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Clinical Validation Practice Brief 

Improve Accuracy, Consistency, and Collaboration in Clinical Validation

Key Takeaways

  • Seamless workflow integration: Our practice brief empowers providers, clinical documentation integrity (CDI) specialists, and coding professionals to incorporate clinical validation into their daily routines, thus ensuring accuracy and consistency.
  • Internal criteria development: Develop comprehensive internal criteria for specific diagnoses, thereby enabling better alignment between providers and the CDI/coding team.
  • Mitigate inappropriate reporting: Identify diagnoses lacking clinical evidence and implement clinical validation queries to minimize the risk of inappropriate reporting.
  • Robust internal policy: Establish an internal policy that defines the clinical validation process, thus promoting standardized practices across your organization.

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