Insufficient documentation

Insufficient medical record documentation is pervasive in the medical community regardless of healthcare setting or clinician. This environment of persistent insufficiency in clinical documentation exists for a variety of reasons, a major contributing factor being the increased use of the electronic health record mandated by Medicare under meaningful use. The electronic health record’s current structure […]

By |February 15th, 2015|CDI, Documentation Effectiveness, Medical Neccessity|0 Comments

Wanna see something really cool? Check out the new CDI Journal

Article written by Melissa Varnavas Originally posted HERE

If you asked, I’d say I’m typically a modest person. I’m not exactly one to crow about my accomplishments (much). Although I’m sure my mother and my husband would argue otherwise. (I’m also not the person who’ll first admit her shortcomings but who does, really?) Today, however, […]

By |January 20th, 2015|CDI|0 Comments