AHIMA has designated July as CDI Month.
As the demand for accurate and timely clinical documentation increases, health information management (HIM) professionals are using their skills and expertise to improve clinical documentation. Because clinical documentation is at the core of every patient encounter, in order to be meaningful it must be accurate, timely and reflect the scope of services provided. Successful CDI programs facilitate the accurate representation of a patient’s clinical status that translates into coded data. Coded data is then translated into quality report cards, physician report cards, reimbursement, public health data, and disease tracking and trending. HIM professionals provide two key roles within a CDI program as a clinical documentation improvement specialist and coding professional. By working together, HIM professionals can support their organizations efforts to collect and provide meaningful information throughout the continuum of care.Read More