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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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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