by Carolyn Riel
With most patient charts now housed in EHRs, technology has become a standard part of the healthcare industry. Growing technological adoption, however, means physicians spend an increasing amount of time on computers and using technology. Physicians sometimes meet...Read More »
by Lisa K. Reichert, MSN-Ed, RN, CCDS
The goal of any CDI program is to ensure both precise and detailed documentation of the patient’s conditions in the medical record. According to a 2015 ACDIS...Read More »
by Linnea Archibald
With expanded remote work capabilities, increased productivity, and streamlined workflow processes, technology has improved the way CDI professionals conduct their day-to-day work in a myriad of ways. Introducing any new technological solutions, however, can...Read More »
I am getting mixed information regarding uncertain diagnoses and if they have to be documented at the time of discharge (and if so, what does the “time of discharge” mean), or if the uncertain diagnoses have to be in the discharge summary. Can you please help clarify?Read More »
by Patricia A. Durgin, MS, BSN, RN, CCDS, CPHQ, and Kristine O’Day, MBA, BSN, RN, CCDS
At Massachusetts General Hospital (MGH), the word “change” is commonly repeated in our rapidly growing and expanding CDI program. Over the past several years, we’ve gone through an EHR and...Read More »
As a hiring manager, when I am presented with candidates, they have already gone through a human resources (HR) screening, so I don’t see everyone that was poolside to begin with. If a candidate has made it past the...Read More »