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CLINICAL DOCUMENATION

Across
ALL ADMINISTRATIVE AND CLINICAL FUNCTIONS THAT CONTRIBUTE TO THE CAPTURE, MANAGEMENT, AND COLLECTION OF PATIENT SERVICE REVENUE
PROCESS BY WHICH CDS VERIFIES IF DRG MATCHES WITH C-DRG AND CLARIFICATION IMPACT
PAYMENT FOR SERVICES RENDERED
NOT HER
PATIENT CLASSIFICATION SYSTEM THAT STANDARDIZES PROSPECTIVE PAYMENT TO HOSPITALS & ENCOURAGES COSE CONTAINMENT INITIATIVES
SOFTWARE SYSTEM WE USE TO DO OUR JOB
THE CONDITION AFTER STUDY THAT OCCASIONED THE ADMISSION TO THE HOSPITAL
SCORE THAT REFLECTS HOW SICK THE PATIENT IS
PUBLISHED QUARTERLY
Down
WHAT THE CDS WANTS TO BE ACCURATE, COMPLETE AND CORRECT
TEAM OF PROFESSIONALS WITH WHICH CDE COLLABORATES ON MEDICAL RECORDS FOR APPROPRIATE DRG ASSIGNMENT
PART OF CLARIFICATION WHICH GIVES S/S AND/OR DIAGNOSTIC RESULTS TO SUPPORT THE DIAGNOSIS WE ARE ASKING PROVIDER TO DOCUMENT (IF CLINICALLY APPROPRIATE)
SCORE THAT INDICATES HOW LIKELY IT IS THE PATIENT MAY NOT SURVIVE
CONDITIONS THAT COEXIST AT THE TIME OF ADMISSION, OR DEVELOP SUBSEQUENTLY, AND AFFECT PATIENT CARE DURING THE CURRENT EPISODE
WHAT THE CDS REVIEWS
SIMULTANEOUS PRESENCE OF 2 CHRONIC DISEASES OR CONDITIONS IN A PATIENT
THE OBJECTIVE OF A PROCEDURE
AVERAGE LENGTH OF STAY BASED ON MEDICARE DRG
DIFFICULTY, PROBLEM, OBSTACLE, STUMBLING BLOCK