As a nurse new to the worlds of coding and clinical documentation, it can feel quite overwhelming. Making the transition from the clinical side of nursing to a non-traditional nursing role can be challenging. To make that transition smoother,...Read More »
As the healthcare industry prepares for a system that rewards value through high quality and efficiency of care, the emphasis on patient safety as a principal priority has become more important than ever, reflected clearly in the responses across the board...Read More »
APR-DRGs are the most widely-used SOI and ROM-adjusted DRGs in the healthcare industry. They are driven not only by the principal diagnosis (PDX) and any procedures performed, but also take into consideration all secondary diagnoses. MS-DRGs, in comparison, are driven by the PDX, procedures, and...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
CDI specialists can increase their value to their hospital and ensure a far greater degree of physician buy-in through serving as a pro-active denials management specialist. In some respects CDI specialists already serve as a...Read More »
While CDI and coding staff members are well versed in assigning a principal diagnosis, they are often less adept at incorporating the concept of medical necessity into their practices, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS. Coders tend to simply code what'...Read More »
Does your facility mandate its physicians participate in CDI orientation?
That’s the question SC ACDIS Chapter leader Rebecca “Ali” Williams, RN, BSN, CCDS, manager of documentation integrity for Spartanburg (SC) Regional Medical Center...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Sequencing is a challenge, particularly when two conditions meet the definition of principal diagnosis but only one justifies medical necessity for admission. Many CDI professionals don’t consider the major role sequencing...Read More »