CDI Strategies - Volume 6, Issue 20

News: AHA's Coding Clinic offers clarification on 'sepsis syndrome'

September 27, 2012
News

When the term ‘sepsis syndrome’ is documented coders and CDI specialists have to query the physician. That’s the latest guidance from Coding Clinic for ICD-9-CM released in its 2nd Quarter 2012 edition pp 21-22. The article states, “The term ‘sepsis syndrome’ is poorly defined...Read More »
CDI Strategies - Volume 6, Issue 20

Q&A: Clarification for encephalopathy

September 27, 2012
Ask ACDIS

Q: I need further clarification regarding documentation of toxic metabolic encephalopathy. I’m trying to code two different cases in which a physician documents acute mental status change...Read More »
CDI Blog - Volume 6, Issue 19

ICD-10 Coding Corner: Recap of Coding Clinic, First Quarter 2013

May 16, 2013
Clinical & Coding

Editor’s Note: AHA Coding Clinic for ICD-9-CM released its second round of ICD-10 coding guidance in its First Quarter 2013 issue. HCPro CDI Education Director Cheryl Ericson, MS, RN, CCDS, CDIP, says the guidance contains information regarding diagnosis clarification,...Read More »
CDI Strategies - Volume 6, Issue 19

News: Noridian issues reminder regarding selection of appropriate principal diagnosis

September 13, 2012
News

The terms “admitting” diagnosis and “principal” diagnosis are not necessarily the same, warns Noridian Administrative Services, LLC., Medicare...Read More »
CDI Strategies - Volume 6, Issue 19

News: IOM report says technology can reduce healthcare costs

September 13, 2012
News

Increasing the adoption of health information technology could help make healthcare delivery more effective, according to a nearly 400-page report Best Care at Lower Cost: The Path to Continuously Learning Health Care in America...Read More »
CDI Strategies - Volume 6, Issue 19

Tip: Take seven steps to maintain CDI program success

September 13, 2012
CDI Management

By Karen Newhouser, RN, BSN, CCM, CCDS

In thinking about all the initiatives swirling around the industry, I realize that CDI specialists can become quite confused as they attempt to juggle the increased workload. Core measures, present on admission, patient safety indicators,...Read More »
CDI Strategies - Volume 6, Issue 19

Q&A: Conducting a health record review

September 13, 2012
Ask ACDIS

Can you provide a novice CDI professional with some tips on where to start with a record review?

 Read More »
CDI Blog - Volume 6, Issue 18

Q&A: Where to pull BMI documentation for coding purposes

May 15, 2013
Ask ACDIS, Clinical & Coding

Q: I realize that if the body mass index (BMI) of a patient is documented by nurses and dieticians can be coded if the physician documents the clinical significance (i.e. morbid obesity).  However, if the BMI is documented by a patient care tech or nursing ward secretary...Read More »

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