Clinical documentation has shifted over the last decade by changing the scope of practice from CC/MCC capture that allowed for DRG shifts to focusing on the importance of quality measures, clinical validation, denial management and HCC capture for risk adjustment purposes. These changes have...

Clinical documentation has shifted over the last decade by changing the scope of practice from CC/MCC capture that allowed for DRG shifts to focusing on the importance of...

Patricia King-Musser, DNP, BSN, RN, CCDS, senior director of CDI for Geisinger Health System based in Danville, Pennsylvania, answered these questions. She is a member of the central Pennsylvania ACDIS and AAPC local chapters and of the 2021 ACDIS Furthering Education Committee.

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Did you know that only about 24% of CDI professionals round with physicians on the floor as part of their typical duties, or that 65% of CDI departments who have a physician advisor share this person with another department? Did you know that the average amount of new charts reviewed per day by...

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