The CDI program manager is responsible for creating and main…

The CDI program manager is responsible for creating and maintaining the department policies and procedures that include the industry guidance from DOJ, OIG, and the Cooperating Parties. What is one question to ask when designing compliance policies and procedures?

The outpatient CDS is challenged to improve the HCC capture…

The outpatient CDS is challenged to improve the HCC capture in the primary care clinics. Analysis of the historical reports from a specific payer uncovers a shift in the documentation and coding of HCCs identified in the previous two years. The CDS decides to offer education for the providers on the MEAT guidelines for documenting secondary conditions in the clinical record. The CDS also implements a process to notify the provider prior to the patient encounter of chronic conditions that could be applicable for the current visit. This is an example of which step in preparing to implement the pilot CDI plan?