HCCs: The Role of CDI and Risk Scores

Predicting coding patterns using the HCC risk scores can be a valuable endeavor. EDITOR’S NOTE: Longtime RACmonitor contributing correspondent Frank Cohen, a senior healthcare analyst,

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Opportunity Abounds for CDI – So Seize the Moment!

New guidelines from the AMA provide the groundwork for physicians to follow in accurately capturing their medical decision-making (MDM), which includes their clinical judgment and

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Obstetrics CDI Will Never Be the Same

New changes are coming for reporting obstetrics. “OB (obstetrics) CDI (clinical documentation integrity) will never be the same,” according to Dr. James S. Kennedy, president

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New Workflow Manages DRG Mismatches

Workflow increases productivity, while proving itself to be successful in reconciling DRG mismatches. When asking many clinical documentation improvement specialists (CDISs) what they dislike most

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CDI and Compliance: The Offense of Being Naked

Diagnosis without supporting the judgment of the physician’s documentation is the phenomenon of nakedness. A recent Association of Clinical Documentation Integrity Specialists/American Health Information Management

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AHIMA Releases New Guidelines for Queries

The updated guidelines were developed jointly by AHIMA and ACDIS. The American Health Information Management Association (AHIMA), in collaboration with Simplify Compliance’s Association of Clinical

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