Reconciliation is the process of reviewing medical record documentation and comparing this information to the coding summary: principal diagnosis, secondary diagnoses, present on admission indicators, procedure(s), and discharge disposition.Read More »
Although ACDIS created a Code of Ethics for its members shortly after its inception back in 2008, as the industry guidance changed and expectations of CDI professionals shifted, changes in the Code were needed to better reflect the day-today encounters CDI specialists face. So the ACDIS...Read More »
CDI programs are growing— hiring new team members and expanding beyond basic CC/MCC capture. That means CDI managers need to create a comprehensive set of job descriptions and professional expectations.
This added structure will help the program not only hire the right person for the job...Read More »
There is a lot of discussion about how to be a good CDI specialist, but as the profession grows and facilities look to hire new CDI team members, many more people are looking to get into the field. Here are six simple steps to help you set your feet on the CDI career path.Read More »
One of the biggest documentation problem areas pertaining to patient safety indicators (PSI), particularly related to PSI 90, stems from accidental puncture and laceration (APL), says Katy Good, RN, BSN, CCDS, CCS, clinical documentation program coordinator at Flagstaff Medical...Read More »