FPDI Executive Director Glenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI

Prior to becoming the Executive Director for the Foundation for Physician Documentation Integrity (FPDI), Glenn Krauss spent more than 20 years as a professional in the Health Information Management field holding staff and consulting positions in numerous healthcare systems, including Revenue Systems Manager, Director of Case Management and Revenue Enhancement, Director of Health Information Management, and Data Quality Manager.

He developed a true passion for improving clinical documentation in all settings of the healthcare delivery system. His decades of experience and working with physicians to improve their understanding of critical points of clinical documentation led him to a deep appreciation of what is necessary and appropriate to accurately and effectively capture the physician’s clinical judgment, medical decision making and thought processes.

Speaking, educating and working one-on-one with thousands of physicians facing the challenges of electronic documentation systems dependent on templates and canned text—as well as Clinical Documentation Improvement (CDI) programs more focused on revenue than quality—Glenn developed a growing distaste and distrust for systems and programs that failed to understand that appropriate and full reimbursement comes most reliably from the same quality documentation focus that drives the best patient care… that you best support compliance, coding and outcomes by better supporting physicians in documenting what occurred and what they were thinking during the patient encounter.

Glenn has previously served on the Advisory Board of the Association for Clinical Documentation Improvement Specialists, as well as the Advisory Board for Advance for Health Information Management. He also has conducted numerous speaking engagements at different professional association meetings such as national and state level HFMA and AAHAM, Association for Clinical Documentation Improvement Specialists, Healthcare Compliance Association, Association for Integrity of Healthcare Documentation and teleconferences and webinars that include AHIMA, Lorman Educational Services, HCPRO, Advance Publications, and Health Care Compliance Strategies.

Glenn has also written extensively on subject matter content of clinical documentation improvement, appropriate and proper use of the electronic health record for medical necessity and quality of care reporting, medical necessity and clinical accuracy in coding for healthcare publications including HCPRO, Health Leaders, Physician News, Report on Medicare Compliance, Becker’s Healthcare News and Physician News He has authored two reference books published by HCPRO, one titled “The Documentation Improvement Guide to Physician E & M”, and another titled “The Clinical Documentation Improvement Specialist’s Guide to ICD-10”. He is presently working on a third publication titled “The Role of the Clinical Documentation Improvement Specialists in Denials Avoidance – Best Practice Strategy for Effective Revenue Cycle Processes”.

Glenn’s areas of expertise include coding; clinical documentation Improvement; physician medical necessity education; MS-DRGs/ ICD-9-CM/; APCs and CPT-4 coding. He also has extensive experience in teaching physiology, surgical procedures and the rationale of therapeutic treatments with ICD-9 and CPT coding. His ability to help others conceptualize such complex medical, billing and clinical documentation issues have proved successful in both quality issues as well as reimbursement.