Health Information Management

Keep clinical documentation improvement at your physicians' fingertips

HIM Briefings, February 1, 2011

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Many organizations develop physician documentation tip sheets based on the clinical topics appropriate to their specific facility. Some handouts are a simple piece of paper developed by a clinical documentation improvement team, whereas others are laminated, elaborately formatted cards from consulting companies distributed as part of the initial implementation program. Several samples donated by members of the Association of Clinical Documentation Improvement Specialists (ACDIS) are available on its  website at www.hcpro.com/acdis. (See p. 11 for a sample.)

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

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