This paper is the first in a series on risk-based CDI. As the use of risk adjustment in healthcare expands, so too does the reach of CDI professionals in capturing the patient’s story, including level of risk related to demographic factors, comorbidities, and health history. This series will...
In the early days of the clinical documentation integrity (CDI) industry, the focus was overwhelmingly financial in nature. CDI professionals reviewed records focused simply on capturing comorbid complicating conditions (CC) and major CCs (MCC) for accurate code assignment and reimbursement....
Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to...Read More »
