Ethical and compliant physician queries is the heart of clinical documentation improvement, and William Haik, MD, FACCP, CDIP, director of DRG Review, is concerned about an emerging ethical issue in the profession.
Clinical documentation improvement is a provider’s best defense against payment denials, audits, and preserving revenue integrity—which is why the people sitting in the C-suite should know what it is and prioritize it.
The Centers for Medicare and Medicaid Services (CMS) goal of tying 90 percent of reimbursement to quality improvement programs by 2018 means clinical documentation improvement (CDI) initiatives are going to be central to helping organizations succeed in the alphabet soup of reforms. In the keynote presentation titled “Understanding the Continued Evolution of CDI” during the second day of AHIMA’s Clinical Documentation Improvement Summit, Cheryl Ericson, MS, RN, CCDS, CDIP, from DHG Healthcare, said providers need CDI to “keep up with the Joneses” due to this change in reimbursement.
The role of safety net hospitals is vital—they provide hundreds of millions of dollars worth of uncompensated care for individuals who need it the most but cannot pay. That means that care delivery and the documentation of that care must be conducted with the utmost efficiency.
Now that the smoke has cleared from the transition to ICD-10-CM/PCS, the healthcare industry is taking stock of how the transition changed the industry landscape. In remarks delivered Tuesday at AHIMA’s CDI Summit, Pamela Hess, MA, RHIA, CCS, CDIP, CPC, with himagine solutions, noted in her presentation “The Case for CDI Solutions in a Post ICD-10 Environment,” that healthcare executives are now more interested in healthcare data than ever before.
Robert Anthony, director of the quality measurement and value-based incentives group in the Center for Clinic Standards and Quality at the Centers for Medicare and Medicaid Services (CMS), delivered Monday morning’s opening keynote presentation, “The Medicare Access & CHIP Reauthorization Act (MACRA) of 2015—Path to Value” at AHIMA’s CDI Summit.