As a former director of clinical documentation integrity (CDI) and health information management (HIM), I know that the need for optimized sequencing of diagnosis codes on a claim within the […]

Despite the compelling value proposition of cloud adoption, there is still hesitancy from some organizations due to concerns about potential cost. Notably, this perception is more pronounced within the core […]

We’re wrapping up another year of fantastic topics discussed on our Inside Angle podcast. It’s been great to feature 3M and industry experts, diving into various issues impacting many facets […]

As another year comes to a close, we reflect on the many issues, changes and challenges affecting health care. We’ve enjoyed sharing insights and points of view from our subject […]

As countries around the world work to implement the latest version of the International Classification of Diseases (ICD-11), some innovative approaches are emerging. From social media engagement and text messaging […]

I spent 18 years in the medical coding field before joining a new team combining nurses, other care providers and coders, to leverage both clinical and coding experience in building […]

As physicians, we make it our priority to provide quality care with excellent continuity to our patients.  The clinical documentation process can be one of the most challenging parts of […]

It is important to understand how gaps in documentation and the corresponding coded data impact the patient’s expected length of stay, the hospital’s mortality rate, and many other outcome measures, […]

The question remains: is your data a true reflection of your hospital?  There are several challenges faced by hospitals in Canada, some of which include an increase in admissions, decrease […]

In part 1 of the CDI series, we discussed how allocating resources to CDI training and development is an investment that will produce future returns for health care organisations.   Successful […]

The pressure is on clinicians to meet high standards for clinical documentation. And for a good reason. An accurate and complete clinical story better reflects the acuity of the patient, […]

In this week’s blog, I explore the fascinating question: What does a large language model (LLM) really know? Intriguing studies from MIT researchers contain a partial answer. I also delve […]