CDI and Quality Reporting:

Quality of care is an emerging area of expansion for clinical documentation integrity (CDI) programs and professionals. As healthcare continues to move toward value-based purchasing and pay-for-performance reimbursement models, CDI efforts can target some of the risky diagnoses associated with those quality-of-care measures to ensure that ongoing CDI reviews don’t negatively affect quality scores of various types. CDI specialists and departments can use this comprehensive guide to advance to the next level of CDI—not just diagnosis review and clarification but how diagnoses affect hospital quality metrics and influence indirect revenues.

This book re-envisions CDI programs’ role in addressing documentation for quality of care measures bringing in the expert advice of past-ACDIS Advisory Board member Deanne Wilk, BSN, RN, CCDS, CDIP, CCDS-O, CCS, and her colleague, Ashley Vahey, BSN, RN, CCDS. These authors have decades of experience in the CDI realm and extensive knowledge about the intricacies of government endeavors in their field. They’ll provide case examples of how CDI can respond to changing initiatives and will contribute sample policies, procedures, and queries that will make this book a user-friendly, must-have addition to any CDI library.

This book will help CDI specialists:

• Gain an in-depth understanding of 2020 quality care metrics
• Implement measurable strategies for improving their hospital profiles
• Positively influence value-based incentive payments