Health Information Management

Create a successful CDI educational session

Briefings on Coding Compliance Strategies, September 1, 2008

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A successful clinical documentation improvement (CDI) program includes three essential elements: medical staff buy-in, outgoing and knowledgeable CDI specialists, and detail-oriented coders.

Medical staff members are responsible for the plan of care, which includes resource allocation, establishment of quality patient outcomes, and the case-mix index (CMI). Coders, on the other hand, are responsible for timely revenue, a compliant billing cycle, and reporting accurate data. CDI specialists are responsible for interpreting the clinical language in medical record documentation and ensuring that it is correctly translated back to coders.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.

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