ACDIS Guidance

Today’s clinical documentation integrity (CDI) leaders juggle many priorities at once, balancing CDI departmental needs and bandwidth against the needs and goals of the broader organization. Add in the lingering impacts of the COVID-19 pandemic on hospital budgets and leaders find themselves...

Despite the challenges and budget cuts leveled at CDI programs in the aftermath of the COVID-19 pandemic, still 98% of leaders feel their organization sees the value in their CDI program and 72% said their budgets stayed the same or increased in 2021 over 2020. Additionally, though CDI...

Clinical documentation is the cornerstone of medical data and the foundation of patient care. It provides a lasting record of the patient’s history, diagnoses, tests, and treatments. An accurate and complete health record is beneficial not only to ensure that the severity and risk of illness of...

This paper is an update of the 2017 ACDIS white paper, “Clinical validation and the role of the CDI professional.” It discusses the concept of clinical validation as it has evolved through CMS regulations and coding guidance. It also attempts to establish consensus about how CDI professionals...