Clinical documentation improvement
Clinical Documentation Improvement (CDI) is the recognized process of improving healthcare records to ensure improved patient outcomes, data quality and accurate reimbursement.
CDI professionals should be familiar with Medicare Severity DRGs (MS-DRG) ICD-9 to ICD-10 coding.
The Association of Clinical Documentation Improvement Specialists (ACDIS), part of HCPro, Inc., is a provider of integrated information, education, training, and consulting products and services in healthcare regulation and compliance. ACDIS provides Certified Clinical Documentation Specialist (CCDS) certification, and a CDI boot camp.[1]
Healthcare documentation serves as a legal document, validates the patient care provided, facilitates claims processing, coding, billing and reimbursement, and facilitates quality reviews.[2]
References
- ^ "About ACDIS". Retrieved 17Apr2014.
{{cite web}}: Check date values in:|accessdate=(help) - ^ Hailes, John (2012). "Truly Understanding Clinical Documentation Improvement for ICD-10" (PDF). U.S. Indian Health Service. Retrieved 17Apr2014.
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