Implementation of Clinical Documentation Improvement Programs in the hospital setting has grown exponentially over the last few years as a key financial strategy to address and meet the tough economic ...

Clinical documentation improvement programs have existed for more than ten years, however as the overall healthcare delivery and reimbursement models continue to change, the CDI profession and ...

I’ve been writing recently about the financial well-being of rural and critical access hospitals: about their struggling to stay in business and how establishing a clinical documentation improvement ...

As healthcare organizations expand outpatient services and transition to accountable care organizations (ACOs), outpatient documentation has become more complex and critical to the bottom line. To ...

It’s a phrase that we all hear, and repeat, regularly, but it may be no truer than at rural and critical access hospitals. In these environments, the health information management (HIM) person may do ...

DRG (diagnosis-related groups) validation issues have been the main target of RACs (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned ...

Clinical Documentation Integrity (CDI) has traditionally been seen as a necessary cost for compliance and reimbursement. However, outdated approaches leave revenue on the table. What’s necessary in ...