YPRO Article
Is Your Facility Meeting the Potential of Its Clinical Documentation Improvement Program?
Clinical Documentation Improvement Programs are implemented by hospitals in the interest of improving clinical documentation, the throughput consisting of clinical documentation improvement specialists reviewing records concurrently to clarify and solidify clinical diagnoses and the output consisting of increased revenue for the hospital under the guise of “enhanced clinical documentation.” Unfortunately, the reality of the majority of clinical documentation improvement programs is that the primary focus is upon capturing CCs and MCCs in the interest of improving the hospitals CC/MCC capture rate and generating additional revenue. The aftermath of this approach is increased financial exposure for potential financial recoupments under the Recovery Audit Contractor Program and its bid to identify and return provider improper payments to the Medicare Trust Fund.
Stay tuned for informative articles that will provide thought provoking questions and other ideas to be used in assessing the effectiveness of your clinical documentation improvement program and determine if your program is achieving its maximum potential. Visit the website often for updates