Optimizing Clinical Documentation Improvement
In today’s economy, it is vital that Clinical Documentation Improvement (CDI) is operating successfully throughout your organization. The transition to the APR-DRG, MS-DRG, and ICD-10 systems makes precise, comprehensive documentation and coding even more imperative. Outpatient CDI is emerging to ensure proper hospital expense and professional services reimbursement as more physicians become employed by hospitals and as procedures, surgeries and tests are steadily moving from the inpatient setting.
But, a broad gap exists between the terminology used by clinicians and the terminology of coding and billing systems. Managing physician engagement and training can be challenging. The CDI liaison role, then, must expand to reflect the complexity of an industry increasingly focused on regulatory compliance, managed care profiles, revenue and reimbursement, and mitigation of risk. All of these factors are increasingly dependent on the integrity of complete and specific clinical documentation in the medical record.
Maximizing reimbursement under value-based payment models requires a highly precise and accurate documentation effort. Emphasizing CDI contributes to an organization’s bottom line. When done right, CDI also accurately represents the quality of the care you deliver.Download Now