Opioid addiction has been declared a public health emergency in the United States. It is vital that organizations and providers provide high quality clinical documentation, to guarantee the data which drives research and education on this topic is based on the correct information.
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.
Whenever debates about paper records versus EHRs erupt, parties on both sides of the issue inevitably cite data accuracy and readability as concerns for both formats.
Utah Health’s Michelle Knuckles and Nancy Treacy described the process of evaluating the quality and consistency of CDI queries to ensure they were written appropriately in their Sunday Clinical Coding Meeting session “Queries: To Audit or Not to Audit… That Is the Question!”
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?