & ICD-10 Other Filter Options

21 Helping your organization be SMART about CDI & ICD-10 Other Filter Options

22 Helping your organization be SMART about CDI & ICD-10 Using Code and DRG Strategies to Determine if a Query is Needed

23 CDI Smart on Android Tablet using the Google Chrome Browser. Download Chrome Browser – Google from Google Play or other app service.  Open Chrome web browser>open settings>check Request Desktop Site.  Enter  ; ; ; ; ;. CDI Smart on Android Tablet using the Firefox Web Browser Download Firefox web browser from Google Play or other app service.  Open Firefox web browser>open settings>check Request Desktop Site.  Enter  ; ; ; ; ;. Helping your organization be SMART about CDI & ICD-10

24 Call Us Today! CDISMART ( ) CDI Smart TM software is a clinical documentation program (CDI) workflow, monitoring and reference tool developed by The CodeSmart TM Group.  Organizes tasks associated with assignments, chart reviews and Clinical Documentation Specialists’ workflow processes.  Systematizes, tracks and supports all aspects of query templates, generation and response.  Facilitates the capture of DRG assignment for the MS, AP and APR-DRG systems.  Coordinates and streamlines the DRG reconciliation process.  Provides robust report functionality to monitor program performance metrics, trends and identification of potential program opportunities.


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