The 2016 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice call on CDI or coding pro- fessionals to query physicians if the documentation:

1. Describes or is associated with clinical indicators without a definitive relationship to an underlying diagnosis 

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by Laurie L. Prescott, RN, MSN, CCDS, CDIP

The last few weeks have been mind-spinning. First and foremost, the 2017 inpatient prospective payment system (IPPS) final rule, which includes Medicare payment system changes, coding changes, and MS-DRG shifts, was...Read More »

The Third International Consensus Definitions for Sepsis and Sep- tic Shock published new clinical guidelines for diagnosing sepsis, dubbed Sepsis-3, earlier this year in the Journal of the American Medical Association (JAMA).

Although CMS chose not to adopt the new criteria in a...Read More »