Podcast

RCM Challenges: Clinical Documentation Improvement and Utilization Management

Scott Entinger & Eric McGuire

July 27, 2023

In the latest episode of RCMchat by AGS Health, the focus was on clinical documentation improvement and utilization management. Scott Entinger, CEO of CDI Answers, and Eric McGuire, Senior Vice President for Medical Coding and CDI Service Lines at AGS Health, discussed CDI's role in emphasizing the criticality of accurate clinical documentation, the challenges faced by CDI programs, and the differences between inpatient and outpatient CDI.

Key conversation points include:

CDI's Role: Emphasized the criticality of accurate clinical documentation.
CDI Challenges: Discussed issues like changing regulations and lack of support.
Inpatient vs. Outpatient CDI: Highlighted the differences and the need for more education in outpatient CDI.

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Podcast – Clinical Documentation Improvement and Utilization Management

Scott Entinger, CEO of CDI Answers

Speaker

Entinger’s expertise comes from CDI Answers, a firm dedicated to recruitment and consulting in the realm of clinical documentation and integrity. CDI Answers works nationwide with health systems to elevate their CDI programs, rejuvenate existing ones, and provide education via their CDI Academy.

Eric McGuire, CRCR, PgMP, PMP, LSSGB

Speaker

Eric is a seasoned HIM and revenue cycle professional with more than two decades of experience in helping healthcare organizations bridge the gap between healthcare IT and business operations. As the senior vice president of coding and CDI services, he leads the development of service line strategy and execution. Eric’s leadership and consultancy has helped numerous customers transform their revenue cycle outcomes through enhanced patient experience, revenue growth, risk mitigation, and cost containment. Eric possesses a bachelor’s degree in Macroeconomics from The Ohio State University in Columbus, OH.