By Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
CDI specialists who have been around for a while might recall how in 2007 CMS implemented the Medicare Severity Diagnosis-Related Group (MS-DRG) system. This variation to the inpatient prospective payment system (IPPS) linked reimbursement...Read More »
By Sarah Nehring, CCS, CCDS
From the coding and CDI perspective, sepsis can be one of the trickiest diagnoses. Here are 10 things coders wish physicians knew about sepsis documentation and coding.
10: Urosepsis
Urosepsis isn’t sepsis—not from a coding...Read More »
By Sharme Brodie, RN, CCDS
The First Quarter 2019 issue of Coding Clinic was released in late March and is rather short—just 37 pages. Because of the length, I want to spend more time than I otherwise would discussing a few covered procedures.
Lakeyshia Moore, MBA, RHIA, is the senior director of coding and reimbursement at Texas Health Resources in Arlington, Texas. She is a member of the Texas ACDIS local chapter and a member of the 2019 ACDIS Conference Committee.
FEATURES 7 EHR’s troubled path 14 Working with CAC and NLP 22 DIY outpatient tracking tools 42 Guidelines for Achieving a Compliant Query Practice—2019...Read More »
by Melissa Varnavas
I’ve written a lot about queries and the evolution of query best practices over the past 10 years, and I’ve been around long enough to remember some of the controversies regarding those best practices.
Some thought the recommendations in AHIMA’s briefs...Read More »
by Angie Curry, RN, BSN, CCDS
Achieving documentation integrity—which results in positive outcomes for everything from quality and Patient Safety Indicators (PSI) to hospital ratings and scores—means actively involving CDI specialists in organizational documentation initiatives....Read More »
Technology changes at what can seem like light speed. ACDIS released a white paper on the topic of electronic health records (EHR) in 2013, and anyone working in CDI knows that, though some things remain constant, a lot has changed since then.
The three issues that CDI professionals most...Read More »