CDI: Clinical Validation

CDI: Clinical Validation

Cynthia Tang, RHIA, CCS and Dr. Richard Pinson, FACP, CCS, CDIP

$99.00

CDI: Clinical Validation provides in-depth instruction on the process of clinical validation to ensure that diagnoses and procedures documented and coded are supported by clinical evidence and based on authoritative, evidence-based diagnostic criteria.  Course provides examples and explains when and how to write compliant clinical validation queries.  This online course by nationally-recognized clinical documentation authorities, Cynthia Tang, RHIA, CCS and Dr. Richard Pinson, FACP, CCS, CDIP, is helpful for CDI Professionals and Coders.

CEUs:  1    1 AHIMA    1 AAPC
Included in eLearning Library. Price per person. Group rates available.

Overview

Codes change yearly! We take seriously our obligation to provide you with accurate and up-to-date instruction. This course is updated for FY 2026.

CDI: Clinical Validation provides in-depth instruction on the process of clinical validation to ensure that diagnoses and procedures documented and coded are supported by clinical evidence and based on authoritative, evidence-based diagnostic criteria.  Course provides examples and explains when and how to write compliant clinical validation queries.  This online course by nationally-recognized clinical documentation authorities, Cynthia Tang, RHIA, CCS and Dr. Richard Pinson, FACP, CCS, CDIP, is helpful for CDI Professionals and Coders.

Course topics include:

  • What is clinical validation and why is it so important and so challenging?
  • Guidelines vs. Rules vs. Regulations
  • The three principal sections of a standardized clinical validation query
  • Examples of clinical validation queries with a discussion of when and how to write them
  • Real world case examples and the process of clinical validation
    • Acute Kidney Injury and Acute Blood Loss Anemia
    • Severe Malnutrition
    • Acute Encephalopathy
    • Sepsis
    • Pneumonia
    • Acute Respiratory Failure
    • Past Medical History
    • Multiple High-risk Diagnoses
  • Bonus!  Answers to commonly asked clinical validation questions

CDI: Clinical Validation:

  • Defining Clinical Validation
  • Clinical validation: The challenges
  • Guideline vs. Rule vs. Regulation
  • Enforcement: Hospital Non-compliance
  • Lack of Clinical Validation: Consequences
  • Clinical Validation Guidelines
  • Use of Authoritative Evidence-Based Consensus Criteria and Practice Guidelines
  • Clinical Validation Queries and the Query Process
  • Case Examples
    • Acute Kidney Injury and Acute Blood Loss Anemia
    • Severe Malnutrition
    • Acute Encephalopathy
    • Sepsis
    • Pneumonia
    • Acute Respiratory Failure
    • Past Medical History
    • Multiple High-risk Diagnoses
  • Useful Resources for Clinical Validation

The level of effort to complete this course, start to finish, is equivalent to 1 CEU and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for the full 4-week enrollment period and we encourage you to re-review any materials that are helpful to you.

Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 1 CEU.

AHIMA: 1 CEU
This course has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

AAPC: 1 CEU
This course has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • WebinarPlus™ multimedia and interactive online training format promotes engagement with challenging materials while offering independent self-study.
  • Downloadable and printable “Course Highlights” saves time! This active learning tool assists with mastery of the course content.
  • Teaching methods including audio and video files, diagrams, and animations to accommodate different learning styles. Where appropriate, the Merck Manual Professional Version supplements course materials with in-depth descriptions of diagnoses and/or procedures.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Depending on the topic, some courses may offer an extended enrollment period. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available.
  • Price listed is per person/per course. Group rates available upon request.

Cynthia Tang, RHIA, CCS

Cynthia brings over 30 years of experience in health information management, coding and clinical documentation, and clinical resource management. For the past twenty years she has traveled to hospitals throughout the country to assess their processes for managing health information and clinical documentation and to provide her much-sought after expertise in redesigning operations to promote better patient care and hospital financial health.

Her focus is on workflow design and improving clinical documentation with a view to optimizing reimbursement, ensuring compliance, and improving quality and pay for performance measures.

Dr. Richard Pinson, FACP, CCS, CDIP

Dr. Richard Pinson is a physician, educator, administrator, and healthcare consultant. He practiced Internal Medicine and Emergency Medicine in Tennessee for over 20 years having board certification in both. Dr. Pinson is a Fellow of the American College of Physicians and former Assistant Professor of Clinical Medicine at Vanderbilt, and has assisted hospitals as a physician consultant for the past ten years.

His personal understanding of the mindset of both doctors and managers allows him a unique vantage point from which to promote cooperation between physicians, hospital staff, and administrators toward achieving beneficial and practical changes.

“I’m pleasantly surprised at your response … really didn’t think I would receive anything at all, so, thank you! I believe that alone says a lot for Libman Education. I would recommend you to other coding professionals.” — Jennifer Jones, CPC

“Thank you! Your company provides outstanding service and we appreciate it!” — Jim Herren, RHIA, CCS, Parkland Health & Hospital System

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“Thank you for all your help. Your team has always been open and dependable for clear advice and guidance. … [Y]our group has always shown they care about the student.” – former student

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