Clinical documentation improvement (CDI) consultant and HIM educator Lisa Campbell, PhD, CDIP, CCS, CCS-P, started working with one of her most important clients after the CEO of a Midwestern medical group noticed her studying an AHIMA CDI textbook while she was getting some work done at her local Starbucks. The CEO sitting near her asked her what CDI was. When she explained how it works he said, “We need you.”
One of the biggest challenges in getting a clinical documentation improvement program off the ground is getting engagement with—and the attention of—physicians.
The 140 CDI Summit attendees were treated to an inspiring mix of approaches to getting organization-wide acceptance of CDI during a panel discussion at Thursday morning’s opening session–from more traditional approaches to physicians on a CDI mission.
According to the Institute of Medicine (IOM), fraud and abuse in healthcare contribute to as much as $75 billion in costs each year. In fact the Centers for Medicare and Medicaid Services (CMS) estimates that fraud and abuse add up to 10 percent to the total expense of a Medicare claim. That amount would fund NASA’s budget for 15 years.
Moderator Jennifer Covich Bordenick, chief executive officer, eHealth Initiative discussed ongoing efforts to combat fraud and abuse with an esteemed panel including Michael Nelson, vice president of strategy and business development, Equifax identity and Fraud Solutions; John Benson, chief operating officer and co-founder, Verisys; Gerald Cliff, research director, National White Collar Crime Center; Melanie Endicott, senior director of HIM practice excellence, AHIMA; and Mark Isbitt, director of market planning, LexisNexis. The panel met and discussed during today’s session of the CDI Summit held in Washington, DC.
In this companion piece to her presentation at this year’s CDI Summit, Melanie Endicott, MBA/HCM, RHIA, CDIP, CCS, CCS-P, FAHIMA, senior director, coding and CDI products development at AHIMA, discusses the ever-changing role of the clinical documentation improvement professional, from difference settings and demands to strategies for keeping ahead of the curve.