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CDI 2.0: Optimising CMI and risk-adjustment value through data analytics and provider education

Author

Listed:
  • Vincent, Kalee

    (West Virginia University Medicine, USA)

  • Govender, Terrance

    (ClinIntell, USA)

Abstract

Accurate clinical documentation is vital for any healthcare facility. Documentation in the record plays a critical role in reimbursement, case mix index, risk adjusted quality outcomes, length of stay days, etc. The need for Clinical documentation improvement (CDI) specialists is high. In this article, we discuss the success we have had by transitioning from a traditional approach to capture severity reporting (CDI 1.0), which relies heavily on the concurrent review of medical records by the CDI team, to a patient population driven and provider focused approach (CDI 2.0).

Suggested Citation

  • Vincent, Kalee & Govender, Terrance, 2024. "CDI 2.0: Optimising CMI and risk-adjustment value through data analytics and provider education," Management in Healthcare: A Peer-Reviewed Journal, Henry Stewart Publications, vol. 9(1), pages 89-97, September.
    • Handle: RePEc:aza:mih000:y:2024:v:9:i:1:p:89-97
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    More about this item

    Keywords

    case mix index; CMI; severity reporting; CDI; clinical documentation; coding; inpatient; education; reimbursement; inpatient;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I10 - Health, Education, and Welfare - - Health - - - General

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