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Each stage of the CDI documentation integrity process represents an opportunity for additional leakage of accurate and appropriate documentation, resulting in inaccurate coding of conditions being monitored and treated during the patient's encounter. This results in inappropriate reimbursement...

This sample CDI specialist qualitative assessment was provided by Deanne Wilk, BSN, RN, CCDS, CCS, CDI manager at Penn State Health in Hershey, Pennsylvania.

This sample has been reviewed and approved

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