While physician documentation drives our CDI and HIM programs, we nevertheless need the assistance of our facility’s nurses and their nursing documentation. Not only are nursing notes and assessments incredibly helpful in formulating...Read More »
Q: I am unsure how “ribs” are categorized in ICD-10. I don’t understand if taking one rib is considered a resection or an excision and why. The coder coded the following record to total ostectomy-rib. If you crosswalk the ICD-9-CM Level 3 code to ICD-10-PCS, it maps to a resection. I...Read More »
Hello! I’m Penny Richards the new ACDIS Member Services Specialist. I’m thrilled to be working with ACDIS Director Brian Murphy and Associate Director Melissa Varnavas in this very exciting and growing segment of the healthcare industry.
In this role, I will be your primary contact for...Read More »
I am supervisor of a documentation integrity program at a leading teaching hospital in South Carolina. Our program has been in existence for seven years. I want to reply to the article in the September 2011 edition of Today’s Hospitalist ...Read More »
I realize that many of the faithful members of ACDIS are, indeed, coders, but most of us have a nursing background, so I’m going to give my two-cents on the coding/CDI specialist relationships from a nursing perspective and hope that...Read More »
I almost didn’t become a nurse. I was almost booted out of nursing school. For alleged transgressions too ridiculous to describe, a petty instructor failed me in my pediatrics clinical. While the director basically conceded that the...Read More »
While the majority of CDI programs report to the director of HIM, a good number (27%, according to the 2010 CDI Program Benchmarking Report) fall under the supervision of the director of case management (CM). CDI programs that report to CM face a number of...Read More »