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Crucigrama Sopa de Letras Hoja de Trabajo
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Clinical Documentation Improvement

Horizontales
Documentation that supports the purpose of the health record
Inquiry to clarify documentation in health record for accurate code assignment
Diagnostic Related Group
Documentation is reliable and has the same information in all parts of the health records
Documentation that is presented neatly easy to read
Verticales
Documentation is up-to-date
Group of professionals including HIM personnel, physicians, and nurses who work together to initiate a CDI program
Done within 24-48 hours after admission. This involves coding the case and assigning a baseline DRG.
Documentation is free of any identifiable errors
Ensuring the documentation of the medical record illustrates the state of the patient’s condition by capturing the accurate severity of illness and risk of mortality