Clinical Documentation In-Service Training
Imagine you are the HIM Director at a hospital. Your Chief Financial Officer (CFO) has asked you to help explain a new clinical documentation improvement plan to the physicians in your hospital. The CFO has asked you to create an in-service training to educate the physicians on how quality documentation can impact reimbursement.
You will create and presentation that explains the following: • The Medicare Conditions of Participation (COP) Guidelines for maintaining health records • The seven criteria for high-quality documentation • The relationship between quality documentation and reimbursement • The role of risk management and quality assurance and how HIM professionals support physicians through this process