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A physician-led initiative to improve clinical documentation results in improved health care documentation, case mix index, and increased contribution margin.

著者 Aiello FA , Judelson DR , Durgin JM , Doucet DR , Simons JP , Durocher DM , Flahive JM , Schanzer A
J Vasc Surg.2018 May 04 ; ():.
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Clinical documentation is the key determinant of inpatient acuity of illness and payer reimbursement. Every inpatient hospitalization is placed into a diagnosis related group with a relative value based on documented procedures, conditions, comorbidities and complications. The Case Mix Index (CMI) is an average of these diagnosis related groups and directly impacts physician profiling, medical center profiling, reimbursement, and quality reporting. We hypothesize that a focused, physician-led initiative to improve clinical documentation of vascular surgery inpatients results in increased CMI and contribution margin.
PMID: 29735302 [PubMed - as supplied by publisher]
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