Effective January 1, CMS stopped paying for the CPT codes physicians use to bill consultations. This dramatic change provides a window of opportunity for CDI specialists, who are well-positioned to not only break the bad news to physicians, but also provide them with education on how to...Read More »
In 2009, HCPro's Revenue Cycle Institute conducted an in-depth study on recovery audit contractor (RAC) preparedness among healthcare providers. It garnered 717 responses from all four RAC jurisdictions. Respondents hailed from healthcare providers of various sizes: 25% came from hospitals with...Read More »
In collaboration with 3M Health Information Systems, ACDIS issued a survey in January 2021 to members of the ACDIS CDI Leadership Council. Its purpose was to gather data on the ways leaders monitor impact and communicate CDI’s value to justify program investments, how CDI departments leverage...Read More »
Septicemia has been problematic for some time. Coders often misunderstand the ICD-9-CM Official Guidelines for Coding and Reporting as it pertains to the sequencing of the assigned codes, says Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CCDS, director of HIM
I’ve received a few phone calls lately from people interested in the CDI profession. They want to know: Who are CDI specialists? Are they qualified to become one? It’s a difficult question to answer. Many hospitals require an RN licensure. Others use nurses in combination with HIM/coding...Read More »
Susan Borrego, MSN, RN, CCDS, and Michelle Limo, MSMIT, RN, CCDS represent the two-person team that is the Salinas Valley Memorial Healthcare (SVMH) system’s CDI department. They came up with a congratulatory certificate for physicians when they provide specific...Read More »
An 89-year-old female is admitted to the hospital from home with a ST segment elevation myocardial infarction (STEMI). She also has stage 3 chronic kidney disease and refuses catheterization due to risk of dialysis. The patient enacts her living will. She is given appropriate medical therapy,...Read More »
Many CDI specialists struggle with the complication and comorbitity (CC) and major CC (MCC) lists due to their length, complexity, and specific documentation requirements. William Haik, MD, FCCP, director of DRG Review, Inc., in Fort Walton Beach, FL, spoke during the July 23,...Read More »