Meet our New Academy Education Specialist, Debbie Breton!

We’re excited to welcome Debbie Breton to Hivero as our new Academy Education Specialist! Debbie is an ACDIS Approved Educator and seasoned Clinical Documentation Integrity (CDI) leader with more than 13 years of clinical nursing experience spanning coronary critical care, home health, hospice, and hospital-based case management. That strong clinical foundation continues to guide her […]
Clinical Accuracy Starts Here: How to Review an Inpatient Chart Like a CDS

Clinical accuracy is the starting point for everything we do in CDI. Before queries. Before DRG optimization. Before quality metrics. If the clinical picture isn’t solid, nothing else holds up. For a Clinical Documentation Specialist (CDS), reviewing an inpatient chart isn’t about hunting for diagnoses or checking boxes. It’s about understanding the patient’s story, what […]
Hivero Announces Strategic Partnership with Nurse Fern

Hivero is proud to announce a new strategic partnership with Nurse Fern, a trusted and well‑recognized resource within the nursing community, to support nurses seeking to transition into Clinical Documentation Integrity (CDI) and Clinical Documentation Specialist (CDS) roles. This collaboration brings together Nurse Fern’s highly engaged national nursing audience with Hivero’s workforce‑aligned education and placement […]
Maternal Documentation Gaps with the Highest Financial Impact (Article 3 of 5)

While newborn records account for the highest volume of missed opportunities, maternal documentation gaps tend to have a greater per-case financial impact. Across reviews, three maternal conditions consistently surfaced as high‑impact misses: Postpartum Hemorrhage (PPH) Estimated blood loss, uterotonic use, and clinical concern were frequently documented—without a definitive diagnosis or severity classification. When PPH is […]
The Newborn Diagnoses That Quietly Drive Revenue Loss (Article 2 of 5)

When organizations consider documentation improvement, new records are rarely the first place they look. Yet across all assessments reviewed, newborn DRGs accounted for the largest share of missed opportunities. The reason is deceptively simple: newborn diagnoses are often observed but not documented in a billable way. The Most Commonly Missed Newborn Diagnoses Across facilities, the […]
The OB/Newborn CDI Series

The Hidden Revenue in OB/Newborn Documentation: What Hundreds of Reviews Reveal Obstetrics and newborn services are rarely considered meaningful drivers of revenue growth. For many health systems, OB is categorized as high-volume, low-margin. A service line where documentation improvement is expected to yield incremental, not transformational, impact. That assumption does not hold up under scrutiny. […]
Clinical Validation vs. Coding: Why CDI Must Step In

A practical framework for getting AKI and sepsis right—every time Executive SummaryClinical validation and coding are complementary, but not interchangeable. CDI must ensure that diagnoses are clinically supported (with objective, consistent evidence), not merely codable. High‑impact areas such as AKI and sepsis benefit most from a structured approach to indicators, terminology, and CDI queries. 1) […]
Meet Our New Learning Video Specialist and Platform Manager, Luis Raudón!

We’re thrilled to welcome Luis Rodrigo Raudón Sánchez as our new Learning Video Specialist and Platform Manager. Luis brings more than 15 years of experience in learning focused video production, instructional storytelling, and end-to-end audiovisual development. His background includes creating high‑impact training content for major brands and organizations, covering onboarding and compliance, technical training, and […]
A Culture of Continuous Learning

In healthcare, the pursuit of excellence is never a static thing. It’s a field defined by evolution—of knowledge, technology, policy, and patient expectations. Within that constant motion, success isn’t determined solely by the skill of individual clinicians or the efficiency of systems, but by an organization’s collective commitment to learning. This mindset—often called a culture of […]
CDI’s Role in Reducing Clinical Variation

Clinical variation has long been recognized as one of the most persistent challenges in healthcare. Two patients with the same diagnosis, admitted to the same hospital, can experience vastly different care pathways, lengths of stay, or outcomes depending on the provider. While some variation is clinically appropriate—rooted in patient complexity or comorbidities—much of it stems […]