Q: The primary physician documented subacute cerebral infarction and I am wondering whether I should code this to a new cerebral vascular accident (CVA) or not since the term “subacute” doesn’t really fall anywhere.Read More »
The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Improvement Specialists (ACDIS) released joint physician query instructions in Guidelines for Achieving a Compliant Query Practice in February 2013.
Most of you receiving this edition of CDI Strategies have probably heard about our “Share Your ACDIS Love” campaign. Throughout our eight years together we’ve been fortunate enough to hear from so many of our members. You have offered us your own CDI stories, shared your experiences both...Read More »
The ACDIS California Chapter has been meeting since 2009. Originally three separate groups planned to meet in southern, central, and northern regions of the state to network and share ideas. Such efforts morphed into monthly telephone conference calls which allowed CDI professionals throughout...Read More »
CMS is currently looking for 850 volunteers from various specialties and sizes for the January 26-30 ICD-10 end-to-end testing. During this testing phase,...Read More »
After announcing its intention to essentially cut a deal with hospitals in order to settle a backlog of pending denials’ appeals, it now appears that CMS may not have the authority to do so, according to a letter to HHS Secretary Sylvia Burwell...Read More »
Q: When atelectasis is noted on an ancillary test such as a CT-scan of the abdomen or chest x-ray, can nursing documentation of turning, coughing, and deep breathing be considered an intervention that qualifies as one of the criteria to meet a secondary diagnosis?Read More »
The annual conference is just 34 days away. But don’t panic. We’re here to help you plan your schedule. As the countdown continues, we’ve spoken with Kyra Brown, RHIA, CCS, for a preview of her presentation “Coding of Complications: Past, Present, and Future.”
