Summary: Clinical Physician Challenges

During training, physicians are trained to ask “why” and need to identify the purpose for a change in clinical documentation to completely embrace the idea. So, a physician challenges a CDI recommendation, making it an opportunity to clarify why CDI is important. The challenges are to explain the concepts of the MS-DRGs and how they are planned to increase reimbursement for care of compound patients, explain how a severity of sickness and danger of humanity score resulting from the codable diagnoses, have a short, cogent explanation available either orally, written on a card, or as part of your physician education. Once the physician understands that documentation must be detailed, program staff should then transfer to the most mutual scenarios