AHA

Admission decisions, certification requirements, accurate coding and patient outcomes all come back to appropriately documenting the severity of the patient and the extent of care provided. The use of EMR and CDI technologies alone don’t ensure the capture of correct documentation or accurate case mix index (CMI). Clinical documentation specialists, coders, physicians and hospital administration are all seeking ways to ensure effective practices that allow interactions to be conducted while patients are still in the hospital. This session will feature tangible next steps to elevate the quality of documentation and engage physicians in the process.

Attendees Will Learn How to:

• Bridge the gap in documentation interpretation (from clinical documentation specialists to physicians to coders)
• Identify strategies that leverage real-time reinforcement of thorough physician documentation practices that will support medical necessity and accurate coding
• Equip teams with tools and processes that validate the chart has been updated completely after identifying gaps from physician documentation