Over the past several years there have been a number of conversations that touch on physician leadership involvement with CDI. Programs can and do achieve success, but so much more is achieved when there is a proactive and supportive medical voice.
Can you begin to imagine how complex a piece of great literature would be in we had to include complete documentation of each medical incident? Or have to stop every time we have to develop physician queries?
Let’s take a look at the classic tale Gone...Read More »
There has been much discussion based on what Recovery Audit Contractors (RAC) and other state and federal regulatory bodies are doing or what their next move will be (though does anybody really know?!?).
We’ve all heard the stories of denials of well...Read More »
More than half of CDI programs employ physician advisors, but those that do typically find their efforts ineffectual, according to the 2011 Physician Advisor Benchmarking Survey. More than 300 people responded to the survey, with nearly 60% indicating that their CDI program employed a physician...Read More »
Q: Confession. I am very frustrated. I am fairly new to CDI. I have a nursing background. I’m trying to understand how the coding and DRG system works. But when I look up a diagnosis in the DRG Expert in the alphabetic index to diseases it is not listed as I would expect it to be....Read More »
A CDI Talk string discussed ideas for evaluating consultants—a conversation that didn’t gather much steam. So I thought I would throw some ideas out to CDI “blog-o-sphere” to discover what floats.
When considering whether to enter into a...Read More »
Clinical documentation plays a vital role in all coding. It is especially important, however, when reporting conditions such as stroke, which more often than not involves multiple symptoms, diagnoses, and complications.
Through the years, The American Hospital Association’s (AHA) ...Read More »
Q: A 79-year-old male nursing home patient presents with lethargy, confusion, and fever after failing an outpatient course of Bactrim for a suspected urinary tract infection (UTI). His white blood count is 22,000, segs 85, bands 10, and blood cultures are negative. He has a temperature...Read More »
