What Are the Benefits of Clinical Documentation Improvement (CDI)?
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As healthcare organizations continue to utilize data that is becoming increasingly complex, it is essential that the data is captured and documented properly. Clinical documentation improvement (CDI) helps ensure that the events of the patient encounter are captured accurately and the electronic health record properly reflects the services that
were provided. Click Here to Read More
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Outpatient CDI Impacts New Payment Models
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Today I would like to focus on outpatient clinical documentation improvement (CDI), often referred to as the lowly stepchild of inpatient CDI efforts. Personally, I feel it (outpatient CDI) can take over the spotlight from inpatient CDI, as it encompasses
both... Click Here to Read More
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An E.R. Doctor on 'Surprise Billing' for Emergency Care
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As is the case with most emergency patients, Zangla chose the hospital closest to him. As is the case with every patient who presents to any Emergency Department, he received a full medical evaluation without regard to his insurance coverage. In his case, the diagnosis
was... Click Here to Read More
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CMS Releases ICD-10-PCS Changes for FY2019
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The Centers for Medicare and Medicaid Services (CMS) has released and posted the fiscal year (FY) 2019 ICD-10-PCS (procedural coding system) changes. The files contain information on the...
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CMS Issues RADV Blueprint for Handling Flawed Documentation
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Coders love rules. In risk adjustment coding, we live by the Official Guidelines for Coding and Reporting, the ICD-10-CM conventions for code lookup, and the AHA Coding Clinic for ICD-10-CM and ICD-10-PCS. Too often, though, we run into situations in which there are no rules, or when
guidance...
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