The American Health Information Management Association (AHIMA) published its Clinical Documentation Improvement Toolkit earlier this month. The 41-page document offers sample job descriptions for CDI specialists and physician advisers to CDI, provides definitions for documentation...Read More »
Despite the inclination of many hospital administrators to mechanize documentation and abstraction of quality measures, Kristen Geissler, MS, PT, MBA, CPHQ, associate director in the Healthcare Clinical Economics Practice at Navigant Consulting, Inc., in Baltimore, hasn’t heard of anyone able to...Read More »
Many CDI specialists struggle with the problem of educating physicians about documentation requirements. Typical trouble areas include acute kidney failure versus acute renal failure or acute renal injury. While some CDI managers have a chance to educate new physician staff in one-on-one...Read More »
Q: Our CDI specialists tend to ask questions that provide the physician with multiple options to choose from. It is not uncommon to have a query with multiple answers checked by the physician.
Q: What is the recommended ratio for CDI professionals regarding the number of patients and the number of chart reviews that should be conducted? Also, do you know if any institution is just reviewing Medicare cases or regardless of financial resource?Read More »
