Moving Beyond Diagnosis Codes in CDI: Documentation Improvement for CPT
Jun28

Moving Beyond Diagnosis Codes in CDI: Documentation Improvement for CPT

Just as ICD-10-CM codes are used to translate clinical diagnoses into codified language, CPT codes identify diagnostic and therapeutic procedures and services using a systematic five-digit code.

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Much Ado About Query Rate
May23

Much Ado About Query Rate

While the use of queries is an essential tool in a CDI program, it is possible for an undue emphasis on “query rate” to lead to misuse of this important tool.

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In Outpatient CDI, Timing is Everything
Apr25

In Outpatient CDI, Timing is Everything

This article will discuss three different timing approaches that can be used in outpatient CDI programs with an emphasis on prospective reviews.

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Proper Documentation is Critical to Our Modern Healthcare System
Mar29

Proper Documentation is Critical to Our Modern Healthcare System

Is documentation improvement and proper use of ICD-10-CM critical to the nation’s healthcare debate? I say definitively yes, in every way.

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CDI and Quality Initiatives
Feb27

CDI and Quality Initiatives

Healthcare providers in all patient care settings are faced with a variety of reimbursement methodologies and many are associated with a quality element.

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Myth Busted: Maximizing APR-DRG Risk Staves Off Performance Penalties
Jan30

Myth Busted: Maximizing APR-DRG Risk Staves Off Performance Penalties

Performance is measured within the population, not just the outcome of interest, and APR-DRG is missing the mark.

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