Dec 1st, 2014
The CDIS isolates common problems to strengthen the overall patient record. by Nancy Reading, RN, BS, CPC, CPC-P, CPC-I Clinical documentation is integral to every inpatient or outpatient encounter to provide continuity of care and a legal record of a patient’s health status. Reimbursement, compliance, and specificity are likewise tied to documentation-driven coding. The role ...