BC Advantage - 2019 Issue 1

Clinical Documentation Improvement A Fresh Perspective

Clinical documentation improvement programs have evolved over the past ten years with market penetration in most healthcare facilities as hospitals, recognizing and treating these initiatives primarily as revenue enhancement tools. The latest trend in clinical documentation improvement is within the outpatient setting, attempting to emulate and duplicate efforts in the inpatient setting using capture of HCC conditions as an outpatient version of inpatient CC/MCCs for purposes of reimbursement enhancement. While I fully support hospitals and health systems realizing and achieving optimal reimbursement for quality focused patient centered cost-effective care, I have always had significant reservations with CDI program's...

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