CDI 2.0: Optimising CMI and risk-adjustment value through data analytics and provider education

Kalee Vincent and Terrance Govender
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Kalee Vincent: West Virginia University Medicine, USA
Terrance Govender: ClinIntell, USA

Management in Healthcare: A Peer-Reviewed Journal, 2024, vol. 9, issue 1, 89-97

Abstract: Accurate clinical documentation is vital for any healthcare facility. Documentation in the record plays a critical role in reimbursement, case mix index, risk adjusted quality outcomes, length of stay days, etc. The need for Clinical documentation improvement (CDI) specialists is high. In this article, we discuss the success we have had by transitioning from a traditional approach to capture severity reporting (CDI 1.0), which relies heavily on the concurrent review of medical records by the CDI team, to a patient population driven and provider focused approach (CDI 2.0).

Keywords: case mix index; CMI; severity reporting; CDI; clinical documentation; coding; inpatient; education; reimbursement; inpatient (search for similar items in EconPapers)
JEL-codes: I1 I10 (search for similar items in EconPapers)
Date: 2024
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