It’s a scenario many CDI specialists face: After spending hours reviewing a physician’s documentation and carefully crafting query after query, the physician responds with “unable to determine” or “clinically insignificant.” It may seem frustrating to get an answer like this.Read More »
Clinical documentation improvement (CDI) specialists and case managers share a common goal but often aren't on the same page when it comes to improving documentation within the hospital, says Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, director of enterprise solutions for...Read More »
Some estimates put CDI programs in more than half of healthcare organizations in the United States today. As programs mature, however, the mechanics of daily record review and assessment have become just that: mechanical, leaving many...Read More »
Over the past year, we’ve been asked numerous times about what it means to be an “advanced” CDI program. No forward-looking CDI program can truly advance unless (and until) a solid base is set—until it looks back over its program basics to ensure that its staff remains wellversed in query...Read More »
Development of an effective CDI program can only be achieved by tailoring the program to the unique needs of each organization. This discussion focuses on some factors that CDI managers may need to reassess or establish, regardless of whether they are...Read More »
“Determining an adequate number of staff and ensuring acceptable levels of productivity for a CDI department can be overwhelming,” according to the CDI Roadmap. The overwhelming part typically comes during the implementation stage. Here, facilities need to hone the fledgling program’s...Read More »
After anecdotes that electronic health records (EHR) cause upcoding, Julia Adler-Milstein of the University of Michigan and Ashish Jha of the Harvard School of Public Health decided to delve into the data to see if it was true. Their...Read More »
Hospitals hired nearly 13,000 more people in March than February and about 3,000 more people than a year ago, according to reports from the Bureau of Labor Statistics. Employment at the nation's hospitals rose by 0.08% in March to a...Read More »