ICD10monitor April 22, 2025
One of the biggest issues I find when working with clinical documentation integrity (CDI) departments is that the hospital clinical revenue cycle remains siloed.
Rather than working together as one cohesive unit, many departments within the revenue cycle are uninformed about how their work impacts others further down the hospital revenue cycle. I prefer the term clinical revenue cycle over middle-revenue cycle. The clinical revenue cycle, in my opinion, includes departments whose work is impacted by the documentation of healthcare providers. These include the following:
- Utilization Review (UR)
- Clinical Documentation Integrity (CDI)
- Quality
- Coding
- Denials Management
I use clinical revenue cycle because it is more inclusive than ‘middle-revenue cycle.’ For example, quality hasn’t traditionally been considered part of...
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