With the criteria and definition of sepsis in flux, CDI specialists’ involvement in clarifying matters continues to grow. While the Surviving Sepsis Campaign seems to endorse the Sepsis-3 definition, CMS still uses the Sepsis-1 definition. The ACDIS Advisory Board sought to explore the confusion...Read More »
Q: According to a denial letter, acute metabolic encephalopathy secondary to any disease (which it obviously always is) codes to G94, other disorders of brain in diseases classified elsewhere. The auditor stated to “Please see code category G93.4 which has an excludes 1 note excluding “...Read More »
Septic patients can quickly deteriorate into severe sepsis cases if left unattended. “Once they have organ failure, it’s really hard to get those patients back,” Connie Chappelle, RN, MC, CLNC, risk management coordinator for Kansas University Medical Center (KUMC) in Kansas...Read More »
by Amy Czahor, RHIT, CDIP, CCS
Recently I was reviewing a data sample investigating the root cause of DRG discrepancies between CDI and coding. More than half of the cases with a discrepancy were attributed to a difference in principal diagnosis selection.Read More »
Penny Souder, RN, MS, CPC, works at Maui Memorial Medical Center in beautiful Hawaii. She joined the CDI team a year and a half ago, at the department’s inception. She belongs to the local ACDIS chapter, which is based on Oahu (a different island), so this presents her with a...Read More »
FEATURES
6 Focus on growth in year of the rooster: ACDIS members share their priorities for CDI program efforts in 2017.
9 Resolutions for remote CDI effectiveness: Jennifer Love, RN, BA, CCDS, CDIP, provides insight on mitigating work-from-home headaches.
11...Read More »
In the first few months of ACDIS’ existence, no one really knew what to expect from the fledgling association. At the time, managing editor Brian Murphy took on the mantle of director and began holding conference calls with a hand-selected board of trusted advisors and new CDI specialists.Read More »
In its 2013 position paper, “Electronic Health Records and the Role of the CDI Specialist,” members of the ACDIS Advisory Board addressed several concerns related to challenges and opportunities emerging with the advent of electronic systems. Among them were how to handle copy-and-paste concerns...Read More »