Reference no: EM133585860

Case Study: You are the new Revenue Cycle Director at Happyville Health System. Within your first 90 days, you discover that the executive management team and key revenue cycle leadership departments (ex. HIM, Business Office) do not understand the importance of a clinical documentation integrity program. You decide to develop training for the executive management team and other key revenue cycle leadership departments to improve a well-rounded clinical documentation integrity program at Happyville Health System.

Questions: Start a training resource that:

• Recommends documentation practices to ensure medical necessity and coding guidelines are met with the highest level of specificity available.
• Describes case mix index (CMI) and how a CMI impacts the healthcare organization's revenue (bottom line).
• Justifies the ethical clinical documentation improvement (CDI) implementation to improve its CMI and overall net revenue.