By Cheryl Manchenton, RN, BSN
From a bird’s–eye view, your CDI program may be a well-oiled machine. CDI specialists pose queries, physicians respond, and coders assign the most accurate and specific codes. But, what happens as your organization continues its journey from volume-...Read More »
A patient comes into the hospital, so sick that there’s likely no coming back. The physicians do everything they can, but the patient expires. Anyone working in a hospital setting knows this scenario all too well.
But, look more closely at the documentation for that patient. In many cases...Read More »
Only 28% of CDI specialists are involved in the denials prevention and appeals process, according to a poll on the April 12, 2016, episode of ACDIS Radio, “The importance of CDI in denials management,” while 40% are...Read More »
by James S. Kennedy, MD, CCS, CDIP
Over the years there’s been a tsunami of denials from payers, Recovery Audit Contractors (RAC), and Medicare quality improvement organizations. This is due to the auditors’ removal of ICD-10-CM codes based on provider documentation; auditors can...Read More »
By Sharme Brodie, RN, CCDS
Another issue of AHA’s Coding Clinic is out, and much of the information in the newest release pertains to the coding of interventions or procedures. There are, however, a few questions and answers found in Coding Clinic, Third Quarter 2017,...Read More »
Alma Yap, RN, BSN, CCDS, CDIP, is an inpatient clinical documentation specialist at St. Joseph’s Hospital and Medical Center in Phoenix. She also serves as president of the Arizona ACDIS Chapter.Read More »