FEATURES 5 Understanding the landscape of SDOH 10 Case study: Tracking and reporting quality impact of CDI efforts 13 Case study: CDI reporting structure ...Read More »
When asked, most CDI professionals will say that the primary goal of CDI is improved patient care. The idea that CDI is “all about the money” is, as all CDI professionals know, inaccurate and reductive. Yes, CDI efforts can lead to more accurate (and often...Read More »
Health status does not exist in a vacuum, and it can be easy to forget that social and environmental factors can substantially impact a patient’s health status and eventual outcomes. However, strides have been made to recognize this fact and act accordingly: To...Read More »
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 »
