The question of whether to retain queries as a permanent part of the medical record increased in importance this spring as recovery audit contractors (RAC) included queries on the list of records they requested as part of complex audits.
“Once upon a time, there were no query police, But...Read More »
Since the last issue of CDI Journal, an important development has occurred in the industry: the release of the AHIMA documents “Guidance for Clinical Documentation Improvement Programs” (commonly referred to as the CDI Practice Brief) and the Clinical Documentation Improvement...Read More »
Two new publications from AHIMA offer guidance and best practices for CDI programs. The Clinical Documentation Improvement Toolkit, released in April, and the “Guidance for Clinical Documentation Improvement Programs” (aka the CDI Practice Brief), released in the May Journal of AHIMA, outline...Read More »
The Association of Clinical Documentation Improvement Specialists (ACDIS) is pleased to comment on the Centers for Medicare & Medicaid Services’ (CMS) proposed changes to the Medicare hospital inpatient prospective payment system (IPPS) and proposed fiscal year (FY) 2011 rates, as published...Read More »
When Melanie Halpern, RN-BC, MBA, CCDS, CCRA, CDI manager at University of Medicine and Dentistry of New Jersey (UMDNJ)conducted interviews, she thought she had found the perfect candidate. But there was a catch: The individual lived three hours away, which was too far of a commute to...Read More »
Attached is a supplement to the July 2010 issue of CDI Journal. It provides important updates every CDI specialist should know regarding new guidance issued in AHA Coding Clinic for ICD-9-CM, Second Quarter, 2010. The author of the article is James Kennedy, MD, CCS, of FTI...Read More »