HCPro, JustCoding Inpatient - 2016 Issue 19 (May)
Q&A: Reviewing a medical record
May 17th, 2016
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Article Overview
This article discusses how multiple hospital documentation review roles can overlap and how organizations may think about coordinating those workflows. It is written for coding, CDI, and utilization review professionals who want a high-level overview of current review processes, including technology-supported documentation review and the relationship between concurrent review activities.
Why This Topic Matters
Hospitals and revenue cycle teams need efficient ways to coordinate documentation review so that clinical, compliance, and coding functions do not duplicate effort. Understanding the broader workflow context can help readers evaluate how CDI, utilization review, and coding responsibilities interact in practice.
What You Will Learn
- How documentation review responsibilities may be distributed across hospital teams
- How CDI, utilization review, and coding can overlap in workflow
- How technology may affect concurrent documentation review processes
- Why hospitals may examine collaboration and process integration across review functions
Who Should Read This
- Medical coders
- Clinical documentation integrity specialists
- Utilization review staff
- Revenue cycle and health information management professionals
- Hospital compliance and operations teams
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