2505, 2015

CDI- Time to Revisit, Revise, Revamp & Reengineer

By |May 25th, 2015|CDI, Compliance, Documentation Effectiveness, Medical Neccessity|0 Comments

Now that ACDIS Annual National Conference has concluded, this is an excellent time to revisit and potentially revise and revamp our current clinical documentation improvement initiatives. Clinical documentation improvement, while considered a service business, is quite similar to most other product lines in the sense of finite and distinct end point life cycles. Take automobile […]

2304, 2015

EHR Fraud- A Slippery Slope

By |April 23rd, 2015|Compliance, Documentation Effectiveness|0 Comments

An article in the Fierce EMR daily newsletter titled EHR Fraud: A Slippery Slope caught my attention, not because electronic health records have the potential to perpetuate fraud, but for the fact EHRs potentially promote abusive coding and billing Consider the templates and “ease of use” structured drop down menus, not to mention wide spread, […]

2304, 2015

Harnessing the power of the discharge summary –

By |April 23rd, 2015|Uncategorized|0 Comments

Harnessing the power of the discharge summary –

2304, 2015

Ensuring clear and concise documentation critical for case managers –

By |April 23rd, 2015|CDI, Compliance, Documentation Effectiveness|0 Comments

Ensuring clear and concise documentation critical for case managers –

2304, 2015

CDI and Medicine- A Synergistic Approach

By |April 23rd, 2015|CDI, Documentation Effectiveness|0 Comments

The second of a series on CDI for physicians titled CDI and Medicine- A Synergistic Approach is available on the QuantiaMD website.   Clinical documentation improvement is not only of material benefit to the hospital, there is tremendous value to the physician as well as patient in adhering to best practice standards of effective […]

2304, 2015

CDI-Scratching the Surface

By |April 23rd, 2015|CDI, Documentation Effectiveness, Medical Neccessity, Physician Engagement|0 Comments


CDI-Tremendous Unrealized Potential

Clinical documentation improvement programs can potentially serve a wide array of beneficiary purposes besides improving revenue capture and optimization if offered the opportunity. Present initiatives at documentation specificity, while inarguably important and valid under ICD-10 processes, are primary limited to basically scratching the surface when compared to the tremendous unrealized potential  we as […]

1204, 2015

Clinical Documentation Bundles-Moving in the Right Direction

By |April 12th, 2015|CDI, Documentation Effectiveness, Medical Neccessity|0 Comments

Clinical Bundles

Bundles of care exist for serious disease processes with tendencies toward greater mortality rates such as sepsis. These bundles consists of standard checklists of care interventions that have demonstrated increased efficacy in overall treatments that are cost effective, efficient,  drive notable decreases in morbidity and mortality while improving the cost and value equation of […]

104, 2015

Strategy and Innovation in CDI-It is More than Problem Solving

By |April 1st, 2015|CDI, Documentation Effectiveness|0 Comments

My recent blog posts on clinical documentation improvement programs have outlined the real limitations of present CDI initiatives, serving as significant barriers to achieving optimal potential. I had the opportunity to review an established CDI program for purposes of identifying potential areas ripe for process improvement and/or expanding of CDI staff present core competencies and […]

1703, 2015

How Effective is Your CDI Program

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

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 […]

1203, 2015

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

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

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 […]