TY  - CHAP
M1  - Book, Section
TI  - Hospital-Driven Documentation
A1  - Engel, Jeannine Z.
A1  - Snow, Diana L.
A2  - McKean, Sylvia C.
A2  - Ross, John J.
A2  - Dressler, Daniel D.
A2  - Scheurer, Danielle B.
Y1  - 2017
N1  - 
T2  - Principles and Practice of Hospital Medicine, 2e
AB  - The  documentation  of  the  inpatient  episode  of  care  follows  the  general  principles  outlined  in  Chapter  27:  Professional  Billing  and  Coding,  and  is  primarily  a  record  of  the  patient’s  clinical  experience.  A  number  of  regulatory  changes  in  the  payment  for  hospital  facility  care  have  occurred  over  the  past  decades  which  subtly  change  the  documentation  requirements  and  may  lead  to  increased  interactions  of  hospitalists  with  others  in  the  hospital  systems  such  as  clinical  documentation  improvement  (CDI)  and  utilization  review  (UR)  personnel.  A  better  understanding  of  these  regulatory  changes  and  their  impact  on  both  facility  reimbursement  and  patient  financial  liability  will  help  the  hospitalist  document  care  more  completely.  In  addition,  there  will  be  fewer  interruptions  and  queries,  less  back-end  work  for  facilities  and  fewer  surprises  for  the  patients  when  their  hospital  bills  arrive.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1137606946
ER  -