AHIMA HI Pitch

New Practice Brief from AHIMA Sets Best Practice Standards for CDI

Episode Summary

Clinical documentation integrity and technology continue to evolve across the continuum of care, including both the inpatient and outpatient settings. The expansion of CDI and advancing technology has resulted in the need for prospective CDI health record reviews. A new Practice Brief from AHIMA—Prospective Clinical Documentation Integrity Reviews and Query/Alert Practice Best Standards—provides best practices relating to prospective reviews and to recognize the difference between documentation alerts designed to influence a provider’s documentation versus a clinical alert for clinical decision making at the time of charting. On this episode of the HI Pitch podcast, Tammy Combs, an AHIMA Practice Director and co-author of AHIMA’s new CDI Practice Brief, dives into best practices relating to prospective reviews and addresses how the brief helps users recognize the difference between documentation alerts designed to influence a provider’s documentation versus a clinical alert for clinical decision making at the time of charting.

Episode Notes