Build Your CDI Team: Clinical Documentation Integrity CDIKSA

Introduction

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This webinar is designed to provide healthcare practitioners a General perspective on Career Development Opportunities in the emerging profession Clinical Documentation Improvement (CDI). The individuals who are qualified to serve in the CDI role(s) include, but are not limited to, HIM professionals, physicians, nurses, and other professionals with a clinical and/or HIM coding background. (AHIMA 2016)
The need for complete and accurate documentation has taken a more important role with recent changes, beginning with the adoption of the Australian Refined Diagnosis Related Groups (AR-DRGs) in Saudi Arabia in preparations for Activity Based Funding/Management (ABF/M) in order to better reflect the patient’s severity of illness (SOI) (or Patient Comorbidity Level PCL / Patient Comorbidity and Complexity Level PCCL) and expected risk of mortality (ROM).

The patient’s principal diagnosis and co-morbid conditions determine these two assessments. The purpose of a CDI program is to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation.

The webinar will shed the light on CDI from a Saudi perspective! And by the end of the session, there will be an announcement of launching the first Saudi specific CDI program (CDIKSA) which will help you to Prepare for STARTING A CDI PROGRAM and/or starting a New CAREER!

Objectives

By the end of the session, learners will be able to:
1- Identify successful CDI infrastructure models
2- Highlight the documentation gap
3- Develop a "full-circle" reconciliation process (ICD-10-AM and AR-DRGs)
4- Recognize CDI performance metrics
5- Discuss opportunities in CDI

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