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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Is There a Doctor in the House?

A physician laments that physicians were not invited to participate in the AHIMA/ACDIS CDI Practice Brief. For steadfast readers of ICD10monitor and attentive listeners to

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How ChristianaCare Improved Its PSIs

The process involves a multi-step review. Physicians take the Hippocratic Oath in medical school to “do no harm.” Despite their best intentions, however, many physicians sometimes

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Nine Elements of an Effective CDI Program

These foundational elements are essential to assure that there is a better way to improve CDI. Clinical Documentation Integrity (CDI) programs continue to evolve over

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Silos: Help or Hinder?

Do the silos in your healthcare organization need to be broken down? One of my observations almost on a daily basis is that there are

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