“Documentation can be greatly improved by a properly functioning query process,” AHIMA says in its 2008 “Managing an Effective Query Process” practice brief. But how can you tell whether your query process works? Peer-to-peer review of query practices and outcomes may provide a low-cost,...Read More »
Do you wish you had a discount for the 2025 ACDIS Conference?
Wish granted.
This is a special reminder that the events team has decided to offer a discount to current members of the ACDIS CDI Leadership Council for the ...Read More »
Depending on how they are sequenced, CC and MCC conditions can have a direct effect on MS-DRG assignment, says ACDIS Advisory Board member Cheryl Ericson, MS, RN, CCDS, CDIP, clinical documentation improvement (CDI) education director at HCPro, Inc. in Danvers, Mass., and an AHIMA-...Read More »
Q: A few times I have seen physicians document Schatzki’s Ring. I understand that if the physician documents “acquired Schatzki’s Ring” that maps to code 530.3 no CC/MCC. However, how would...Read More »
The phrase “sepsis syndrome” is starting to appear in medical records these days, but unfortunately it’s a term that requires further clarification. When it’s used, CDI staff/coders should query the physician to clarify the condition being treated. That’s the latest guidance from AHA’s Coding...Read More »
AHA Coding Clinic for ICD-9-CM released its first ICD-10 coding guidance in its Fourth Quarter 2012 issue. The guidance is welcome as the first official coding regulations concerning ICD-10 to come out to date, other than the ICD-10 Official Guidelines for Coding and Reporting.Read More »
Medical schools exist to train physicians to care for sick people. I chose to be a hospitalist path because I see the value of managing issues found only in an acute care setting. I am the most professionally satisfied when I see a patient with a problem...Read More »
