Q: Our coding team has established their own clinical criteria for a specific diagnosis despite what the physician is documenting and the clinical validity of those diagnoses. Could you please advise?Read More »
By Julian Everett, BSN, RN, CDIP
I clearly remember the day my director told me I’d be reviewing our pediatric mortality cases. I didn’t know where to begin, and our pediatric CDI program was only a year old. Before I could start tackling the problem, I had to learn as much about...Read More »
With more than 40 local chapters, networking groups, and even international CDI efforts related to ACDIS, some are surprised to learn that there is no direct financial relationship between the national organization and these component groups.Read More »
by Sharme Brodie, RN, CCDS
The last quarter of the year typically includes a large number of items for the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS publication. This recent release doesn’t disappoint, with a whopping 94 pages worth of material...Read More »
FEATURES 7 Concurrent coding 12 CMS-HCC version 23 released 17 Mortality reviews and publicly reported quality scores 25 Submit questions to Coding...Read More »
by Melissa Varnavas
It’s that time of the year again: time to pull down the tome that is the inpatient prospective payment system (IPPS) final rule and mine its pages for changes relevant to daily CDI reviews. While intimidating at more than 600 pages, the IPPS rule can be broken...Read More »
When a patient comes into the hospital and, despite the medical staff’s best efforts, dies, the documentation in the record should accurately reflect how truly sick the patient was. Unfortunately, the record frequently depicts a more-or-less healthy patient who came into the hospital and then...Read More »
Rules governing code assignment often don’t make sense to those coming to CDI from the clinical side of the house. In truth, they often confound professionals with years of HIM/coding experience, too. And most CDI and coding professionals have a list of frustrations when it comes to translating...Read More »
