Q: I attended the ACDIS conference in Nashville. (It was excellent!) I had a question about whether or not queries can be used to question the documentation of a condition or procedure where the clinical picture in the record does not appear to support a given diagnosis. I thought the...Read More »
Q:I have come across an ethical dilemma. We have a small CDI program and a “home grown” application we use to report metrics to the chief financial officer (CFO). In this, we track whether a CDI specialist’s query captured a CC/MCC. If it is the first and/or only CC/MCC...Read More »
It has been three years since ACDIS last surveyed its membership about physician query practices. In 2010, 382 CDI professionals participated. This year’s survey garnered 517 respondents, primarily CDI specialists.
“That’s really a tremendous response rate,” says Drew K. Siegel,...Read More »
In 2004, I passed the AAPC certification exam and became a certified professional coder. Since that time, I’ve worked as a coder in several different specialties. When I began my first coding assignment as a new coding graduate with no coding experience, I had...Read More »
Auditors have been reviewing medical necessity for inpatient services for years and Recovery Auditors (RA) have recouped millions of dollars in overpayments. Now outpatient providers are beginning to see more and more medical necessity audits, especially in the ED and for evaluation and...Read More »
