Transitioning to electronic health records (EHR) is no longer a question of “if” but “when.” Nevertheless, physician workflow and documentation habits continue to stymie EHR effectiveness, according to the findings of a new report published in the ...Read More »
Three hours a day. That’s how much time, out of a 12-hour shift, nurses say they spend on indirect patient care tasks such as documenting orders and coordinating care with other departments, according to...Read More »
Look for special e-mail instructions in the coming week directing ACDIS members to an online voting page to determine the association’s four new advisory board members. The page will include the nominees’ background in CDI and information on why they are seeking election.
Mark your calendars: The first ACDIS quarterly conference call of 2012 has been scheduled for Thursday, February 16, from 1-2 p.m. ET. ACDIS members will receive dial-in instructions via e-mail. Note that due to heavy call volume, we recommend that you dial in 10 minutes early.
CMS recently published a draft ICD-10 MS-DRG definitions. According to the website, the definitions are displayed in 'grouper logic order,' meaning that the MS-DRGs are listed in the order in which the grouper recognizes them. “This enables users to see instances where grouper logic order...Read More »
MLN Matters article SE1121 emphasizes that coders must consider all documentation from licensed treating physicians and attending physicians when assigning a principal diagnosis. It states:
“The emergency room report, history and physical (H&P),...Read More »
Q: I have a question regarding sequencing. I would usually have sequenced 428.21 (heart failure) as principal diagnosis, but I was advised by my inpatient coder that she would sequence 404.91 (Unspecified hypertensive heart and renal disease with heart failure) as the principal...Read More »
