For inpatient care organizations, proper and accurate clinical documentation has always been important. In today’s shifting healthcare landscape, with the implementation of the prospective payment system, coded data has taken on a greater significance and became a mechanism for reimbursement, quality measure reporting, and profiling has become even more of a strategic imperative than perhaps ever before. Documentation is essential for patient care, not because only it validates the care given, but can enable the sharing of key data between care providers, which optimizes the healthcare claim and reimbursement. The clinical documentation improvement (CDI) focuses on improving the quality of clinical documentation regardless of its impact on
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Also, since Medicare transitioned to the diagnosis-related group (DRG) system, hospitals have needed to focus on properly classifying patients to receive the appropriate reimbursement and to demonstrate the quality of care provided. In this case the CDI is increasing the need for the outpatient services more than before which moves services from the inpatient to outpatient within the hospital …show more content…
In many prior instances this was accomplished in the inpatient services. Now that has been expanded to the ambulatory and outpatient services within the hospitals as well.
References
AHIMA. (May 2010). Guidance for Clinical Documentation Improvement Programs. Journal of AHIMA 81, no.5 , 1.
ASCREVIEW. (2016). 7 Benefits of Improved Clinical Documentation. Retrieved from Becker'sASCREVIEW: http://www.beckersasc.com/asc-coding-billing-and-collections/7- benefits-of-improved-clinical-documentation.html
HealthcareIT. (2015). Why clinical documentation improvement is so important to hospitals. Retrieved from HealthcareIT News: http://www.healthcareitnews.com/blog/why-clinical-documentation- improvement-so-important-hospitals
HuronHealthcare. (2015, April). Optimizing Clinical Documentation Improvement. Retrieved from OUTPATIENT CLAIM DENIALS GROW,: https://www.huronconsultinggroup.com/Insights/Whitepapers/Healthcare/~/media/37E01A82FD
Also, since Medicare transitioned to the diagnosis-related group (DRG) system, hospitals have needed to focus on properly classifying patients to receive the appropriate reimbursement and to demonstrate the quality of care provided. In this case the CDI is increasing the need for the outpatient services more than before which moves services from the inpatient to outpatient within the hospital …show more content…
In many prior instances this was accomplished in the inpatient services. Now that has been expanded to the ambulatory and outpatient services within the hospitals as well.
References
AHIMA. (May 2010). Guidance for Clinical Documentation Improvement Programs. Journal of AHIMA 81, no.5 , 1.
ASCREVIEW. (2016). 7 Benefits of Improved Clinical Documentation. Retrieved from Becker'sASCREVIEW: http://www.beckersasc.com/asc-coding-billing-and-collections/7- benefits-of-improved-clinical-documentation.html
HealthcareIT. (2015). Why clinical documentation improvement is so important to hospitals. Retrieved from HealthcareIT News: http://www.healthcareitnews.com/blog/why-clinical-documentation- improvement-so-important-hospitals
HuronHealthcare. (2015, April). Optimizing Clinical Documentation Improvement. Retrieved from OUTPATIENT CLAIM DENIALS GROW,: https://www.huronconsultinggroup.com/Insights/Whitepapers/Healthcare/~/media/37E01A82FD