When Pursuing CDI, Using Risk Adjustment Is Vital

As healthcare has moved away from fee-for-service reimbursement models toward a more value-based system, the idea of using risk adjustment to account for individual patient risk and chronic conditions has become far more important for providers seeking to maximize quality of care. In today’s healthcare environment, providers are often required to fight simultaneous battles on […]

Study: Burnout is a Public Health Crisis, Support and Easing EHR Usability Should Be the Focus

Sooner or later, the consequences of physician burnout will hit everyone where it hurts, a new study highlights. The report from Harvard’s T.H. Chan School of Public Health, the Harvard Global Institute, the Massachusetts Medical Society, and the Massachusetts Health and Hospital Association examines the many burdens today’s doctors face, often in the absence of […]

When Pursuing CDI, Using Risk Adjustment Is Vital

Power Speak - Speech Recognition and Reporting Software

As healthcare has moved away from fee-for-service reimbursement models toward a more value-based system, the idea of using risk adjustment to account for individual patient risk and chronic conditions has become far more important for providers seeking to maximize the quality of care.   In today’s healthcare environment, providers are often required to fight simultaneous […]

Dictation: Giving Physicians a Break While Avoiding Costly Medical Errors


Overworked professionals, regardless of industry, are far more likely to make mistakes. For medical professionals, however, particularly when it comes to documentation, those mistakes risk profound repercussions for both medical providers and their patients. They’re also notoriously difficult to correct once they’ve been made.   Earlier this year, researchers from Johns Hopkins released a report […]

EHRs, Documentation Leading to a Physician Burnout Crisis

Dictation and Transcription Improvements Cited as No. 1 Fix by Docs When they were kids thinking about their future career, physicians didn’t dream of taking care of administrative record-keeping. They dreamed about taking care of patients. But extensive documentation fatigue has become a leading concern for the healthcare industry. Just this week, the U.S. Department […]

Getting CDI Compliance Right From the Start

For decades, countless market observers have warned of turmoil in the healthcare space. The upheaval and endless changes have created a cacophony of compliance requirements that leave healthcare providers—both new players and those pursuing improvements—scratching their heads about where to begin.   Organizations focusing on clinical documentation improvement (CDI) must foster an environment of effective […]

Safeguarding Cyber security Amid CDI Efforts

Original: Cyber security, Coding and CDI. Best practices to ensure best practices for cyber security are employed.   To say that the present state of healthcare cyber security poses a challenge for organizations undertaking clinical documentation improvement (CDI) efforts is a drastic understatement. Under the ever-present specter of costly cyber attacks, providers across the country […]

4 Factors to Consider for Optimizing CDI Workflows and Reporting

In recent years, the evolution of healthcare regulations has driven care away from the inpatient setting, while simultaneously increasing administrative and clinical documentation burdens for providers. As a result, many healthcare organizations have started expanding their clinical documentation improvement (CDI) efforts to outpatient settings by finding opportunities for increased reimbursement, enhanced quality, and improved patient […]

Better Outpatient CDI For Emergency Care, Wound Care and Total Knee Replacement

As care is increasingly delivered in an outpatient setting, it is critical that clinical documentation improvement (CDI) programs are developed to ensure compensation for care. “Clinical documentation is at the core of every patient encounter,” says the American Health Information Management Association (AHIMA). The association goes on to say that a meaningful documentation process must […]

CMS Announces Release of 2018 National Impact Assessment of Quality Measures Report

Center for Medicare and Medicaid Services (CMS) conducts and publishes an assessment of the quality and efficiency impact of the use of endorsed measures in CMS programs every three years as required by statute.  The first report was published March 1, 2012 and the 2018 Impact Assessment Report is the third such report.   The data-driven results […]