According to a recent ACDIS poll, 58% of respondents currently conduct retrospective chart reviews, and another 5% say they have plans to expand into retrospective reviews soon. While some of those 58% review pre-billing and others post-billing, the goal for retrospective reviews remains the...Read More »
Q: Our physician advisors are requesting the question and options be listed before the clinical indicators and treatment in the query. I could not locate any direction regarding this format in the current ACDIS/AHIMA physician query practice...Read More »
Q: Our coding team has established their own clinical criteria for a specific diagnosis despite what the physician is documenting and the clinical validity of those diagnoses. Could you please advise?Read More »
ACDIS is built by many hands outside of the full-time administrative team. While in years past, we’ve put out individual calls for our ACDIS boards and committees, this year we’re trying something a little different: We’re calling for...Read More »
CDI professionals often work with physicians and coders, but record reviews also lend themselves to collaboration with case management. Part of a case manager’s job is to look at documentation in the medical record from the standpoint of medical necessity, meaning the justification for the...Read More »
If one of your New Year’s resolutions was to get more involved with CDI and ACDIS, we have a suggestion for you: The Journal is ACDIS’ bimonthly publication which includes regulatory information, news, clinically-based articles, case studies, and membership profiles. Many of those...Read More »
If one of your New Year’s resolutions was to get more involved with CDI and ACDIS, we have a suggestion for you: The Journal is ACDIS’ bimonthly publication which includes regulatory information, news, clinically-based articles, case studies, and membership profiles. Many of those...Read More »
By Julian Everett, BSN, RN, CDIP
I clearly remember the day my director told me I’d be reviewing our pediatric mortality cases. I didn’t know where to begin, and our pediatric CDI program was only a year old. Before I could start tackling the problem, I had to learn as much about...Read More »