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....