Performance is measured within the population, not just the outcome of interest, and APR-DRG is missing the mark.
CDI has become a hot topic over the years, with widespread interest and debate regarding who qualifies to be a CDI professional. The fact that there is little specialized academic education or curriculum for CDI only intensifies the debate.
When I heard the term “CDI” in one of my class lectures, I wanted to learn more about what the term meant. In my research, I realized I knew a lot more about clinical documentation improvement then I originally thought.
The importance of high quality documentation has come to the attention of denials management teams. For this reason, organizations are beginning to incorporate CDI professionals into the denials process.
Does your CDI team perform second level reviews? How are they perceived by the team? Are they regarded as a burden or is their educational value readily recognized? Where do these reviews fall within your team’s productivity?
One Midwest health system recently concluded a pilot program to ascertain the impact of a 100 percent all-payer CDI program. The goal of the pilot was to prove to senior leadership, through metrics, that funding the program would position the organization for value-based reimbursement.