A recent hospital audit of 300 medical records turned up some not too surprising facts about physicians. The doctors are still not documenting appropriately, their handwriting is illegible, and the discharge summaries are inadequate.Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Clinical documentation improvement (CDI) programs have evolved over the last few years as hospital interest in implementing these programs has grown exponentially.Read More »
Q:I am a case manager on a cardiac step-down unit. Our work focuses primarily on specific disease management and patient contact/education and nurse mentoring/chart reviewing, patient rounding, etc. We are very clinically focused. We don’t do utilization review (UR) or...Read More »
It’s hard to believe this is our last edition of the CDI Leadership Insider (CLI) for 2020. Actually, it’s hard to believe we’re at the end of 2020 at all. This year has been extraordinarily difficult for everyone and I know those in the...Read More »
Brigham and Women’s Hospital is an 800-bed academic medical center in Boston affiliated with Harvard Medical School; Brigham Faulkner Hospital is a 150-bed community hospital located in Jamaica Plain, Massachusetts.
