I’ve been writing recently about the financial well-being of rural and critical access hospitals: about their struggling to stay in business and how establishing a clinical documentation improvement ...

DRG (diagnosis-related groups) validation issues have been the main target of RACs (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned ...

As healthcare organizations expand outpatient services and transition to accountable care organizations (ACOs), outpatient documentation has become more complex and critical to the bottom line. To ...

Effective clinical documentation improvement (CDI) programs make sure a patient’s clinical status is accurately represented in the medical record. To do this, Clinical Documentation Specialists (CDS’s ...

Clinical documentation improvement programs can help healthcare organizations improve outcomes, boost bottom lines and adhere to regulations governing the industry. And while many organizations ...

Clinical Documentation Integrity (CDI) has traditionally been seen as a necessary cost for compliance and reimbursement. However, outdated approaches leave revenue on the table. What’s necessary in ...

It’s a phrase that we all hear, and repeat, regularly, but it may be no truer than at rural and critical access hospitals. In these environments, the health information management (HIM) person may do ...

Florida Hospital has seen significant improvements in its case mix index, resulting in a $72.5 million increase in appropriate reimbursement since the implementation of a clinical documentation ...

As members of the laboratory animal science community, we are acutely aware of the need to provide accurate and adequate training to animal facility personnel. With the training of staff members, we ...