How to ensure patient stories aren’t lost in translation — 3M’s Julie Salomon on the importance of CDI

Becker's Healthcare August 10, 2020
Alia Paavola

As industry focus has expanded to include risk adjustment and value-based payment, documentation accuracy is key. Both government and commercial payers now require providers to document more specific clinical detail to meet medical necessity and reflect care quality. Clinicians must do all they can to capture the true picture of the patient by way of clinical documentation.

Organizations across the country enlist teams of clinical documentation integrity (CDI) specialists to help ensure all diagnoses reported in the medical record are accurate and complete according to CMS and Coding Clinic guidelines.

CDI specialists help hospitals assess critical aspects of the patient’s story so they are not lost in translation between medical treatment and insurance billing, explained Julie Salomon, RN, BSN...

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