Pediatric Clinical Documentation Improvement Program

Pediatric hospitals face unique challenges every day. One of the major areas where issues can arise is within the documentation of hospitals. Many factors can contribute to inaccuracies in coding and lost data. This can cause confusion and revenue loss when documentation issues go unresolved. Pediatric specialty service providers can experience a range of different scenarios in a fast paced environment. Pediatric specialty documentation and coding can be difficult due to the high level of complexity in the conditions, diagnoses, and treatments.

Human error is one of the largest causes of mistakes in documentation. Because there is so much information for any given patient in a clinical setting manually recorded data from multiple people can create room for error. It is easy for things to get lost in translation and minor differences in shorthand could mean major differences in procedure.

Due to the complexity of the conditions and body systems dealt with in pediatric specialty care, documentation can be challenging. Because multiple codable components can lie within a single condition, things can easily go overlooked. Aside from omissions, failure to properly note findings can cause issues as well.

DCBA, a leader in pediatric documentation improvement, has developed strategies that specifically address the challenges faced by today’s pediatric healthcare specialists. By educating physicians, coders, nurses, and documentation specialists, DCBA creates a cohesive network of understanding in the ever changing field of pediatric medicine. Through their efforts helping various clients across the country, DCBA has created a results driven approach to tackling tough issues in pediatric documentation. Ready for improvement? Check out DCBA.