Health Information Management

Director’s Note: CDI Journal offers insight for expanding CDI roles

CDI Strategies, January 5, 2012

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The January 2012 CDI Journal has been posted on the ACDIS web site. This edition includes two articles illustrating how new initiatives tying Part A and Part B payments could open opportunities for CDI specialists to communicate the importance of improved documentation to physicians, and perhaps even provide the impetus for CDI program expansion into the emergency and outpatient arenas.

In the article “What’s in it for the physicians?”, ACDIS Director Brian Murphy discusses how TrailBlazer (one of the nation’s largest Medicare Administrative Contractors) has begun comparing physician claims directly against hospital claims. When the documentation doesn’t match up, these contractors will be looking to deny payments for both physicians and facilities. Taking this type of information directly to physicians could help CDI professionals answer that age-old question “What’s in it for me?” when physicians ask why they should respond to a CDI query.
While this combined review could mean new vulnerabilities for hospital and physician reimbursement, it also represents an area into which CDI programs may begin to expand: outpatient record review, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDIS, CCDS, an ACDIS Advisory Board member and independent consultant based in Madison, WI, in the article “Outpatient CDI efforts offer documentation opportunities.” In the article,  Avery E. Trickey, RHIA, manager of the HIM at Advocate BroMenn Medical Center in Normal, IL, explains how her CDI program collected data to expand into the emergency department and discusses the positive affect it had on CDI efforts overall.
The January 2012 edition of the CDI Journal also includes two new features. In each edition of the Journal this year we’ll introduce readers to a different ACDIS member and also talk to the leaders of ACDIS networking groups to learn how local association chapters are evolving.
Furthermore, the Journal includes a special section with photos and stories of success shared with us during the first annual CDI Week celebration held in September.
Additional articles include:

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