Health Information Management

Strategy: Put the "clinical" back in clinical documentation review

CDI Strategies, October 16, 2008

Too many CDI specialists focus strictly on DRG assignment when reviewing medical records when they should be engaging the clinical half of their brain, says Glenn Krauss, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDIS, senior coding and chargemaster consultant with QHR in Brentwood, TN. His suggestion? Think like a physician when reviewing patient charts.

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