The advent of the electronic record (EHR) changed how CDI specialists work with providers and coders. Gone are the days of misplaced paper queries and handwriting woes. As more and more healthcare organizations take on the arduous process of implementing an EHR, new challenges and considerations...Read More »
When Claudine Hutchinson, BSN, RN, started working as a pediatric staff nurse at the Children’s Hospital at Saint Francis in Tulsa, Oklahoma, she didn’t know the first thing about clinical documentation improvement. In medical/surgical, orthopedics, hematology-oncology, and pulmonology, she...Read More »
Q:I can’t distinguish between “code first” and “in diseases classified elsewhere.” Both are used with manifestations and both can’t be sequenced as principal diagnosis, and both need etiology codes so what is the difference?
One of the greatest pleasures of my role as the Associate Editorial Director for ACDIS is work- ing alongside such an amazing group of talented, knowledge- able, and generous members. Those working as CDI specialists hunger for education and information, and they are equally hun- gry for...Read More »
by Paul Evans, RHIA, CCS, CCS-P, CCDS, and Anny Yuen, RHIA, CCS, CCDS, CDIP
The debate regarding which profession makes the “best” CDI specialist unfortunately continues. Many facilities and consulting firms, initially trained to believe that only nurses could perform the duties of a CDI...Read More »
Q: I have a question regarding CDI practice by registered nurses (RN) in states in which they do not have an endorsement of their nursing licenses. Some facilities do not require this, whereas others do.
Obviously, it makes it much easier if the states in which an RN CDI...Read More »
Local ACDIS chapters provide a vital networking and educational service to clinical documentation improvement specialists in a given state, geographic region, or specialty area. These groups are led by volunteers who help hosts organize events and further ACDIS’ mission to provide professionals...Read More »
