Tuesday, August 5, 2014

Clinical Documentation Improvement (CDI)




Clinical Documentation Improvement: Quality Measures and Documentation Standards

 

Overview

As the demand for accurate and timely clinical documentation increases, AccuChecker OnLine is providing skills and expertise to improve documentation. Because clinical documentation is at the core of every patient encounter, in order to be meaningful it must be accurate, timely, and reflect the scope of services provided. Successful CDI programs facilitate the accurate representation of a patient’s clinical status that translates into coded data. Coded data is then translated into quality report cards, physician report cards, reimbursement, public health data, and disease tracking and trending. HIM professionals provide two key roles within a CDI program as a clinical documentation improvement specialist and coding professional. By working together, AccuChecker OnLine can support their organizations efforts to collect and provide meaningful information throughout the continuum of care.

 

CDI will affect documentation necessary to meet industry standards, as well as report cards.

 

Ø  Identify how documentation affects quality measure reporting

Ø  Differentiate various organizations' documentation standards

Ø  Examine how coded data affects quality outcome report cards

Ø  Examine best practices in ensuring data quality in electronic environment

 

 

 

For more details call : 305-227-2383  or 1-877-938-9311

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