Nick van Terheyden, MD, and Paul L. Weygandt, MD, JD, MPH, MBA, CCS, FACPE provide insight into innovative technologies, including primary real-time documentation methodologies, computer-assisted physician documentation, dynamic problem lists, and computer-assisted coding. They address ...

Nancy Rae Ignatowicz, RN, BS, MBA, CCDS explains how one hospital system chooses specific CDI  data, to present depending on the specific audience (administrators, providers, etc.), and used it to obtain the resources and support needed to drive improvement. This presentation will include...

Cassi Birnbaum, MS, RHIA, CPHQ, FAHIMA, and Michael Yanuck, MD, FAAFP will chronicle their EHR journey to illustrate how electronic notes quickly snowballed, detracting from new information while  becoming unreadable to other physicians. Best practice solutions and approaches with specific...

Vicki Sullivan Davis, RN, Clinical Documentation Improvement Manager at Cone Health System at Alamance Regional in Burlington, N.C., provides participants with the tools to achieve excellence while confidently managing their CDI team. Davis outlines qualities a good leader should possess   and...

Nancy A. Entwistle, MPA, RHIT, CCDS, CCS, ACE, AHIMA-Approved ICD-10-CM/PCS Trainer Manager, Documentation Improvement and Clinical Coding Emerson Hospital in Concord, Mass., helps the new CDI specialist understand the components needed to effectively code the record, identify what he or she...

CDI programs still seem to “run the gamut” in terms of structure, productivity expectations, focus, and function, according to the recent results of an ACDIS survey featuring more than 500 responses of facilities of all sizes.

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