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McGuire agreed with Entinger, underscoring that erroneous documentation could cause increased denials and other challenges within an institution.

The primary objective is to validate inpatient stays, describe the severity of patient conditions, and ensure accurate patient transitions between settings. Entinger underscored the escalating importance of documentation in the context of utilization management.

The episode examined the influence of precise clinical documentation on utilization management and clinical documentation improvement. Meanwhile, 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. CDI Answers works nationwide with health systems to elevate their CDI programs, rejuvenate existing ones, and provide education via their CDI Academy. Outpatient CDI: Highlighted the differences and the need for more education in outpatient CDI.Įntinger’s expertise comes from CDI Answers, a firm dedicated to recruitment and consulting in the realm of clinical documentation and integrity. CDI Challenges: Discussed issues like changing regulations and lack of support.CDI’s Role: Emphasized the criticality of accurate clinical documentation.The host, Michelle Dawn Mooney, conducted a dialogue with Scott Entinger, CEO of CDI Answers, and Eric McGuire, Senior Vice President for Medical Coding and CDI Service Lines at AGS Health. In the latest episode of RCMchat, a podcast hosted by AGS Health, the spotlight was on clinical documentation improvement and utilization management.

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