1103, 2015

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

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

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 […]

1103, 2015

CDI Collaborating with Physician Advisors and Case Managers

By |March 11th, 2015|CDI, Documentation Effectiveness, Medical Neccessity, Physician Engagement|0 Comments

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 […]

203, 2015

Fundamentals of Clinical Documentation-QuantiaMD

By |March 2nd, 2015|Documentation Effectiveness, Physician Engagement|0 Comments

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 […]

2602, 2015

ACDIS Radio Show Recording Available

By |February 26th, 2015|CDI, Compliance|0 Comments

The recorded version of the ACDIS Radio Show titled How CDI must adapt to healthcare reform with Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDI, CCDS, C-DAM, is now available for listening. I encourage you listen in for a relevant discussion on how and why the profession of CDI must embrace change in […]

2602, 2015

Measuring Value in the Healthcare Equation

By |February 26th, 2015|Documentation Effectiveness|0 Comments

Measuring value in the health care value based performance based delivery model?

CMS on January 26th announced its intention to speed up the transition away from a strict Fee-for-Service reimbursement model to one that incorporates increasing measures of value and quality. The Health and Human Services agency announced the setting of a goal tying 30 percent […]

2302, 2015

Physician Engagement-It is all about the message

By |February 23rd, 2015|Physician Engagement|0 Comments

Lack of physician engagement in clinical documentation improvement initiatives is not surprising for a variety of reasons. The main reason for this lack of physician engagement relates to the message being delivered to the physician as part of the clinical documentation improvement by the clinical documentation improvement specialists.

Clinical documentation improvement specialists (CDIS) are charged with […]

2302, 2015

Physician Engagement

By |February 23rd, 2015|CDI, Physician Engagement|0 Comments

The Association for Clinical Documentation Improvement recently hosted a radio show called the ACDIS Radio Show and the piece was titled “How CDI Must Adapt to Healthcare Reform.” You can listen in to a taped recording of the Radio Show in the near future by clicking on the following link

The radio show started with a […]

2302, 2015

ICD-10 Awareness

By |February 23rd, 2015|ICD-10|0 Comments

CMS recently released a social media recording designed to create a general awareness and understanding of ICD-10.

Despite the many service offerings available that purport to provide ICD-10 training, the fact of the matter is that the most effective means of training and preparing for ICD-10 is to engage in the discipline of self-learning. These courses […]

1702, 2015

Quality Health Based Care

By |February 17th, 2015|Documentation Effectiveness|0 Comments

This article titled Quality-based health care is based on false assumptions that appeared in the web e-mail brings up several interesting points including the fact that physicians do not possess total control over quality and patients are not one hundred percent compliant.

The following statement really caught my attention: “Failure to recognize the difference between […]

1602, 2015

House Members Mull October ICD-10 Launch at Hearing

By |February 16th, 2015|ICD-10|0 Comments

Joyce Frieden, News Editor, MedPage Today , February 13, 2015
Members of a House subcommittee seem to be leaning toward making sure the current Oct. 1 deadline sticks. From MedPage Today.
The U.S. implementation of the ICD-10 diagnosis coding system has been delayed several times, but members of a House subcommittee seemed to be leaning Wednesday toward […]