Articles

CDI Journal - Volume 10, Issue 5

New rules add import to clinical validation queries

September 1, 2016
ACDIS Guidance, Clinical & Coding, Education

The 2016 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice call on CDI or coding pro- fessionals to query physicians if the documentation:

  1. Describes or is associated with clinical indicators without a definitive relationship to an underlying diagnosis 

    2. ...Read More »
CDI Journal - Volume 10, Issue 5

In the News: ACDIS addresses documentation and coding issues

September 1, 2016
Clinical & Coding, News

Editor’s note: ACDIS Advisory Board members Paul Evans, RHIA, CCDS, CCS, CCS-P, and Judy Schade, RN, MSN, CCM, CCDS, in conjunction with former ACDIS Advisory Board member and HCPro Director of HIM/Coding Shannon McCall, RHIA, CCS, CCS-P...Read More »
CDI Journal - Volume 10, Issue 5

Coding Corner: 12 new Official Guidelines that affect CDI

September 1, 2016
ACDIS Guidance, Clinical & Coding, News

by Laurie L. Prescott, RN, MSN, CCDS, CDIP

The last few weeks have been mind-spinning. First and foremost, the 2017 inpatient prospective payment system (IPPS) final rule, which includes Medicare payment system changes, coding changes, and MS-DRG shifts, was...Read More »
CDI Journal - Volume 10, Issue 5

From the Forum: Sepsis-3 criteria and the pediatric population

October 7, 2016
CDI Expansion, Clinical & Coding, Education

The Third International Consensus Definitions for Sepsis and Sep- tic Shock published new clinical guidelines for diagnosing sepsis, dubbed Sepsis-3, earlier this year in the Journal of the American Medical Association (JAMA).

Although CMS chose not to adopt the new criteria in a...Read More »
CDI Journal - Volume 10, Issue 5

Physician Advisor's Corner: 10 tips for appealing MS-DRG denials

October 7, 2016
Physician Queries, Education

by Sam Antonios, MD, FACP, FHM, CPE, CCDS

Over the last 18–24 months, health- care organizations have seen a surge in MS-DRG denials, sometimes referred to as clinical validation denials.

When reviewers from Medicare Advantage health plans, Recovery...Read More »
CDI Journal - Volume 10, Issue 5

Outpatient Efforts: Putting the specific into unspecified

September 1, 2016
CDI Expansion, Clinical & Coding

by Erica E. Remer, MD, FACEP, CCDS

The world didn’t end on October 1, 2015. After years of postponement, the proverbial “deal with the devil” made between CMS and the AMA to push ahead with ICD-10-CM/PCS implementation was a year’s grace period during which...Read More »
CDI Journal - Volume 10, Issue 5

My role as a CDI liaison and DRG coordinator

September 1, 2016
Education

by Lori (Cushing) Drodge, RHIT, CCS

I am the CDI liaison and a DRG coordinator for Maine Medical Center in Portland, the largest hospital in the state with 637 beds. I chose my coding career path in high school, but I had no idea what I wanted to study in...Read More »
CDI Journal - Volume 10, Issue 5

Meet a Member: From NICU nurse to CDI director

September 1, 2016
News, Education

Robin Jones, RN, BSN, MHA/Ed, CCDS, has a true passion for CDI. She’s been in the field since 2004, beginning her career as a CDI specialist. A few years later, she was promoted to manager. Now she serves as the system director at Mercy Health in Cincinnati, where she oversees...Read More »

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