Going into fiscal year 2018, we have just 728 ICD-10-CM code changes to introduce into our workflow, an easy feat comapred to coding updates in years past. However, there's still plenty of work to be done.
Clinical documentation improvement (CDI) is shifting gears to clinical documentation integrity at WakeMed Hospital in Raleigh, North Carolina. The CDI department recently transitioned from being under the health information management umbrella to falling under revenue integrity.
There are two parts of maintaining correct audits: ensuring that the charges present on the claim accurately represent the care provided and documented and ensuring the claim is compliant with all applicable billing rules and regulations. One way to ease the process is to review the charges on the claim with an application or tool that can predict errors using the analytics from outpatient Medicare claim data.
