Documenting a diagnosis in the health record extends beyond its impact on reimbursement and quality-of-care measures. It is also critical to patient..

Working with doctors and developing relationships doesn’t just get buy-in from clinicians – it ensures data is accurate.Nicole Draper is CDIA’s..

Blaming your problems on clinical coding ignores the real culprit – your clinical documentation. “We need to get the coding right!” is a comment we..

It is disheartening that there are still misconceptions about what a leading query is. In my last article, “The Query Conundrum,” I briefly talked..

To query or not query that is the question. Querying is the lifeline of clinical documentation integrity (CDI) professionals and many coding..

Strong cohesive relationships will significantly enhance the success of your clinical documentation improvement (CDI) program. Henry Ford's famous..

Unity is strength… when there is teamwork and collaboration, wonderful things can be achieved. — Mattie Stepanek Clinical documentation..