It took some time to break down the wall between coders and CDI specialists at New Hanover Regional Medical Center in Wilmington, N.C. However, that wall eventually crumbled. During roundtable discussions, participants perform post-bill case reviews of...Read More »
Q: I had a question about whether or not queries can be used to question the documentation of a condition or procedure where the clinical picture in the record does not appear to support a given diagnosis. I thought the new ACDIS/AHIMA query practice...Read More »
Striving for the correct DRG assignment on the first pass should be every coder’s goal. This is not simple, and a close look reveals that the complexity of coding rules and the quality of documentation in facilities sometimes make...Read More »
ACDIS members are invited to participate in a Quarterly Conference Call taking place, Thursday, Aug. 22, 1-2 p.m. (EST). Dial-in instructions were sent via email to ACDIS members. If you are an ACDIS member but did not receive your dial-in...Read More »
The U.S. Veterans Health Administration announced yesterday that it is rolling out system-wide CDI efforts. As one of the largest healthcare organizations in the country with 151 hospitals and 827 community-based outpatient clinics, the move signifies the...Read More »
CMS redefined the criteria for inpatient admission by implementing the “two-midnights” rule in the recently released IPPS Final Rule. For an inpatient admission to be deemed medically necessary under the...Read More »
A recent study conducted by the AHIMA Foundation in collaboration with the Cleveland Clinic examined the impact of computer-assisted coding (CAC) on coding time, accuracy, and precision. The study revealed that using a credentialed coder with CAC...Read More »
