by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Communication is defined in the Merriman-Webster dictionary as a verbal or written message, exchange of information, or a process by which information is exchanged between individuals through a common system of symbols, signs,...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
A clinical documentation improvement (CDI) specialists’ focuses on educating physicians on the merits and material benefits of complete, accurate, and effective medical record documentation on the practice of medicine.Read More »
The case mix index is up and admissions continue to rise. You’d think this was wonderful news. Yet, the facility administration complains that reviews are down and queries are low. You don’t have to be a math genius to know that something here does not...Read More »
A recent hospital audit of 300 medical records turned up some not too surprising facts about physicians. The doctors are still not documenting appropriately, their handwriting is illegible, and the discharge summaries are inadequate.Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Clinical documentation improvement (CDI) programs have evolved over the last few years as hospital interest in implementing these programs has grown exponentially.Read More »
Q:I am a case manager on a cardiac step-down unit. Our work focuses primarily on specific disease management and patient contact/education and nurse mentoring/chart reviewing, patient rounding, etc. We are very clinically focused. We don’t do utilization review (UR) or...Read More »
