Providers could see adjustments ranging from negative 4% to positive 12% in 2019, and from negative 9% to positive 27% in 2022 from new pay-for-performance measures. The program is designed to be budget neutral with high performers eligible for additional bonuses. In other words, providers face...Read More »
Effective documentation of the condition and the patients’ co-morbidities may help lawyers successfully defend physicians in litigation regarding decubitus ulcer cases, according...Read More »
Our present hospital policy states that our queries are not part of the medical record. We have several years’ worth of queries and we were wondering if you have a policy on what to do with those.Read More »
Ensuring a smooth ICD-10-CM/PCS transition required appropriate planning, education, staffing, and communication, explained founding ACDIS Advisory Board member Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer, national director of coding quality,...Read More »
No new hospital initiative operates in a vacuum. And there is no way to anticipate every consequence of your CDI program. Even with the best intentions, there will be downstream consequences to navigate.Read More »
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 »