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March 2019

Coding Corner

Coding Corner

Barton L. Sachs, MD, MBA, CPE
2017-18 Coding Committee Chair

Accurate Clinical Documentation Integrity (CDI) Helps Advance Reportable Clinical Quality and Financial Reimbursement

Why CDI?
Clinical documentation integrity (CDI) and coding are not taught in medical school; therefore many physicians have no idea what CDI means and why it is important to them. But it is! Due to changes in reimbursement, increased scrutiny by third party payers, and most importantly the emphasis on all providers and hospitals to provide measureable quality patient care, CDI programs were developed. Physicians are not taught how to complete inpatient documentation in order to correctly assign codes and physician billing in the past has not required a great deal of specificity.