Q:I know that in an inpatient setting coders are allowed to use a suspected diagnosis when a definitive diagnosis cannot be determined. However, we have had some trouble with physicians using the term “rule out” or “differential diagnosis” when it comes to a recovery...Read More »
Whether you’re new to the Council this year or returning for a subsequent term, we wanted to highlight some helpful information to make the most of your Council membership this year. Read More »
The American Health Information Management Association (AHIMA) published its Clinical Documentation Improvement Toolkit earlier this month. The 41-page document offers sample job descriptions for CDI specialists and physician advisers to CDI, provides definitions for documentation...Read More »
While Council membership of course comes with a number of benefits, there are a few participation requirements all members must fulfill on an annual basis in order to remain active and in good standing in the Council.Read More »
Despite the inclination of many hospital administrators to mechanize documentation and abstraction of quality measures, Kristen Geissler, MS, PT, MBA, CPHQ, associate director in the Healthcare Clinical Economics Practice at Navigant Consulting, Inc., in Baltimore, hasn’t heard of anyone able to...Read More »
Vanessa Elliott, BSN, RN, CCDS, enterprise system CDI educator at WVU Medicine, asks: "How are other teams handling their workflow processes with reviews, such as assigning, following up, and concurrent reviews? I’d love input from folks using Epic and 3M!"Read More »
Many CDI specialists struggle with the problem of educating physicians about documentation requirements. Typical trouble areas include acute kidney failure versus acute renal failure or acute renal injury. While some CDI managers have a chance to educate new physician staff in one-on-one...Read More »
