Q: What is ACDIS’ stance on physicians cutting and pasting the entire radiology report into their progress note? Are we allowed to take diagnoses from this documentation? Can the physician cut and paste the radiological findings from the report into their progress notes? Or is this, in...Read More »
Q: What are hospitals expecting in terms of productivity reductions in ICD-10-CM/PCS? How many more queries will CDI professionals be expected to leave?
A: Although I am not aware of a definitive percentage decrease in productivity specific to CDI...Read More »
by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC
In my experience, providers appear overwhelmed the moment you mention ICD-10-CM education. So, maybe we can disguise our education in the form of improving clinical documentation now. The following are examples of a few areas...Read More »
Asking CDI professionals with an RN licensure, but without a coding credential, to also code the medical record may not only lead to noncompliant (and potentially erroneous) code assignments, but also harm the delicate working balance between the HIM/coding department and the CDI staff.Read More »
Anecdotally, colleges across the country are becoming aware of the CDI field and starting to implement certificate programs to meet job demands. One such program launched in the spring of 2014. ACDIS caught up with Denisse Jimenez, Office of the Dean of School of Continuing and Professional...Read More »
Q: How would you suggest I approach my CDI efforts with physicians? I plan to inform them that I am there to protect their reimbursement, too. Would that be okay, or would there be another way to approach this?
A: You are right, getting physician buy-in...Read More »
It’s been nearly two years since AHIMA joined ACDIS to offer the industry physician query instructions in Guidelines for Achieving a Compliant Query Practice, published in February 2013. Nevertheless, “there are a lot of myths and misinformation about query practices out there,” says...Read More »
Many CDI leaders dread conversations with their financial administrators as they try to gain support in moving from a financial focus to a quality focus. I recommend not having these conversations. Instead, send your CFO an invite to discuss an...Read More »