It’s been more than 12 years since AHIMA published its first recommendations governing coder-physician interactions. Since “Developing a Physician Query Process,” published in 2001, much in the healthcare industry has changed—and much change is still to come.
There’s so much in the “Guidelines for Achieving a Compliant Query Practice”, brief as the article on p. 1 outlines. And you can read the complete practice brief here, beginning on p. 7. I encourage you to do so.
Who decided what this new brief would cover? It was you, our ACDIS members....Read More »
by Dan Catalano, MD, FACOG
Is hypertension an important diagnosis in childhood? According to Nelson Pediatrics, 19th Edition, there is a less than 1% prevalence of infant and young childhood hypertension. Given this relatively low incidence, should we be concerned about capturing...Read More »
Janet Emanuelson, RN, has been a CDI specialist at Dominican Hospital-Dignity Health in Santa Cruz, Calif., for nearly six years. She joined ACDIS in 2007 and became a member of the California ACDIS Chapter in 2010, helping the ACDIS national administration to better understand networking needs...Read More »
by Glenn Krauss, BBA, RHIA, CCS,CCS-P, CPUR, FCS, PCS, C-CDIS, CCDS The No. 1 struggle most CDI specialists face is getting physicians engaged in CDI, to provide accurate, specific, consistent documentation in the record. Unfortunately, unless healthcare is reformed to the point...Read More »
by Trey La Charité, MD Sadly, there are patients who will not survive their current level of illness regardless of the best efforts of their physicians and their medical facility. The providers caring for these patients are often at risk of underreporting those patients’ severity of...Read More »