Everything hospital executives need to know about the importance of clinical documentation improvement is summed up in one single fact: CDI fuels correct reimbursement and accurate quality reporting.

Most clinical documentation and review is still done manually, often by clinical documentation improvement nurses, whose job it is to help patch gaps. This all leads to human errors, and even small ...

New CDI-specific education helps align clinical indicators, provider documentation, and compliant coding practices.

With the ever-increasing demands and expectations on documentation in clinical practice, more physicians are beginning to utilize ...

Clinical documentation is possibly the biggest bane of existence for countless clinicians and the claims management staff that have to rely on them to get reimbursement. Health systems have spent ...

Here are five best practices for maintaining accurate, complete and thorough clinical documentation in your ambulatory surgery center. 1. Put a formal policy in place. Jack Egnatinsky, MD, a medical ...

The key to successfully making the jump from the old era of healthcare — one where fee-for-service is king — to the new era of healthcare — one where transparency, consumerism and value dominate — may ...

In the fast-paced world of healthcare, clinical documentation is a crucial aspect of patient care and the overall efficiency of medical institutions. However, doctors and medical professionals often ...

Learn what makes a psychiatric note compliant and clinically protective, including structured documentation that supports care decisions and clear records. The post What Makes a Psychiatric Note Clear ...

Physician burnout has been a growing global concern for more than a decade, with healthcare and physician organizations warning that it will not only affect future clinician retention, but the overall ...