RCM Challenges: Clinical Documentation Improvement and Utilization Management

18/07/2023 30 min Episodio 6
RCM Challenges: Clinical Documentation Improvement and Utilization Management

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Episode Synopsis

In the latest episode of RCMchat by AGS Health, the focus was on clinical documentation improvement and utilization management. Scott Entinger, CEO of CDI Answers, and Eric McGuire, Senior Vice President for Medical Coding and CDI Service Lines at AGS Health, discussed CDI's role in emphasizing the criticality of accurate clinical documentation, the challenges faced by CDI programs, and the differences between inpatient and outpatient CDI.Key conversation points: CDI's Role: Emphasized the criticality of accurate clinical documentation.CDI Challenges: Discussed issues like changing regulations and lack of support.Inpatient vs. Outpatient CDI: Highlighted the differences and the need for more education in outpatient CDI.About Scott Entinger, CEO of CDI AnswersEntinger's expertise comes from CDI Answers, a firm dedicated to recruitment and consulting in the realm of clinical documentation and integrity. CDI Answers works nationwide with health systems to elevate their CDI programs, rejuvenate existing ones, and provide education via their CDI Academy.About Eric McGuire, Senior Vice President for Medical Coding and CDI Service Lines at AGS Health McGuire supplements the conversation with his 25 years of experience in medical coding and CDI at AGS Health, a company providing comprehensive revenue cycle services with technology enablement.