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Clinical Documentation Improvement - AAPC

4/3/2014 1 Clinical Documentation Improvement Presented by: Rhonda Buckholtz Clinical Documentation Improvement No part of this presentation may be reproduced or transmitted in any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or taping) without the expressed written permission of AAPC. 4/3/2014 2 Clinical Documentation Improvement Benefits of Documentation Documentation Concepts in ICD-10 Case examples Agenda Clinical Documentation Improvement Improves compliance Improves patient care Improves Clinical data for research and education Protects the legal interest of the patient, facility and physician Enables proper reimbursement for services performed Benefits of Proper Documentation 4/3/2014 3 Clinical Documentation Improvement Analysis of Documentation for content and validity/medical necessity relationship Analysis of Documentation in relationship to coding and billing Identification of pat

4/3/2014 3 Clinical Documentation Improvement • Analysis of documentation for content and validity/medical necessity relationship • Analysis of documentation in relationship

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