Historically, CDI specialists have not included quality concerns in their regular chart reviews, leaving such efforts to experts in the quality department. With the advent of pay-for-quality programs and public quality rating systems from CMS, Leapfrog Group...Read More »
After years of working to engage providers and get them on board with CDI efforts, every seasoned CDI professional knows there’s no one-size-fits-all solution. Some physicians will quickly understand the benefits of improving documentation to help their facility’s...Read More »
In my experience, the term “quality” means different things to different people, even within the same organization. Additionally complicating the situation, the term is typically used in a narrative discussing related concepts such as...Read More »
Clinical validation denials are those in which a payer denies a claim based on the grounds that the coded diagnosis (or diagnoses) did not meet the clinical criteria for that condition. CDI professionals involved in appealing these denials often complain that...Read More »
by Evon Dawson, BSN, RN, CCDS
In CDI, education is a necessity not only for improving one’s skill set, but also to keep up with the constant evolution of healthcare. As stated in the ACDIS Code of Ethics, all CDI specialists should “Advance their specialty knowledge and practice...Read More »
by Jennifer Kurian, BSN, RN, CCDS, in collaboration with Whitney Garcia, MSN, RN, CCDS, CCS, CRC
Over the past year and a half, our CDI team at The Queen’s Health System has had quite the journey in developing a collaborative effort to review all inpatient mortalities. Being the...Read More »
by Tamara A. Hicks, MHA, BSN, RN, CCS, CCDS, CCDS-O
Hybrid work models ballooned during the COVID-19 pandemic as both the public and private healthcare sectors struggled to meet patient care needs with limited staffing and increasingly stringent regulatory requirements. CDI...Read More »