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When CDI Fails
Outpatient CDI
CDI Operational Performance: A Construct
I recently engaged in a fascinating discussion with Dr. Jake Martin on the “Top 10 Key Components of An Effective CDI Program,” More>>
Physician Documentation Report - First Things First.
The medical record serves as a communication tool first and foremost with reimbursement as a byproduct of complete and More>>
Measuring CDI Performance: A Truthful Conclusion
I was recently asked by a chief financial officer (CFO) what other clinical documentation integrity (CDI) More>>
Opportunity Abounds for CDI – So Seize the Moment!
Jan. 1 has brought us new evaluation and management (E&M) guidelines for inpatient and observation encounters.More>>
Tread Lightly with Sepsis MS-DRGs
MS-DRGs 872 and 871, Septicemia or Severe Sepsis with MCC and without MCC, respectively, More >>
Is Your CDI Program Delivering ROI?
A conversation with a CFO of a large academic medical center regarding the significant financial headwind all hospitals and health systems are currently facing, More >>
CDI and Compliance: The Offense of Being Naked
Diagnosis without supporting the judgment of the physician’s documentation is the phenomenon of nakedness. More>>
Denial Prevention versus Denial Facilitation
The COVID-19 public health emergency (PHE) has unleashed untoward burden More >>
Is Your CDI Program Putting You in the Danger Zone?
CDI programs may be exposing hospitals to costly compliance risks and financial exposure More>>
Learn To Frustrate Payer Auditors When They Send You Denials
Time and time again many a medical necessity denial More >>
Explosive OIG Report Raises Red Flags for Providers, CDI Professionals
The U.S. Department of Health and Human Services (HHS) Office More >>
A Passion for Improvement
Glenn Krauss is an avid CDI supporter. His passion for making CDI the best can be heard More>>
Applying the Toyota Way Principles to CDI
There have been numerous articles and other materials written promoting More >>
Preservation: A Fundamental Component to Revenue Optimization
An American Hospital Association (AHA) report More >>
Progress Notes-There Is More Than Meets the Eye From A CDI Perspective
Progress Notes serve to facilitate the reporting of the physician’s More >>
Outpatient CDI Programs: Are They Poised for Effectiveness and Success?
Outpatient CDI programs have moved into the mainstream More>>
Role-Based Versus Task-Based Clinical Documentation Integrity: A Major Determinant of Operational Performance
Role-based versus task-based business processes More >>
Does CDI Play A Role in Establishing Medical Necessity?
The question of whether CDI plays a role in the establishment More>>
"How Do You See the Future of CDI?" Glenn and Ernie review the answers and comments made by YOU.
A Discussion About How to Save Your Facility More>>
A CDI Revolution Unfolding
I have always been convinced of the strong capabilities of current CDI More>>
New Data Supports Need for CDI Improvement
The 2019 Medicare Fee-for-Service Supplemental Improper Payment Data Report was recently released More>>
Clinical Documentation Improvement: A Fresh Perspective
The latest trend in clinical documentation improvement is within More>>
Searching for Efficiency in the CDI Process
“Efficiency” may be defined in many ways, including the following More>>
What's Ruining Medicine for Physicians
Paperwork and administrative burdens ranks 1st on the list of issues ruining medicine for physicians. More>>
Clinical Documentation Integrity Programs Eroding Net Patient Revenue
Clinical documentation integrity (CDI) programs, combined with the actions More>>
Integrity: The Missing Component in CDI
There is much discussion and movement in the clinical CDI industry regarding More>>
Coding And The 99223 Heavy Hand
Seen the State of Hospital Medicine report for 2018? have, and there is erudition galore. Here More>>
Assessing Inpatient Hospital Billing for Medicare Beneficiaries
In 2016, hospitals billed Medicare $114 billion for inpatient hospital stays More>>
Five crucial points to consider-strengthening CDI programs towards optimizing the revenue cycle
CDI improvement programs have existed for More>>
CDI Seen in New Light as OIG is Poised to Validate DRGs
As many of you are aware, the U.S. Department of Health and Human Services More>>
CDI: Moving to Improve Patient Outcomes
In my article published last week, titled Moving in the Right Direction in More>>
Misguidance Regarding What Defines Outcomes of CDI
Performance with a purpose must be the driving force for More>>
Reporting the Over-Reliance on the Query Process
The hallmark of any true clinical documentation integrity (CDI) program More>>
For The Record: May 2018
Committed to enhancing the health information profession More>>
Getting to the Root Cause of Clinical Documentation Improvement
By now I am confident that most in CDI industry More>>
Moving from Denial Management to Prevention
An estimated 20 percent of all healthcare claims in the U.S. are denied each year. More>>
Electronic Health Record Closed Claims Study: Navigating the Rising Risks of EHRs
A patient was treated with trigger point injections of opioids More>>
Finally Friday
THIS WEEK on “Finally Friday!” More>>
Why CDI Often Times Goes off the Rails
A well-guided, thought-out, directed mission is paramount to driving and ensuring success More>>
Outpatient CDI: A Clinical Perspective
The first article of this series provided an overview, identifying and singling out key shortcomings More>>
Why Most CDI Programs Fail to Engage Physicians
The majority of CDI programs fail to effectively engage More>>
CDI: Is Your Toolkit Well Stocked?
A recent outlook report released by Moody’s Investors Services spells More>>
Glenn Krauss
Glenn Krauss, President and CEO, is a nationally recognized CDI/Revenue Cycle expert and speaker. He has worked with healthcare systems, independent hospitals, and clinics, ranging from large academic medical centers and fully integrated urban healthcare systems to community hospitals, critical access hospitals, and Federal Qualified Healthcare Centers.
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