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.
With the biggest reimbursement system change for skilled nursing facilities (SNFs) in 20 years approaching, the American Health Information Management Association (AHIMA) and the American Health Care Association (AHCA) partnered up to ensure SNFs were ready.
The costs of inaccurate provider data are significant to HIM departments but difficult to quantify, and often hospitals are unaware of their data’s poor quality. Records containing errors such as wrong phone number, missing information, outdated details, and duplicate records are just a few of the accuracy problems plaguing most systems.
Home caregivers in Colorado say clinical information needed to treat the patient is frequently lacking when patients are discharged from hospitals to home healthcare, according to a recent survey.
When physicians have access to cost data and other clinical data that accompanies it, they are able to make better decisions about treatments while lowering costs for their practices and their patients, a report finds.