Healthcare IT News: Clinical Documentation Improvement (CDI)
Clinical documentation improvement (CDI) ensures that the electronic health records correctly reflect the services provided by the hospital, and the events of the patient encounter are captured accurately. It is a process of improving medical data collection to maximize claims reimbursement revenue and enhance the quality of care.
Clinical documentation improvement (CDI) programs reassure that the medical record documentation presents an appropriate picture of the patient’s diagnoses, care provided for those conditions, and the quality of care provided, while the patient is receiving care. A clinical documentation improvement specialist is responsible for validating the overall quality of completeness of the clinical documentation for patients.
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Streamline Health CDI delivers robust technology to increase documentation quality and secure lost revenue. By supporting CDIS with automated workflows, built-in Physician Queries and integration with …
Clinical documentation integrity (CDI) programs have proven to be highly successful at ensuring patient stories are fully documented, and reimbursement is appropriate. However, when physicians need to return to a patient record to answer retrospective queries, they often see it as administrative burden that leads to even more burnout.
In this session, Kory Anderson, MD, and Kearstin Jorgenson from Intermountain Healthcare will discuss how they work with their teams to address this longstanding challenge with a transformational approach to CDI. You’ll learn how the patient-centric structure that underpins their physician-led CDI program keeps patient and physician well-being at the center of what they do. Don’t miss how the adoption of advanced AI brings physician and CDI workflows together and supports physicians at the point of care as they document in the EHR. Finally, you’ll learn about Intermountain Healthcare’s strategy for physician education and buy-in, and how the organization uses data to drive continuous improvement.
The intersection of clinical, documentation and coding processes is essential to improving patient care. Quality clinical documentation provides all members of the care team with accurate and timely coded data that reflects the scope of services provided to patients. That coded data is then translated into quality reporting, physician report cards, reimbursement, public health data, and disease tracking and trending.
Prior to CPT® and RBRVS Symposium, join us for the pre-event interactive Outpatient CDI Virtual Workshop. Whether you are new to CDI, developing an outpatient CDI program, or planning to expand an existing CDI program, this workshop is an opportunity to develop your confidence working in outpatient CDI settings. Attendees will have the option to choose between a Beginner track and an Advanced track.
Improving clinical documentation integrity (CDI) is a strategic necessity for healthcare organizations as it impacts far more than optimized claims processing: an accurate and complete clinical record supports patient care, quality outcomes, compliance, risk management, and revenue integrity. Additionally, driving clinically-focused CDI helps not only improve clinical documentation quality but also to get the complete medical picture of the patient, for better clinical outcomes.
Taking a closed-loop approach to CDI by leveraging advanced natural language understanding (NLU), healthcare organizations can effectively bridge workflow silos with shared clinical intelligence across front-end physician and back-end CDI processes. This enables them to meaningfully engage clinicians in the CDI process, prioritize and automate work for CDI specialists (CDIS), and improve overall clinical, financial, and operational outcomes.
3M offers proven, sustainable solutions for clinical documentation improvement to help hospitals better represent the patient populations they serve, improve productivity and cash flow, and streamline …
As health care continues to move toward value-based care and pay-for-performance models, the financial ramifications of performance on certain quality measures also increase. In this new environment, …
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