Health information management departments face evolving risks regarding compliance with new coding, billing, and documentation requirements related to the pandemic.
Obtaining clinical documentation that captures the patient’s SOI and ROM should be the objective of every clinical documentation integrity (CDI) program.
Electronic documentation templates are often used by clinicians for diagnostic and therapeutic services that have limited technical variability from patient to patient.
In this virtual roundtable, three HIM experts share insights gleaned from their experiences during the initial COVID-19 outbreak. The focus is on challenges and best practices in coding, clinical documentation…