Documentation Compliance Program | SPi Global

The AccuDOCUMENT Documentation Compliance Program provides education and training for your Clinical Documentation Specialists to ensure your physicians document relevant diagnoses and procedures leading to correct MS-DRG assignment.

With the expansion of the familiar CC classification to include CCs and major CCs (MCCs), you will be required to provide coders more specific information than was previously necessary. Considering that total revision of the CC/MCC structure, along with documentation and coding adjustments implemented back in 2007, it has become mandatory for hospitals to engage medical and coding staff in a clinical documentation improvement program.

The objectives of the program are:

• To improve medical record documentation at point-of-care to ensure quality of care, compliance, and appropriate reimbursement;
• To promote teamwork in your Hospital and Medical Staff personnel engaged in patient care and medical record documentation; and
• To monitor and evaluate the effectiveness of the education and training program through documentation evaluation and DRG validation review.