Becker's Healthcare January 10, 2020
Many health system leaders see their organizations as locked in an adversarial contest with payers over reimbursement. Claims are often denied based on clinical indicators or the fact that complications or comorbidities were only documented once. These coding issues can lead to inadequate reimbursement, as payers will downgrade reimbursement if the claim lacks specificity.
At Becker’s 8th Annual CEO & CFO Roundtable in Chicago in November, Ensemble Health Partners hosted an executive roundtable to explore how clinical documentation improvement (CDI) best practices and physician education, as well as technologies like artificial intelligence, can enhance reimbursements. Ensemble Health Partners’ Jenna Jordan, senior vice president of health information, and Pieter Schouten, chief analytics officer, facilitated a wide-ranging discussion with session participants.
CDI...