This paper is the first in a series on risk-based CDI. As the use of risk adjustment in healthcare expands, so too does the reach of CDI professionals in capturing the patient’s story, including level of risk related to demographic factors, comorbidities, and health history. This series will...
In the early days of the clinical documentation integrity (CDI) industry, the focus was overwhelmingly financial in nature. CDI professionals reviewed records focused simply on capturing comorbid complicating conditions (CC) and major CCs (MCC) for accurate code assignment and reimbursement....
Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to...Read More »
Today’s guests are John Blevins, vice president of strategic business development for Health Fidelity in San Mateo, California, and James P. Fee, MD, CCS, CCDS, ...
The role of CDI in quality management programs is often overlooked, but unquestionably crucial to accurately reflecting a patient’s severity of...Read More »
Thirty-three percent of hospital executives said their organization’s average rate of denials is in the “danger zone” (i.e., more than 10% of all...Read More »
