59 results.
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Assessing and Improving EHR Data Quality: Model for Implementing an EHR Documentation Improvement Process
Author: AHIMA e-HIM Work Group on Assessing and Improving Healthcare Data Quality in the EHR
Source: Journal of AHIMA
Publication Date: March 2007
Improving data quality in an electronic healthcare environment requires a greater focus on standardized documentation procedures. With an EHR, the need to evaluate and improve healthcare data quality through concurrent assessment, data collection monitoring, and ongoing process improvement requ....
Bird’s Eye View of ICD-10 Documentation Gaps: Vendor analysis offers big picture look at nationwide documentation holes—and how to fill them
Author: Hinkle-Azzara, Barbara; Carr, Kimberly J
Source: Journal of AHIMA
Publication Date: June 2014
Increased clinical specificity is one of the greatest advantages of moving to ICD-10-CM/PCS. With specificity comes the ability to perform granular research that can help uncover significant trends and statistics to identify causes of diseases, links between diseases, and more. While heal....
Breaking Free of Copy/Paste: OIG Work Plan Cracks Down on Risky Documentation Habit
Author: Robb, Deborah; Owens, Lori
Source: Journal of AHIMA
Publication Date: March 2013
According to the Centers for Medicare and Medicaid Services, evaluation and management (E/M) services accounted for $28 billion in Medicare Part B payments during a one-year period.1 And of these, 8.4 percent were billed at the wrong level-either too high or too low. Chasing these potentia....
CDI: A Cog in the Wheel of Information Governance
Author: Downing, Katherine
Source: Journal of AHIMA
Publication Date: July 2016
Information governance (IG) is an emerging discipline in healthcare that focuses on how an organization ensures information is complete, accurate, trustworthy, and usable. The goal of information governance is to enable organizations to utilize a valuable strategic asset—information&....
CDI and Hospital Performance Rankings - Where Are Your Best Opportunities for Improvement?
Author: Belley, Susan; Garrison, Garri L.
Source: AHIMA Convention
Publication Date: September 28, 2010
Changes in reimbursement formulas, federal and state payment reforms, and other quality initiatives are challenging the way hospitals document the patient episode. Accurate capture of patient severity and post-admission complications in physician documentation not only affects payment, but al....
CDI is Expanding as Need for Quality Documentation Grows
Author: Combs, Tammy
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: June 23, 2016
Clinical documentation improvement (CDI) programs are quickly emerging in various areas of the healthcare arena. We now see these programs specializing both prior to and beyond the acute hospital admission. Just as healthcare doesn’t stop when a patient is discharged, health problems begin....
CDI Programs Used to Improve Quality Reporting Accuracy
Author: Chtourou, Helen
Source: Journal of AHIMA
Publication Date: July 2013
A key focus of clinical documentation improvement (CDI) programs is to identify deficiencies in clinical documentation and develop methods to ensure the complete and accurate capture of a patient’s clinical encounter. Healthcare records that are inaccurate or incomplete will compromi....
CDI's Promise and Possibilities
Author: Gordon, Lynne Thomas
Source: Journal of AHIMA
Publication Date: July 2014
“The first job of a leader—at work or at home—is to inspire trust. It’s to bring out the best in people by entrusting them with meaningful stewardships, and to create an environment in which high-trust interaction inspires creativity and possibility.”
CDI Tips Developed to Maximize ICD-10-CM/PCS
Author: Bryant, Gloryanne H.; Haik, William E; Hillstrom, Heidi
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: January 2015
Clinical documentation improvement (CDI) efforts have become a mainstay within hospitals, outpatient care facilities, physician practices, and post-acute care settings. CDI programs have a far-reaching impact on today’s data-centric healthcare system. When the appropriate level of detail....
Clinical Documentation for Value-based Reimbursement: Why It Takes a Village to Ensure Success
Author: Fee, James P; Clesi, Wendy
Source: Journal of AHIMA
Publication Date: July 2016
Like it or not, the transition to value-based healthcare is well underway. In January 2015, the Department of Health and Human Services (HHS) announced its Better, Smarter, Healthier campaign with clear goals and a timeline for shifting Medicare reimbursement from volume to value. Through....
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