Documentation improvement

Stacey Sexton, RHIA, explains how HIM professionals' roles are evolving and details how they can bridge the gap between clinical care and advanced analytics.

Discover why a robust access management program is integral to utilization review (UR) processes and revenue cycle operations.

Darice Grzybowski, MA, RHIA, FAHIMA, explains why organizations must understand how to effectively capture data in any medium.

Analyze the distinctions between physician queries and clinical decision support (CDS) systems and learn how HIM professionals can use both.

Explore the key aspects of clinical indicators to ensure your organization is constructing compliant queries.

Examine the decline of core HIM skills, the consequences of their erosion, and some steps leaders can take to restore them. 

As CDI efforts continue to expand in the outpatient setting, review strategies to ensure medical necessity is properly documented.

A recent case centered on the misuse of evaluation and management (E/M) codes in emergency department billing offers valuable insights for HIM professionals.

Analyze the clinical, diagnostic, and coding challenges associated with documenting substance use, abuse, and dependence.

Learn about how a large health system's CDI program approaches risk adjustment in the outpatient setting.