Every so often, I come across some coding issues that recall other coding issues. Selection of the proper procedure code can sometimes get one into trouble.
For example, there is a new code for the conversion of a percutaneous endoscopic gastrostomy (...Read More »
Are you like me and refuse to make New Year’s resolutions because you think you’re just setting yourself up for failure? Lose weight? Quit smoking? Exercise more? Spend less? Let’s face it, you can’t just decide to change your life
An ACDIS member recently recounted a disappointing story regarding her facility CDI program implementation. Essentially, the nurses performing concurrent queries disagreed with the coders at nearly every turn. I’m sure many of you can relate to this...Read More »
The role of the clinical documentation specialist has been in a state of flux for the past few years. We wear many hats including that of nurse, coder, teacher, auditor, statistician, politician, and sometimes therapist.Read More »
Clinical documentation improvement specialists continue to have trouble discerning between leading and non-leading physician queries. The question often comes down to an understanding of the various previous “lives” of professionals.Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Communication is defined in the Merriman-Webster dictionary as a verbal or written message, exchange of information, or a process by which information is exchanged between individuals through a common system of symbols, signs,...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
A clinical documentation improvement (CDI) specialists’ focuses on educating physicians on the merits and material benefits of complete, accurate, and effective medical record documentation on the practice of medicine.Read More »
