Monthly CDI Scenario Discussion – February 2020

UASI Solutions

Topic: Functional Quadriplegia Scenario: 72 year old male admitted from a skilled nursing facility with complaints of uncontrolled blood pressure by SNF staff. PMH of severe Alzheimer’s dementia, CAD, HTN, CKD3 with baseline creatinine of 1.5 Per H&P: SNF staff reported difficulty controlling blood pressure over the last 24 hours. BP at SNF reported to…

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Expanding Clinical Validation: What Is It, and Why Is It Important? 

Medical Coding

In the CDI arena, there is an increasing focus on clinical validation – and for good reason. According to the Centers for Medicare and Medicaid Services’ (CMS) 2011 Recovery Audit Contractor (RAC) Statement of Work, “Clinical validation is a separate process [from DRG validation], which involves a clinical review of the case to see whether or not the…

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Ten Steps to Create a Successful Outpatient CDI Program

UASI Solutions

Outpatient clinical documentation improvement (CDI) is a critical topic among those involved in mid-revenue cycle processes. It can sometimes be a challenge deciding where and how to get started. We’ve simplified the process by outlining our recommendations. Read ten key steps to successfully implement an outpatient CDI program for accurate capture of HCC’s (referred to as a Physician Practice CDI Program).

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