Clinical Documentation Improvement
Clinical documentation must be accurate, timely, and reflect the scope of services provided. Improved clinical documentation is critical for such current industry initiatives as ICD-10-CM/PCS implementation, ACO reimbursement models, Fraud and Abuse Compliance programs, and electronic health records (EHR) implementations.
Documentation compliance is not commonly taught in medical schools, yet many aspects of patient care and the patient experience are dependent on clinical documentation, therefore ongoing education is imperative to the success of your organization.