Many coders struggle with coding spinal fusion procedures. First, the terminology can be confusing.
Tag: clinical documentation improvement
When a CDI audit is in a facility’s future, several factors should be considered for a smooth and successful outcome.
Once a CDI professional’s clinical skills are at an expert level, their coding expertise must follow suit.
The significant role CDI plays in healthcare has become apparent with the transition from the inpatient to the outpatient environment and from a financial to a quality focus.
When first starting an Outpatient Clinical Documentation Improvement (CDI) program, it’s important to identify which departments you will need to interact with and who will be impacted through the CDI process.
As its importance was realized, CDI expanded from a single setting reimbursement focus to a quality based, multiple setting focus…
Clinical Documentation Specialists (CDSs) practice great communication skills by using their extensive experience, expertise, and share their knowledge, which by the way, includes the Two Midnight Rule.
One of the major steps in ensuring that your CDI Professionals are performing optimallyis to provide an atmosphere for learning that is both encouraging and up to date.
In today’s value-based landscape, transparency has become the norm and the rightful focus is on the patient.