UnitedHealthcare (UHC) announced that starting April 1, they will use a proprietary software program to evaluate all professional claims submitted for emergency department visits with the Level 5 evaluation and management (E&M) code 99285.
According to guidelines from the American...Read More »
by Howard Rodenberg, MD, MPH, CCDS
If you were to ask me, “What is the single best thing I can do to improve clinical documentation?” my answer would be to go out and get yourself some resident physicians. Beg, borrow, or steal them if you have to, but having residency programs...Read More »
Q: Upon review of some of my old query formats, I noticed that come of them have a standard statement like the ones below:
“To facilitate accurate documentation of severity of illness (SOI), please clarify the etiology of abdominal pain for this patient based on these clinical
by Carolyn Riel
CDI departments are traditionally behind the healthcare scenes. CDI specialists are the heroes that no one sees, fighting denials and making sure all charts are completed to the utmost accuracy. But what happens when this backstage department steps into the...Read More »
A couple weeks ago the Association of Clinical Documentation Integrity Specialists (ACDIS) debuted the Provider Engagement Series with its first position paper, Provider Engagement and the “Why,” which you can read here.
ACDIS is pleased to debut our first case study in the...Read More »
by Alba Kuqi, MD, CCS, CDIP, CCDS, CRCR, CICA, CSCM
Ischemic heart disease has a multifactorial etiology and can be prevented from developing in populations primordially, and in individuals at high risk by primary prevention.Read More »
ACDIS conducts an annual Membership Survey to help us gauge members’ needs and develop educational solutions to help meet them. The survey results shape future Journal articles, webinars, white and position papers, books, podcast episodes, and more. When you answer the Membership Survey...Read More »
by Linnea Archibald
Regardless of the age or maturity of a CDI program, education holds a central position in all CDI work. While budding CDI programs may rely on their own staff members or leaders to disseminate education to each other and providers, as programs grow and their...Read More »