CDI has often been referred to as the bridge between the clinical and coding worlds, with the unique skill set and knowledge base that allows them to look at clinical medical record documentation and understand how it does (or does not) translate into codes...Read More »
Admit type continues to present a significant risk across hospital operations, driven by limited formal education and widespread misinterpretation of national standards. Outside the National...Read More »
If your CDI program hasn’t gotten involved in Patient Safety Indicator (PSI) reviews yet, it may only be a matter of time, and this year the 2025/2026 ACDIS CDI Leadership Council has gathered a Mastermind group dedicated to topics surrounding CDI and quality. (...Read More »
Copy-and-paste functionality—also referred to as copy-forward or cloned documentation—has become deeply embedded in EHR workflows. In an environment of escalating documentation demands, this functionality offers clinicians much-...Read More »
Let’s face it: Commonly used clinical vernacular within the medical record is sometimes out of step with today’s healthcare environment. Throughout training, providers learn terms, phrases, and charting techniques that are...Read More »
FEATURES 8 Implementing physician-facing technology to reduce query burden 14 Case study: CDI, revenue integrity, and the creation of an epilepsy monitoring unit 20 ...Read More »
Each year, ACDIS surveys its membership and the greater CDI community to take the pulse of the industry on hot topics. Among the challenges cited in the 2025 ACDIS Membership—and nearly every year before it—provider engagement remains one of the top three...Read More »
by Priscilla Marlar, MHA, CSSBB, CPHQ, and John W. Cromwell, MD
Do you remember playing the game “Telephone” in grade school? The teacher would line us up and give the first student a spoken prompt to whisper to the next student, and so it would go until the message reached the...Read More »