Getting documentation right the first time

Retrospective documentation is not just inefficient — it's a system organized around the wrong end of the problem. CDI queries, denial management, chart reviews exist because the clinical picture was not captured at the point of care.

Retrospective documentation isn't just inefficient. It's a system organized around the wrong end of the problem. CDI queries, denial management, chart reviews: this entire infrastructure exists because the clinical picture wasn't captured at the point of care. And as payers increasingly deny diagnoses that weren't native to the encounter, the window to recover what was missed is getting smaller.

In this webinar, Dr. David Kirk, CMO of Regard, is joined by Dr. Carolyn Bauer, Medical Director of Clinical Documentation at Montefiore, and Fran Jurcak, an independent consultant with more than twenty years in CDI and revenue cycle. Together they make the case for getting it right the first time: where documentation actually breaks down, why ambient tools don't close the gap, and what it takes to capture accurate, defensible diagnoses from day one of the encounter.

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