When was the last time you celebrated yourself? Too often, we wait until an official anniversary, designated vacation, or obligatory family function to set aside time for celebration. But as I’ve become involved in all the preparations ACDIS puts into CDI Week, I...Read More »
CMS has issued its latest series of change request (CR) modifications to the Outpatient Prospective Payment System (OPPS), according to a federal press release.
Q: Consider patients who are admitted with cellulitis and have type 2 diabetes mellitus with no neuropathy or elevated glucose levels. Should coders query the provider to clarify if the cellulitis is caused by the diabetes, or should such a query only be sent if a patient has other...Read More »
Insurance claim denials and DRG downgrades are frequent concerns and growing areas of focus for CDI programs. CDI functions have expanded to include denial mitigation in their record review process, seeking to capture patient complexity, clarify documentation inconsistencies, and clinically...Read More »
ACDIS developed the Certified Clinical Documentation Specialist-Outpatient (CCDS-O) to provide a trusted baseline of competency for CDI in the outpatient setting. Currently, the CCDS-O exam uses the CMS-HCC Risk Adjustment Model Version 24, but the exam will be updated to Version 28 on October 1...Read More »
