Q: Is it okay to include a definition of “functional quadriplegia” when we query the physician for this condition? I was surprised when I approached a physician to discuss this diagnosis and he had not heard of it. However, when I gave him the definition, he agreed with it and...Read More »
With all of the attention around the increased specificity of ICD-10-CM codes, facilities are concerned that documentation will lack sufficient detail. And as CDI specialists know, physicians don’t always provide enough information for coders to choose the most specific ICD-9-CM code.
As four new Advisory Board members step forward each year to lend leadership to the ACDIS membership, four trusted members take a step back from their roles. Shelia Bullock, Garri Garrison, Robin Holmes, and Colleen Stukenberg share their thoughts on the growth of ACDIS and the CDI profession as...Read More »
“You can’t imagine how it feels to go from that first meeting, which essentially was just a gathering of sorts,to where we are now,” says Eileen Pracz, RN, CCDS, clinical documentation specialist at Oregon Health & Science University in Portland, who led the chapter in 2010. “This has...Read More »
It is hard to believe that the first-ever Clinical Documentation Improvement (CDI) Week is now little more than a pleasant memory for most. It was definitely something to be marked in the annals of ACDIS’ history. The first CDI Week may be over, but the days of recognizing this unique, vital...Read More »
The first annual Clinical Documentation Improvement Week was celebrated September 18–24, 2011. A work group organized and supported by ACDIS convened over several months to plan and organize the event and to develop resources and promotional events, including an industrywide survey and a series...Read More »
While the majority of CDI programs report to the director of HIM, a good number (27%,according to the 2010 CDI Program Benchmarking Report) fall under the supervision of the director of case management (CM). CDI programs that report to CM face a number of challenges but may also take advantage...Read More »