Does the data collected by your healthcare system truly represent the patient you are caring for? It can, and physician documentation is critical to capture all major comorbidities, which then translates into coded data and impacts your...Read More »
While financial impact has been a primary concern since the inception of CDI, many organizations share a growing emphasis on quality, especially as payment methodologies continue to shift from strictly fee-for-service to pay-for-performance. Tracking the effect of...Read More »
How many times have you reviewed a chart, seen the same documentation repeated on each progress note, and tried to figure out why the patient is still here because there is nothing new being documented? If you are trying to...Read More »
Historically, CDI specialists have not included quality concerns in their regular chart reviews, leaving such efforts to experts in the quality department. With the advent of pay-for-quality programs and public quality rating systems from CMS, Leapfrog Group...Read More »
I first became aware of clinical validation denials 12 years ago. I had the great fortune of working alongside a very astute coder at the time. When the Medicare Recovery Audit Contractors began audits for clinical validation in 2011, she quickly...Read More »
After years of working to engage providers and get them on board with CDI efforts, every seasoned CDI professional knows there’s no one-size-fits-all solution. Some physicians will quickly understand the benefits of improving documentation to help their facility’s...Read More »
When we think about diversity and inclusion, the first things that usually come to mind are gender, race, and cultural background. But of course, there are so many other avenues of diversity. One of those roads is...Read More »
by Marlene Goodwin-Esola, MSN, RNC, with input from Commila Hamman, RN, BSN, CCDS, and Alexa Stephenson, CHFP
As a new director of a CDI program, with a team of eight CDI specialists for a continually growing, soon-to-be 350-bed acute care facility, I inherited the department...Read More »