CDI - ICD10monitor

We often overlook the human component of metrics within our profession. I recently received some feedback on an article I wrote about the metrics used to measure clinical documentation improvement (CDI) performance. It reminded me that we often overlook the human component of metrics within our profession, especially when CDI…
Compliance is a big part of the risk adjustment HCC. Everyone is welcoming the New Year, and I am among them. This is a good time to take a look at some basics that make up the Medicare Advantage (MA) Risk Adjustment (RA) and Hierarchical Condition Category (HCC) model. Those…
The principles focus on continuous improvement. There have been numerous articles and other materials written promoting the material benefits of implementing some if not all of Toyota’s 14 principles, first outlined by the auto manufacturer in The Toyota Way, published in 2001. These principles have been referred to as “a…
December 15, 2020

CDI: Asset or Liability?

To think that queries and increased case mix index (CMI) is the end-all and be-all of CDI is a fallacy. In a recent conversation with a chief financial officer of a medium-sized hospital where a clinical documentation integrity (CDI) program was well-established, I raised the question of whether a CDI…
EDITOR’S NOTE: This is the first installment of a four-part series that explores the past, present and future of clinical documentation integrity (CDI). To understand where we are as a clinical documentation integrity (CDI) profession, it is important to understand how and why the profession began.  In the following months,…
The CDI profession has failed to effectively articulate its value in the revenue cycle. An American Hospital Association (AHA) report released June 30 finds that the financial strain facing hospitals and health systems due to COVID-19 will continue through at least the end of 2020, with total losses expected to be at…
One billion dollars is a big number, but more astounding to me, as it pertains to a recent finding by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG), was that hospitals were found to have incorrectly documented and/or coded severe malnutrition 86.5 percent of…
Capturing the complexity of care with CDI will be more important than ever. The COVID-19 pandemic is “hot-spotting” in places like New York City, New Orleans, and Detroit – and even as challenging as it is in those cities, this is a good thing for us, collectively. Given the nature…
CDI will be achieved through an unrelenting focus upon attainment of clinical documentation excellence.  Clinical documentation integrity (CDI) programs are highly ingrained in most hospital and healthcare facilities. Career opportunities abound for CDI specialists who check job board sites and individual healthcare facility websites. A typical synopsis for job duties…
Coronavirus is now a global public health emergency. EDITOR’S NOTE: This is a developing story and ICD10monitor will continue to update you on the latest development on this global health crisis. The World Health Organization (WHO) declared the novel coronavirus a global public health emergency on Jan. 31. As of Feb.…