By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, and Sharme Brodie, RN, CCDS
There are a number of risk-adjustment models used in healthcare which affect reimbursement as well as quality of care reporting metrics. Each model has its own nuances, but all employ ICD-10-CM diagnosis...Read More »
Q:Our coders are having trouble determining how much clinical evidence to cite in our queries. Is there a general rule for how much to include?Read More »
As part of the annual CDI Week celebration, ACDIS conducts several interviews with industry experts surrounding topics covered in the CDI Week Industry Survey. James Wall...Read More »
A common theme that plays a critical role in portraying the patient encounter accurately in both the inpatient and outpatient environments is complete and precise documentation. General principles of medical record documentation...Read More »
Along with my CDI work, I’m still pulling a few shifts each month as an ED doc. Having been in “The Pit” for nearly three decades, I’m intimately familiar with the Laws of Emergency Medicine, such as:
Often, the first step getting started in CDI in becoming comfortable with the record review process is simply shadowing existing CDI staff members. If you are the first and only CDI specialist in your facility, reach out to ACDIS...Read More »
Q:I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider?Read More »
Formal CDI programs have existed in Australia for almost two years, now. Having established one of the first CDI programs here, I was in a very privileged position to influence how CDI might look in Australia.
