It’s a question asked by many new to the CDI field: “What is CDI?” When I first interviewed for the CDI editor position at ACDIS, I quickly Googled the term, finding translations like “customer data integration” and “capacitor discharge ignition.” Clearly, I...Read More »
Sheila Duhon, MBA, RN, CCDS, A-CCRN, is the national director clinical documentation improvement educator, performance management and innovation division for Tenet Healthcare Corporation. She’s been involved in CDI since 2006, and finding the position offered a career in which...Read More »
The AHA wrapped up its Coding Clinic for ICD-10-CM/PCS advice for 2014 by answering a lot of questions regarding the coding of surgical procedures/ interventions—a trend we’ve seen over the last several issues of the publication. Let’s take a look at...Read More »
Over the past year, we’ve been asked numerous times about what it means to be an “advanced” CDI program. No forward-looking CDI program can truly advance unless (and until) a solid base is set—until it looks back over its program basics to ensure that its staff remains wellversed in query...Read More »
In November 2014, implementation of the ICD-10-CM/PCS code set was threatened again—with a two-year delay. Even though the implementation date survived previously attempted bills to kill ICD-10 could be reintroduced in the 2015.Read More »
Asking CDI professionals with an RN licensure, but without a coding credential, to also code the medical record may not only lead to noncompliant (and potentially erroneous) code assignments, but also harm the delicate working balance between the HIM/coding department and the CDI staff.Read More »
It’s been nearly two years since AHIMA joined ACDIS to offer the industry physician query instructions in Guidelines for Achieving a Compliant Query Practice, published in February 2013. Nevertheless, “there are a lot of myths and misinformation about query practices out there,” says...Read More »
by Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI, and Jeffrey Epstein, MD
The use of coded data for purposes other than reimbursement has shifted dramatically in the past few years. What can we do to make our documentation improvement efforts more meaningful...Read More »
