Deadline Extended!
AHIMA23 Conference: Call for Presentations Deadline for Submissions is Feb. 6 at 11:59 pm EST.
Calling all health information experts seeking an opportunity to engage with an audience of industry leaders, learners, and decision-makers! Do you have data-driven best practices to share that elevate the health information profession? Submit a proposal today to present at the AHIMA23 Conference, being held October 8 – 10, 2023 in Baltimore, MD.
Please see our submission guidelines for more details.
Overview
Clinical documentation is at the core of every patient encounter. In order to be meaningful, the documentation must be clear, consistent, complete, precise, reliable, timely, and legible to accurately reflect the patient’s disease burden and scope of services provided.
Successful clinical documentation integrity (CDI) programs facilitate the accurate representation of a patient’s clinical status that translates into coded data. Coded data is then translated into quality reporting, physician report cards, reimbursement, public health data, disease tracking and trending, and medical research.
The convergence of clinical care, documentation, and coding processes is vital to appropriate reimbursement, accurate quality scores, and informed decision-making to support high-quality patient care. To that end, CDI has a direct impact on patient care by providing information to all members of the care team as well as those who may be treating the patient at a later date.
Training and Resources
AHIMA is committed to advancing CDI by providing education and training, certification (CDIP® credential), and other valuable resources to CDI professionals. Whether you are new to CDI, transitioning from a coding or clinical background, or an experienced CDI professional, AHIMA provides education and resources to support your lifelong learning and continued advancement.
Online Courses
1 COURSE | 10 CEUS
Clinical Data for CDI: Artificial Intelligence (AI)
Discover how artificial intelligence (AI) can support the healthcare revenue cycle through clinical documentation integrity (CDI) in our latest on-demand, professional development course for executives. Gain insights on how to secure buy-in from clinicians and work effectively alongside a variety of stakeholders to maximize the value from AI initiatives.
CDI and Quality Outcomes Training
The CDI and Quality Outcomes course provides information on the impact CDI programs have on quality reporting within various healthcare settings. This course is composed of three modules, each focuses on a specific healthcare setting.
Certified Coding Specialist (CCS) Training for CDI Clinicians
This course was designed for clinicians working in CDI who are preparing to take the Certified Coding Specialist (CCS®) exam. The course delivers a comprehensive overview of the CCS exam as well as a practice exam.
On-Demand | Up to 3 CEUs
The Impact of Technology on Clinical Documentation Integrity
This three session series guides CDI professionals through their artificial intelligence (AI) CDI program journey. Sessions highlight the benefits of AI in CDI programs, the role CDI professionals play in integrating and managing CDI technology, and the process of auditing the AI process in CDI programs.
18 lessons | 26.5 CEUs
Self-Paced Clinical Documentation Improvement (CDI) Inpatient-Outpatient Academy
The Self-Paced CDI Inpatient-Outpatient Academy is a comprehensive series of 18 lessons that cover the best practices of CDI.
Coming Soon
CDI Leaders Academy
Build your knowledge in one of the fastest-growing areas in healthcare: the application of Artificial Intelligence (AI) to support the healthcare revenue cycle through clinical documentation integrity (CDI).
Books
eBook | First Edition
Clinical Documentation Improvement: Principles and Practice
Learn the fundamentals of clinical documentation, how to implement a CDI program, and how to grow and refine an existing program.
Hardcover | First Edition
Certified Documentation Improvement Practitioner (CDIP) Exam Preparation
This book is for experienced CDI professionals to test their knowledge regarding high-quality documentation and prepare to sit for AHIMA's CDIP exam.
Hardcover | First Edition
Clinical Documentation Improvement for Outpatient Care
This is an all-inclusive guide to establishing and enhancing CDI programs for the outpatient and professional fee setting.
Hardcover | Fourteenth Edition
2021 CDI Pocket Guide®
Keep vital information at your fingertips with the 2021 edition of the original CDI Pocket Guide®.
eBook | Fourteenth Edition
2021 CDI Pocket Guide® Unbound Edition
Take your clinical documentation integrity (CDI) department completely online and mobile.
Webinars
June 14 | 11:30 a.m. CT
Care Beyond the Specialist Clinic: A collaboration to Bring Heart Failure patients the Best Care Using Technology
Participate in an expert-led panel discussion on the value of open EHR platforms and the use of third-party applications to bring patients the best care. In this session, ChristianaCare will recount its collaboration with Story Health and Cerner to implement a SMART on FHIR application.
21 Webinars | 29 CEUs Total
Clinical Documentation Integrity Insight Courses
This course series includes 21 webinars that provides a comprehensive educational approach to CDI based on body systems and diagnostic categories.
1 CEU
The Crucial Role of a CDIP in Revenue Cycle Management
Successful CDIPs should have a deep level of clinical knowledge in analyzing patient health records to provide assurance about the captured data from the physician and the coder to ensure accuracy in providing quality patient care.
Resources
Practice Brief | Available for download
Guidelines for Achieving a Compliant Query Practice
Download the Brief to learn best practice standards for the clinical documentation integrity query process. The new AHIMA-ACDIS practice brief serves as an essential resource for coding and clinical documentation integrity (CDI), and other healthcare professionals with the underlying goal of validating the clinical documentation within the health record to accurately represent the clinical status of the patient.
Clinical Documentation Integrity (CDI) Progression Ladder
The CDI Progression Ladder represents and supports all stages of a CDI professionals career, including the educational level of each product.
Practice Briefs (Members only)
Learn best practices for topics such as denials prevention and management as well as the art and science of CDI.
Toolkits (Members only)
Be prepared to handle any situation in the workplace with toolkits covering topics such as disaster planning, breach management, and telemedicine.
AHIMA Query Template Library
A compliant query process is an essential element of a CDI program. AHIMA has developed a query template library that includes more than 140 templates covering documentation needs in both inpatient and outpatient settings.
Sponsored Content
Whitepaper
The Importance of Implementing Clinically Intelligent Compliance Programs
Implementing clinically intelligent compliance programs is imperative for hospitals, as eliminating healthcare fraud and abuse is a top government regulator priority. Accuity’s compliance expert, Dr. Bringham Strelow, VP of Revenue Integrity, offers guidance in this whitepaper for creating a plan to implement and maintain a solid compliance program.