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Note from the Instructor | | The importance of clinical validation in CDI | | by Dawn Valdez The False Claims Act of 1863 imposes penalties on anyone who submits a “false claim” for services that were not actually performed. In healthcare, that means CMS needs to check that all services billed are clinically valid and the patient received the treatments needed for their condition. The check and balance to prevent false (erroneous) billing is clinical validation. In 2016, AHIMA published Clinical Validation, The Next Level of CDI stating that: |
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| Blog Highlight | | Here's what's been published on the ACDIS Blog in the last week: The emotional toll of CDI during the pandemic Meet a Member: 'There is no one-size-fits-all for CDI' Do you have a tip, story, or perspective to share with the broader ACDIS and CDI community? If you’re interested in writing a piece for the Blog, here are a couple guidelines for you: Length: Typically, 500-700 words. If your post is longer, we may break it into two posts for readability. Content: All things CDI (and coding too)! We love hearing about your experiences and the lessons you’ve learned about CDI along the way. Besides those two guidelines, all you have to do is submit your piece to ACDIS Editor Linnea Archibald (larchibald@acdis.org) and Associate Editor Carolyn Riel (criel@acdis.org). | | |
Contact Us | | Carolyn Riel
Associate Editor
ACDIS
criel@acdis.org Carrie Dry
National Sales Manager
ACDIS
cdry@hcpro.com Association for Clinical Documentation Integrity Specialists
35 Village Road, Suite 200
Middleton, MA, 01949
800-650-6787
www.acdis.org | | |
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