Q: How should the diagnosis of urinary tract infection (UTI) and encephalopathy be sequenced, specifically which diagnosis should be the principal? If physician documentation indicates that the patient came in with confusion, can encephalopathy be assigned as the principal diagnosis if it...Read More »
Shannon Huth, MSN, RN, CCDS, was working as an emergency department nurse in Southern California when she discovered her talent for chart reviews. She was asked to enter trauma data for county reporting, and realized how much she enjoyed analyzing the charts and learning the...Read More »
The CDI Journal offers CE credits towards the ACDIS CCDS certification. To obtain your CCDS continuing education credits, you must successfully complete the online continuing education quiz. Please note: The expiration date for this activity is November 1, 2016. You...Read More »
Productivity has been a huge concern for both CDI specialists and coders. With the added specify in ICD-10, facilities need to strike a balance between getting claims out the door and capturing the full clinical picture is key, says ACDIS Advisory Board member Judy Schade, RN, MSN, CCM,...Read More »
Quality. Mortality. Advanced CDI. Pay-for-performance. Value Based Purchasing (VBP). Last week’sACDIS Quarterly Membership Conference Call touched on a number of these topics.Read More »
It’s hard not to use some form of cliché to describe the advent of ICD-10-CM/PCS on October 1, 2015. “Implementation is on the horizon.” “It’s time for a wake-up call.” “Alarm bells are ringing.” The images throughout this edition of the Journal mimic many of them. One thing is true, however, it...Read More »
by Anny Pang Yuen, RHIA, CCS, CCDS
Did you know the United States is the last country in the world to adopt ICD-10? Many organizations held off on preparations, waiting in case another delay came. Now, however, the clock continues to tick, louder and louder. Now, the reality of...Read More »