Clinical Documentation Improvement (CDI) programs facilitate accurate, thorough documentation in the medical record. This program also identifies discrepancies that may exist in the provider documentation when the codes are being selected. The successful request for clarification via the physician query process is enhanced when the coding specialist has a strong foundation knowledge base. This points […]

Overview Over the past few weeks, you have created a Task and Learner Analysis Matrix, a Learning Journey, and a Learning Journey Assessment, and these are all steps you are taking to ensure that this project is successful. For this assignment, you are creating a presentation to your stakeholders which will outline your findings and […]

Your best friend tells you that they have started to date a wonderful person. When introduced, you immediately recognize that they are a patient in the medical practice that you currently work at. This person has a long history of drug and alcohol abuse and is currently receiving treatment by one of your physicians’. The […]

A 19-year-old female presents with a complaint of headaches frequently. She reports that she has had them since she was a teenager, but they have become more debilitating recently. The episodes occur once or twice a month and last for up to 2 days. The pain begins in the right temple or the back of […]