This position paper provides an overview of the clinical documentation improvement (CDI) profession past to present. It explains what CDI professionals do and how their efforts are traditionally measured. It then describes how the CDI profession is evolving to meet the changing demands of...

James P. Fee, MD, CCS, CCDS

This presentation demonstrated the course of the CDI profession in tackling quality, risk adjustment, and utilization. Through a mosaic of case study examples, attendees  learned how CDI contributes to improving the “Triple Aim” of advancing healthcare...

Vaughn M. Matacale, MD

If attendees were questioning if, why, or how clinical validation should be done, they joined this session’s speaker to explore current views by reviewing published guidance and exploring potential methods to organize and formalize a clinical validation...

Kimberly Charles, CPC, CPCO, CPMA, CEMC

During this presentation, participants learned how to identify the overarching criteria for physician evaluation and management (E/M) services coding. Attendees reviewed guidelines for addressing the chief complaint, medical decision-making...

Lee Anne Landon, BSN, RN, CCMC, CCDS, & Mary Elizabeth (M.E.) VanGelder, MREd, BSN, RN, CCDS

Attendees gained an understanding of the need for a CDI educator within the organizational structure as a critical element of overall program growth and how to make the business case...

Amy Sanderson, MD, Corinna McFarland, MBA, & Howard Rodenberg, MD, MPH, CCDS

Sanderson and McFarland highlighted research projects undertaken by every member of the CDI team at their institution. Attendees heard concrete steps on how to take their department in this exciting...

Barbi Kantner, RN, CCDS, & Lori LaFaver, RN, BSN, CCDS

This presentation reviewed lessons learned for concurrent CDI reviews of the emergency department, including ideas for how to engage resistant providers and engaging the coding team in the process.

Brian Ice, RHIT, & Linda Danhires, BSN, CCDS, COC

Attendees were able to understand how to prove the relevancy of CDI through leveraging data, chart reviews, physician-to-physician training, and physician champions. Attendees were guided through a sample action plan for...

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