Monthly Archives: March 2015

How Effective is Your CDI Program

The term “Clinical Documentation Improvement” is synonymous with impacting case mix index and CC/MCC capture clinical specificity. ¬†Does Clinical Documentation Improvement equate to achievement of effective clinical documentation. Are the terms synonymous, mutually exclusive or synergistic in nature?

Clinical documentation improvement specialists should be striving to achieve in each and every chart we review complete, accurate […]

By |March 17th, 2015|CDI, Medical Neccessity|0 Comments

Effective ICD-10 Physician Training-How Do You Define?

ICD-10 Training and Preparation- The Success Factor

The delay in implementation of the ICD-10 classification system is not likely to continue in 2015 with many associations including AHIMA and nearly 100 other physician driven associations offering their support of ICD-10 this time around. Forward thinking providers are beginning to ramp up their preparation and training plans […]

By |March 12th, 2015|Uncategorized|0 Comments

Eight Principles of Effective Clinical Documentation-Getting Back to the Basics

At a recent conference I attended in Birmingham,AL where I was hosting an open door discussion on Clinical Documentation Best Practices, I posed the question to a group of physicians what constitutes complete, accurate and effective clinical documentation. This opened up a lively discussion that started with there is no such thing as effective clinical […]

By |March 11th, 2015|Uncategorized|0 Comments

CDI Collaborating with Physician Advisors and Case Managers

Healthcare delivery is a challenging environment with an unlimited number of competing forces working against providers. A major challenge of all providers is insuring an efficient and effective revenue cycle process that incorporates a strong clinical documentation, coding and billing process that can withstand the pressures of third party payers relentlessly second guessing the clinical […]

Fundamentals of Clinical Documentation-QuantiaMD

Check out a new knowledge sharing video from QuantiaMD titled Fundamentals of Effective Clinical Documentation. This is a 10 minute presentation that discusses in no nonsense right to the point fashion the key elements of clinical documentation that provide for an effective, accurate and complete note.

Click below for access to the informative presentation

If you are […]