Clinical validation starts with physician education

May 26th, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses how CDI teams approach clinical validation, including review workflows, query template development, physician engagement, tracking efforts, and education strategies. It is relevant to CDI specialists, coding professionals, physician advisors, and compliance teams interested in strengthening documentation review processes and managing denials-related concerns. The piece also references broader guidance from coding and compliance sources that shape how clinical validation is handled.

Why This Topic Matters

Clinical validation affects documentation quality, query practices, and downstream denial management, so understanding the article can help teams align CDI, coding, and physician education efforts.

Article Sections

  1. Processes and templates

    Discusses general approaches to clinical validation review workflow and the development of query templates. It also touches on organizational alignment and compliance review of templates.

  2. Top queried diagnoses

    Covers the categories of diagnoses that commonly prompt clinical validation queries and the role of physician education in supporting documentation practices.

  3. Tracking, physician engagement

    Explores how facilities monitor education and documentation-related trends, along with physician response, engagement strategies, and leadership support.

  4. The future of clinical validation

    Reviews forward-looking process improvements, coordination with coding teams, and staff education efforts related to clinical validation.

What You Will Learn

  • How CDI teams structure clinical validation workflows
  • How query templates may be developed and maintained
  • Why physician education is emphasized in clinical validation efforts
  • How organizations track documentation trends and engagement
  • How coding and CDI processes may be coordinated around validation concerns

Who Should Read This

  • Clinical documentation integrity professionals
  • Coding professionals
  • Physician advisors
  • Compliance teams
  • Health information management leaders

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