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CDI is a complex undertaking, and no two CDI programs are the same. As CDI leaders continue to adopt Computer-Assisted Physician Documentation in order to address documentation integrity proactively, it's important for them to understand compliant practices for implementing this valuable...

Building an OP CDI Program: Where Do You Start?
Tamara A. Hicks, RN, MHA, ACM-RN, CCS, CCDS, CCDS-O, director of clinical documentation excellence at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina, plus Sandra Love, RN, CCDS, CCDS-O, CPC, senior...

Annual Wellness Visits: Creating a Process Using CDI Specialists
Tamara A. Hicks, RN, MHA, ACM-RN, CCS, CCDS, CCDS-O, director of clinical documentation excellence at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina, plus Sandra Love, RN, CCDS, CCDS-O...

Why Risk It All? Creating a Multidisciplinary Ambulatory CDI Program for a Fee-for-Service-Driven Academic Medical Center
Sarah Kirchofer, MS, NP-C, NE-BC, primary care nurse director and board-certified nurse practitioner at Brigham and Women’s Hospital in Boston,...

Alternative Payment Models: Oncology and CDI
Beth Wolf, MD, CPC, CCDS, medical director of HIM at Roper St. Francis Healthcare in Charleston, South Carolina
The Oncology Care Model, a five-year project (2016–2021) initiated by CMS, aimed to reduce the cost of...

Solid Documentation for Medical Decision Making in E/M: Ensure Your Providers Get a GOLD Medal and Not a “Participation” Trophy
Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, director of HIM and coding at HCPro in Middleton, Massachusetts....

Capturing Severity in the Outpatient Setting
Susan Egan, CPC, CPMA, CRC, CEDC, associate director, Jessica M. Thurman, PA-C, MBA, MSPA, associate director of healthcare revenue cycle management-CDI, and April Vogel, RHIA, CHC, managing consultant, healthcare, at...

HCCs, Queries, and the Meteoric Rise of Telemedicine Encounters
Mary Rogers, CCDS-O, CCS, CPC, COC, CRC, supervisor of CDI–professional practices, and Patricia Swierczynski, RN, CCDS, CRC, CCDS-O, manager, CDI department at Cooper University Health Care in Camden, New...

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