by Jess Fluegel
As traditional CDI specialists review and query to improve clinical documentation on the front end with concurrent reviews, other roles in a CDI department strive to improve the capture of quality measures, often working retrospectively after the patient has been...Read More »
by Laura Roberts, BSN, RN, CCDS
If I have learned anything among the changes and challenges of the last few years, it’s that we as CDI professionals must be willing to stretch past our comfort zones. Given that many of us come from nursing backgrounds, we are usually willing to...Read More »
by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
DRGs 981, 982, 983, 987, 988, and 989 are “funky.” They encompass encounters in which the operating room (OR) procedure is unrelated to the principal diagnosis. I call them funky because it should be rare that you group to them...Read More »
by Linnea Archibald
The role of a CDI professional is not something to “set and forget.” Even after the orientation period is over, the learning never stops. There’s always a need to reevaluate strengths and weaknesses and work on filling knowledge gaps. But this constant learning...Read More »
by Ronald Singell, RN, BSN, CCDS
When reviewing a patient’s chart, we can make use of computer software, Coding Clinic, the Official Guidelines for Coding and Reporting, and clinical and coding references to help us. Those resources are quick and easy to use. But...Read More »
by Marlene Goodwin-Esola, MSN, RNC
Productivity is a prevailing focus and often-discussed topic for our specialty. The topic of CDI productivity is an enigma to me, and we need to seek further evidence and data to set expected standards. Many of us who came from nursing...Read More »
by Jess Fluegel
There is no single query format every organization uses. Though ACDIS and AHIMA have collaborated to provide theGuidelines for Achieving a...Read More »