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CDI: Just Tell Me What to Say

About CDI: Just Tell Me What to Say

The standard response from physicians to clinical documentation improvement (CDI) initiatives is "just tell me what to say." While this works in specific instances, ICD-10 is the "elephant in the room" that requires a more thorough approach coupled with workflow changes. We will explore instances of specific documentation and process changes that will help eliminate unspecified coding as we all move steadily towards Oct. 1, 2013.

About Mark Dominesey

Mark Dominesey provides the skills and experience necessary to create and manage a wide range of clinical documentation improvement programs. He is proven at being able to make decisions, analyze risks, and develop contingency plans in the areas of Clinical Documentation Improvement and other key healthcare initiatives. His expertise includes leveraging medical documentation for assignment into both MS-DRG categories as well as risk-adjusted APR-DRG categories and the design and delivery of educational content to physicians and other professionals.

Mark has managed various teams of clinicians and served as both manager and specialist for multiple Clinical Documentation Improvement programs. Mark served as Subject Matter Expert (SME) for the enterprise EHR implementation at Johns Hopkins Medicine. This included EHR clinical content build as an internal consultant for coding, documentation, and ICD-10 principles.