Clinically Correct, but Legally Risky

About this episode

The episode discusses the implications of a False Claims Act case for CDI professionals regarding clinically valid diagnoses and the associated legal risks.

A recent False Claims Act case is raising an important question for CDI professionals: what if the diagnosis is clinically valid, but the process behind it is challenged? During the next live edition of the popular Talk Ten Tuesdays podcast, Dr. Robert Oubre, director of CDI and UM at St. Tammany Health System, will report on a motion for summary judgement on a case (Smith vs Mercy Health) on how malnutrition documentation and electronic medical record (EMR) workflows came under s...

People in this episode

Guest: Dr. Robert Oubre

Topics covered

• False Claims Act
• Clinical Documentation Improvement
• Malnutrition Documentation
• Electronic Medical Records
• Legal Risks in Healthcare

Keywords

• False Claims Act
• CDI
• malnutrition
• EMR workflows
• legal risks
• healthcare compliance

Mentioned in this episode

Organizations: St. Tammany Health System, Mercy Health

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