Determining the principal diagnosis is a basic function of CDI review and critical to prioritizing subsequent reviews, but is often a challenging process and requires careful consideration and interpretation of regulatory guidance and collaboration with coding professionals. Use these tips to ensure your CDI and coding teams are on the same page.
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
Acute hospital care at home is reimbursed the same as if the patient was physically an inpatient in a hospital, with the same documentation requirements, quality measures, and medical necessity guidelines. Learn how strengthening CDI's role in these programs can help support their success.
