By Lee Ann Bryant, Associate Product Manager, HealthStream
Many think ICD-10 is only a coding problem, but the true challenge of ICD-10 is the need for increasing specificity and granularity in documentation in order to receive optimal reimbursement, meet all reporting requirements and most accurately reflect the level of care provided.
The term “Clinical Documentation Improvement (CDI)” has been used in the healthcare information management (HIM) industry for decades, yet never has it played a more crucial role than it does right now or that it will in years to come. The speed with which physicians adapt to reimbursement documentation requirements and guidelines has a direct impact on the rate of improvement of an organization’s overall workflow quality and productivity and also its ability to enhance cash flow and receive appropriate revenues for work performed. The upcoming conversion to ICD-10 makes this even more important. Improving CDI workflow processes to advance documentation quality and accuracy is of paramount importance as organizations prepare for the ICD-10 environment and the other challenges that lie ahead in the near future.
Documentation has always been necessary for the communication between the providers caring for a patient. But the need for increasing specificity has evolved along with industry trends.
Current Challenges and Trends
As the healthcare industry continues to evolve, there are global drivers and industry trends that are creating ongoing challenges:
As a result of these trends, the challenge is to reduce costs while enhancing the quality of care. Specific challenges include:
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