Clinical Validation Practice Brief 

Improve Accuracy, Consistency, and Collaboration in Clinical Validation

Key Takeaways

• Seamless workflow integration: Our practice brief empowers providers, clinical documentation integrity (CDI) specialists, and coding professionals to incorporate clinical validation into their daily routines, thus ensuring accuracy and consistency.
• Internal criteria development: Develop comprehensive internal criteria for specific diagnoses, thereby enabling better alignment between providers and the CDI/coding team.
• Mitigate inappropriate reporting: Identify diagnoses lacking clinical evidence and implement clinical validation queries to minimize the risk of inappropriate reporting.
• Robust internal policy: Establish an internal policy that defines the clinical validation process, thus promoting standardized practices across your organization.