HCPro, JustCoding Outpatient - 2020 Issue 6 (February)
Taking your first step in outpatient CDI
February 11th, 2020
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Article Overview
This article discusses how one health system approached the first stages of outpatient clinical documentation integrity (CDI) implementation. It focuses on broad planning topics such as selecting review areas, organizing a multidisciplinary team, collecting baseline data, documenting workflows, and measuring financial impact in outpatient settings. The piece is aimed at CDI professionals, coding and revenue cycle staff, and hospital leaders evaluating outpatient CDI startup efforts.
Why This Topic Matters
Outpatient CDI is still developing, so organizations often need a practical framework to begin, track progress, and demonstrate value. This article helps readers understand the general areas involved in early outpatient CDI planning and implementation without relying on a prescriptive model.
Article Sections
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Introduction
Introduces the outpatient CDI implementation experience described in the article and the organizational context for the discussion.
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Documentation trouble spots
Reviews common outpatient documentation and status-related problem areas that can affect claims and reimbursement. The section also highlights broader areas where documentation gaps may create risk.
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Outpatient CDI staffing
Describes the multidisciplinary team approach and the kinds of roles often involved in an outpatient CDI program. It also addresses planning for accountability and ongoing program improvement.
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Implementation tools
Covers general tools and templates used to organize outpatient CDI rollout activities, gather baseline data, and support early implementation. The section emphasizes practical planning aids and tracking methods.
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Proving ROI
Explains broad approaches for estimating financial impact and monitoring results from outpatient CDI work. It focuses on high-level tracking concepts used to demonstrate program value.
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Starting point
Summarizes recommended starting considerations for outpatient CDI and the types of metrics and support tools organizations may use at launch.
What You Will Learn
- How outpatient CDI programs may be introduced in hospital settings
- What planning areas are commonly considered at the start of an outpatient CDI initiative
- Why baseline data and workflow documentation are important in early implementation
- How multidisciplinary staffing supports outpatient CDI efforts
- What types of tracking are used to evaluate program impact at a high level
Who Should Read This
- Clinical documentation integrity professionals
- Hospital revenue cycle leaders
- Outpatient coding staff
- Case management and utilization review teams
- Healthcare administrators
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