Health Information Management

Tip: Elevate coders' role in concurrent reviews

APCs Insider, April 17, 2009

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Everyone knows that an immense amount of teamwork is necessary for a CDI program to truly be successful. Physicians and facility administration need to be supportive, of course, but the primary CDI stakeholders-i.e., nurses, CDI specialists, and coders-need to work together.

Many CDI programs use nurses as their primary concurrent reviewers, the argument being that nurses speak "clinical-ese," i.e., the physician language. However, without the specific knowledge of coding guidelines, such clinical knowledge may muddy the already murky waters of documentation.

Read more in CDI Strategies. Association of Clinical Documentation Specialists (ACDIS) members can read more related articles in the quarterly CDI Journal. To become a member, call 800/650-6787 or email our customer service department.



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