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Clinical Documentation Improvement - AAPC

Clinical Documentation ImprovementBy: Quita Edwards, CPC, CPMA, CPC-I, COSC ii AAPC 1-800-626-CODE (2633) CPT copyright 2011 American Medical Association. All rights This course was current at the time it was published. This course was prepared as a tool to assist the participant in educat-ing providers and is not intended to grant rights or impose obligations. Although every reasonable effort has been made to assure the accuracy of the information within these pages, the ultimate responsibility for the correct submission of claims and response to any remittance advice lies with the provider of services. AAPC employees, agents, and staff make no representation, warranty, or guarantee that this compilation of information is error-free and will bear no responsibility or liability for the results or consequences of the use of this course.

Clinical documentation improvement is a prevailing topic in the health care industry. Clinical documentation is the catalyst for coding, billing, and auditing, and is the con-duit for (and provides evidence of) the quality and conti-nuity of patient care. This program is designed to provide

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