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Thursday, August 19, 2021
 

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:

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).

 

 
 

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Carolyn Riel
Associate Editor
ACDIS
criel@acdis.org

Carrie Dry
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ACDIS
cdry@hcpro.com

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