Clinical Documentation Improvement and Denial Prevention (Part 1)

Healthcare leaders have found many benefits in moving CDI professionals away from the traditional MS-DRG review model. Expansion into areas such as APR-DRG review, office based practices and quality incentives have been successful. However, only slightly more than 50%...

Does SIRS Plus Infection Still Equal Sepsis?

Sepsis has been a hot topic for CDI specialists for years. Severe sepsis and septic shock bundles are being tracked and measured as part of the Inpatient Quality Reporting (IQR) program mandated by CMS. Therefore, the need for a clear identifications of these...

Visibility and CDI Program Success

Clinical documentation improvement efforts have expanded well beyond the initial CMI index focus. Clear and concise documentation also ensures optimal severity of illness (SOI), risk of mortality (ROM), and can assist in several CMS quality programs. But how...