CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions

CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions recent drivers of CDI (p2) - ANSWER-- MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - ANSWER-to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI reviews (p2) - ANSWER-to identify clinical indicators to ensure that all diagnoses and procedures are supported by ICD-9-CM codes. key CDI stakeholders (p3) - ANSWER-• HIM and coding departments • Case management and utilization review