About
Articles by Michelle M.
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Register Now for a Dynamic Look at Transforming Legacy CDI Programs for Alternative Payment Models
Register Now for a Dynamic Look at Transforming Legacy CDI Programs for Alternative Payment Models
By Michelle M. Wieczorek RN RHIT CPHQ CCDS-O
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Is Your CDI Program built for success in Alternative Payment Models? It's all about risk!
Is Your CDI Program built for success in Alternative Payment Models? It's all about risk!
By Michelle M. Wieczorek RN RHIT CPHQ CCDS-O
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HAC's and POA's...Not Just Alphabet Soup
HAC's and POA's...Not Just Alphabet Soup
By Michelle M. Wieczorek RN RHIT CPHQ CCDS-O
Contributions
Activity
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For those that doubted the day would arrive for Mandatory Episodic Payments, it is finally here for 25% of the CBSA’s identified in the TEAM Final…
For those that doubted the day would arrive for Mandatory Episodic Payments, it is finally here for 25% of the CBSA’s identified in the TEAM Final…
Posted by Michelle M. Wieczorek RN RHIT CPHQ CCDS-O
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In 2024, our government set aside 2.5B to fund innovations address specific, urgent, and challenging problems in healthcare, through ARPA-H. Sound…
In 2024, our government set aside 2.5B to fund innovations address specific, urgent, and challenging problems in healthcare, through ARPA-H. Sound…
Liked by Michelle M. Wieczorek RN RHIT CPHQ CCDS-O
Experience & Education
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Hospital Sisters Health System
View Michelle M.’s full experience
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Licenses & Certifications
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Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
ACDIS
Issued -
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Registered Nurse
Pennsylvania State Board of Nursing
Volunteer Experience
Publications
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DHG Healthcare: Optimizing CDI for Bundled Payment Arrangements
HFMA Magazine
See publicationIn this article, Michelle Wieczorek, senior manager, subject matter and consulting lead for CDI Services discusses strategies for improving clinical documentation within bundled payment arrangements. DHG Healthcare is a sponsor of HFMA's Value Based Healthcare Innovation Council (VBHIC).
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Improving Risk Adjustment Through Inpatient HCC Capture
ICD 10 Monitor
See publicationThis article introduces the concept of The Clinical Documentation Integrity Axis as an effector of proper depiction of patient acuity in Risk Adjusted Pay for Performance Models.
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Augmenting Your CDI Program for Risk Adjustment
ICD-10 and VBP Monitor
See publicationMost of today’s CDI programs are focused completely on ensuring that MS-DRGs are accurate and that all standard and major complications and comorbidities (CCs and MCCs) are supported in the clinical documentation as basis for their queries. As such, they are not focused on other secondary diagnoses, which may have a significant impact on risk adjustment for a patient who may be indexed to one of the value-based or alternative payment models for future payment adjustment.
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The Importance of Technology in CDI
AHIMA Codewrite
Ericson, Cheryl E; Wieczorek, Michelle M.. "Importance of Technology in CDI" CodeWrite (July 2016).
Other authors -
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HAC's and POA-Not just alphabet soup!
Journal of Association of Clinical Documentation Improvement Specialists
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Using Lean Tools to Reboot Your CDI Program
ACDIS Quarterly Journal
See publicationSee how using an a3 to visualize the core processes of a CDI Program can bring clarity to where opportunities for improvement reside to reboot a stagnant CDI Program.
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Curing Inherited EHR Ailments EHR Remediation Fixes System Issues and Better Aligns Clinical Workflow with Clinical Documentation
Journal of AHIMA
EHR implementation and efforts related to clinical workflow design should not just be an IT project. HIM professionals bring a valuable skill set, including knowledge of rules, regulations, and standards that affect the quality of clinical documentation. Their involvement is critical to the clinical documentation and clinical workflow improvement process within and beyond the inpatient setting.
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"Taking Electronic Document Management beyond the HIM Department."
Journal of AHIMA
See publicationSaint Vincent Health System’s HIM department checked its document imaging system into the emergency room. Together, the two departments saved nothing but time. The program’s success led to an enterprise-wide electronic document management system.
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"Speech Recognition in the Electronic Health Record (Updated)."
Journal of AHIMA 84, no.9 (Sept 2013): expanded web version.
See publicationThis practice brief focuses on increasing the understanding of how speech recognition works by highlighting the driving forces that are shaping current and future applications of this technology and its associated benefits and risks. This practice brief also provides tools including illustrated work flow, tasks and skills, and best practices to assist in efficient and effective application of SRT for day-to-day operations.
Projects
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Micro Credential for Risk Adjustment
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Worked with a group of national OP CDI SME’s under the direction of a national trade association to develop a micro-credential for certifying novice CDI staff of meeting entry to practice competency in HCC risk adjustment reporting.
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ACO Risk Adjustment Project
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Designed nouveau OP CDI workflow and immersive provider coaching program, incorporating HCC capture and precision documentation concepts for 8 ACO’s as part of a for-profit IDN with a national footprint. Assisted in identifying remediation priorities in Athena and Epic EHR. Assisted in developing monetization method for prospective traceability of impact for MSSP.
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Inpatient CDI Redesign and Implementation of HCC Risk Adjustment
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Developed scalable capability to migrate legacy CDI programs to contemporary best practice CDI platforms for success in BPCI, ALOS reduction and improved performance in mandatory payment reform programs such as HACRP, RRP and VBP. incorporated strategies for improved Elixhauser and CMS HCC risk adjustment.
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MedLearn: AI in Revenue Cycle Management: Promises and Pitfalls (May 2024)
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Webinar for Middle Revenue Cycle Professionals on AI applications and risk mitigation strategies.
Honors & Awards
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Distinguished Member Award
PHIMA
Recognized by peers in Pennsylvania for contributions to the Health Information Management discipline.
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US Patent: Automated Clinical Indicator Recognition with Natural Language Processing
US Patent Office
https://patentscope.wipo.int/search/en/detail.jsf?docId=WO2015035193
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United Healthcare Group Individual Contributor-National Innovation Award Winner
United Healthcare Group
Organizations
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ACDIS
Member
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AHIMA
Clinical Documentation Improvement Practice Council (2015) , EHR Practice Council Member (5 years) , eHIM Task Force Member, Credentials Committee, HIE Practice Council Member (1 Year)
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HIMSS
Member
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PHIMA
2016 Distinguished Member Award, Technology Committee Chairperson, Board Member
Coordinated website and communities of practice facilitation for 5 years for state HIM association.
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WPHIMA
Publications Committee Chair, Education Committee Member, Nominating Committee Chair, Webmaster
Recommendations received
7 people have recommended Michelle M.
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