When Jennifer Love, RN, BA, CCDS, accepted a CDI position in Texas, she’d planned the move to be closer to her family. When her husband received a promotion, however, plans changed. They decided to stay in North Carolina.
Although Love remained in the area, she found a brand-new...Read More »
How can we provide quality care for our patients if we do not have a clear picture of their clinical story? That has been a core question of mine for as long as I can remember, even before I heard the term “clinical documentation improvement...Read More »
Q: How should I query for systemic inflammatory response syndrome (SIRS) if SIRS codes to sepsis? I want to correctly query and obtain the proper supporting information in the medical record in the event of an audit. Any discussion on this topic is appreciated.Read More »
Starting October 2012, Medicare will begin paying hospitals for quality measures, according to a CMS fact sheet released April 29. The new Hospital Value-Based Purchasing (VBP) program adopts performance measures under two “domains”:
In room 34 of the emergency department (ED) at Healthytown Municipal Hospital, a morbidly obese woman breathes with the aid of a face mask. A CDI specialist walks by and notices how the woman’s abdomen, not just her chest, rises and falls and decides to take a look at what the physician has...Read More »
Editor’s note: The following timeline contains step-by-step guidance for meeting the ICD-10 go-live date of October 1, 2013, collected and approved by the ACDIS advisory board. It includes material from the “AHIMA ICD- 10-CM/PCS Transition: Planning and Preparation Checklist.” It can be...Read More »
Imagine sitting down to take an exam and the teacher tells you exactly what’s on the test. Not only that, but the teacher’s putting the answers up on the blackboard. PEPPER is a lot like that. It outlines areas that are at risk for payment errors (referred to in the report as “target areas”)...Read More »