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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