The Documentation and Coding Adjustment (DCA): A CDI Specialist’s Perspective

This week on Excellence in Health Information, I am pleased to present Donna Wright, MSN, RN, CCDS, currently a medical coding data analyst at M*Modal, formerly a Clinical Documentation Improvement Specialist for a health system here in Pittsburgh. Donna has a 28-year-long nursing career and has worked in a variety of fields including critical care, OR, clinical research, and supervisory/management in long term care. She is a graduate of Lehigh University, St. Luke’s School of Nursing, with a BSN from Slippery Rock University and MSN in Informatics from Walden University.  Donna is married to a structural engineer and has two grown children.

Donna brings up some interesting points in her post about clinical documentation improvement and the stance CMS has taken with respect to changes in reimbursement levels resulting from documentation improvement.  I visited a provider two weeks ago who told me, “we are only asking to be paid for what we are actually doing – no more and no less.” What does everyone think? Do you have a story to tell about CDI in your organization?

See what Donna has to say here

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