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* 1. Please describe your current CDI/documentation improvement efforts in the home health care setting:

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* 2. Do you have familiarity with the Patient-Driven Groupings Model (PDGM)?

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* 3. What opportunities exist for CDI in home health?

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* 4. Name:

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* 5. Name of organization:

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* 6. Address of organization:

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* 7. Email address:

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* 8. Phone number:

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