Generative artificial intelligence (AI) offers benefits in medicine but poses risks to medical trainees, including skill loss and outsourcing reasoning that can potentially undermine clinical competence and patient safety, according to a recent...Read More »
According to the 2025 CDI Salary Survey, 31% of respondents currently review neonatal intensive care unit (NICU) charts. And yet, NICU reviews remain a bit of an albatross in the CDI community, with...Read More »
According to a clinical review published in the Journal of the American College of Cardiology, atherosclerotic cardiovascular disease remains a leading cause of morbidity and mortality worldwide, with acute myocardial...Read More »
Q: If a provider answers a query and the response requires further clarification, is it compliant to contact the provider by phone or other outside query method, have a conversation with the provider, and then ask/encourage them to add to their note without documentation regarding...Read More »
Organizations that care for pediatric inpatients but whose CDI programs do not currently perform focused quality reviews may be overlooking a practical opportunity to improve Agency for Healthcare Research and Quality (AHRQ) potentially...Read More »
The 2026 ACDIS conference is around the corner, where we invite all CDI professionals to empower themselves April 20-23 in Chicago! From industry updates to topic deep-dives to case study insights, the education offered at our...Read More »
If a tree falls in a forest and no one is around to hear it, does it make a sound?
People have applied this thought experiment to many topics, so why not medical documentation? Beyond capturing primary and secondary diagnoses, what goes into a record can...Read More »
