In the April edition of the CDI Journal, ACDIS published the joint ACDIS/AHIMA practice brief on “Guidelines for Achieving a Compliant Query Practice.” Relating to that publication, a sample query...Read More »
In its FY 2014 IPPS proposed rule, CMS not only redefines inpatient status, but it also discusses the ‘why’ and ‘how’ physicians should document the defining characteristic of all admissions: medical necessity.Read More »
CDI professionals must educate facilities and physicians about the importance of accurately capturing the entire disease process because physicians, unfortunately, are frequently reluctant to document additional disease processes in the charts of patients who are obviously about to die.Read More »
Q: We recently had a difficult case regarding a query for acute renal failure. Here is the scenario:
An 80-year-old woman came into the emergency room (ER) because she ran into the bumper of a car while driving her electric scooter and sustained a...Read More »
