Happy Clinical Documentation Improvement Week
It’s hard to believe that a year has gone by and it’s time to celebrate the Third Annual Clinical Documentation Improvement (CDI) Week the week of September 16th – 20th. Several of our clients have a very active CDI Department and to them MMP would like to extend a congratulations to all of the hard working CDI professionals that we have the privilege to work with.
What is CDI?
According to the American Health Information Management Association’s (AHIMA) Clinical Documentation Improvement Toolkit, “the purpose of a CDI program is to initiate concurrent and, as appropriate, retrospective reviews of inpatient health records for conflicting, incomplete, or nonspecific provider documentation.” “The goal of these reviews is to identify clinical indicators to ensure that the diagnoses and procedures are supported by ICD-9-CM codes. The method of clarification used by the CDI professional is often written queries in the health record. Verbal and electronic communications are also methods used to make contact with physicians and other providers. These efforts result in an improvement in documentation, coding, reimbursement, and severity of illness (SOI) and risk of mortality (ROM) classifications.”
Why is the CDI role emerging?
The Association of Clinical Documentation Improvement Specialists (ACDIS) have indicated in their 2013 Clinical Documentation Improvement Fact Sheet that “the growth of the CDI specialist profession has mirrored the healthcare industry’s increased focus on compliance with regulations, managed care profiles, payment for services rendered, and liability exposure. All these factors are increasingly dependent on the integrity of complete and specific clinical documentation in the medical record.”
A Week of National Recognition:
ACDIS believes that a week of national recognition is warranted “to recognize the unique skills and expertise of CDI specialists, to increase public awareness of the CDI profession, to positively affect the personal and organizational performance of CDI specialists,” and “to provide broader education on the important of the quality connection of documentation of care.” We at MMP agree and want to wish CDI specialists a happy CDI Week.
Article by Beth Cobb
This material was compiled to share information. MMP, Inc. is not offering legal advice. Every reasonable effort has been taken to ensure the information is accurate and useful.