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Clinical Definition Standards Case Study

Author: Lusk, Katherine

Source: Journal of AHIMA

Publication Date: July 2015



With the October 1, 2014 date for prospective payment for inpatient pediatric Medicaid discharges looming, Children’s Health System of Texas identified an organizational need to reboot and formalize its clinical documentation improvement (CDI) program. The journey began with three co....

New CDI Challenge: Adjusting to Quality, Not Quantity

Author: Murphy, Brian

Source: Journal of AHIMA

Publication Date: July 2015



It’s no secret that healthcare is undergoing a profound transformation. While fee-for-service delivery remains the current model for acute care hospital payment, the transition to paying for quality over quantity is happening before our eyes.


In January, the Centers for Me....

Closing the Loop on Quality and CDI: Refocusing Programs to Ensure an Accurate Picture of Clinical Care

Author: Gurrieri, Joseph J; Milligan, Cassie; Strafer, Paul

Source: Journal of AHIMA

Publication Date: July 2015



The ultimate goal of most CDI programs is to improve the quality of patient care through more accurate and complete clinical documentation. A potential increase in revenue is, of course, a positive byproduct of doing so—which makes sense. If organizations can demonstrate severity of illne....

Reinvigorating Your CDI Program

Author: Geissler, Kristen; Dion, Joni

Source: Journal of AHIMA

Publication Date: July 2015



Long gone are the days of “grab and go” coding, finding the CC/MCC to push reimbursement to the next level and then moving on to the next record. Today, in addition to reimbursement, clinical data drives quality initiatives, hospital and physician profiles, and medical necessit....

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