BC Advantage - 2018 Issue 7

CDI Facilitators in Communication of Patient Care

The heritage of clinical documentation improvement (CDI) initiatives in its current form officially began nearly ten years ago as an organized attempt to ensure optimal hospital reimbursement. Since this time, the profession has evolved to incorporate a multitude of aspects of documentation, including capture, reflection, and reporting of Patient Safety Indicator measures, CMS core measures, Hospital Acquired Conditions, CC/MCCs, and principal diagnosis specificity to name just a few. Software that enhances efficiency and effectiveness of CDI chart review through "identification" of cases with the most opportunity for documentation improvement, i.e., reimbursement improvement, and computer assisted coding have...

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