HCPro, JustCoding Inpatient - 2015 Issue 10 (March)
CDI specialists play vital role in capturing pay-for-performance measures
March 11th, 2015
Subscribe or sign in to view the full article.
Article Overview
This article is about the role of clinical documentation improvement in CMS pay-for-performance reporting. It discusses PSI 90, the hospital quality programs that use it, and the types of documentation, coding, and EHR-related considerations that affect claims-based quality measurement. It is relevant to CDI specialists, inpatient coders, quality departments, and hospital leaders involved in quality reporting and documentation improvement.
Why This Topic Matters
Accurate documentation and code capture can affect how hospitals perform in claims-based quality programs and how they are evaluated for hospital quality reporting. The article helps readers understand the broader operational importance of CDI within CMS measurement programs and EHR-supported documentation workflows.
Article Sections
-
CDI role
Introduces why CDI teams need to understand CMS pay-for-performance measures and how documentation quality affects claims-based reporting. It frames the article’s focus on hospital quality measurement and CDI involvement.
-
Introduction to PSI 90
Summarizes PSI 90, the organizations and programs associated with it, and the hospital reporting context in which it is used. It also outlines the broader structure of the composite measure.
-
Get engaged in PSI 90 data quality improvement
Describes high-level CDI and quality department collaboration steps for improving reporting performance. The section emphasizes organizational engagement and documentation improvement planning.
-
Identify PSI coding and documentation vulnerabilities
Explains the major measure concepts used to evaluate PSI-related coding and documentation, including measure inputs and risk adjustment. It focuses on how CDI teams review vulnerability areas across the measure structure.
-
Leverage your EHR to improve documentation capture
Discusses how EHR workflows can support more consistent capture of clinically important information for quality reporting. It highlights coordination among CDI, clinical, and IT stakeholders.
-
Coming up
Provides a brief preview of the next article in the series and the general topic areas it will address. It also indicates that the discussion will continue with additional PSI-related guidance.
What You Will Learn
- How CDI teams contribute to CMS quality reporting and claims-based measurement
- What PSI 90 is and how it fits into hospital quality programs
- How documentation and coding workflows can influence data quality for PSI-related reporting
- How hospitals can think about measure structure, documentation capture, and EHR support in a quality-improvement context
- Why collaboration between CDI, quality, clinical staff, and IT matters for reporting accuracy
Who Should Read This
- Clinical documentation improvement specialists
- Inpatient coders
- Hospital quality staff
- Revenue cycle and compliance teams
- Health information management professionals
- Clinical leaders involved in documentation workflows
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com