A clinical documentation improvement (CDI) specialist notices that one of the physicians from the cardiac catheter lab is now performing procedures in the operating room. Although this may be appropriate, the CDI specialist has worked in the facility a number of years and is not aware of any advanced training that would qualify this physician to perform procedures in the operating room.

1. What should the CDI specialist do?
2. What course of action should the facility take?
3. What course of action should the medical staff take?
4. What are the potential liabilities for the facility and the medical staff member?