CDI Blog - Volume 11, Issue 139

How my nursing career took an unexpected career path into clinical documentation improvement

July 13, 2018
Ask ACDIS

By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, CDI Education Director at HCPro and ACDIS

Thirty-two years ago, I proudly received my BSN from the University of Vermont. I was young and didn’t know what I didn’t know. I did know that this degree in nursing would provide me with...Read More »
CDI Blog - Volume 11, Issue 138

Guest post: PSI quirks

July 12, 2018
ACDIS Guidance, Quality & Regulatory

by James S. Kennedy, MD, CCS, CDIP, CCDS

As I mentioned previously, during my review of Patient Safety Indicator (PSI) version 7.0, I came across a...Read More »
CDI Blog - Volume 11, Issue 137

Tip: Coding and physician education surrounding HCC capture

July 11, 2018
CDI Expansion, Clinical & Coding, Denials & Appeals

Although HCCs are not new, addressing risk-adjustment methodologies is becoming more frequent in both the acute and primary settings.Read More »
CDI Blog - Volume 11, Issue 136

Q&A: Sequencing ESRD, HTN, CHF, and diabetes

July 10, 2018
Ask ACDIS, Clinical & Coding

Q: How do you sequence ESRD, HTN, CHF, and diabetes when the patient is admitted with kidney disease which has progressed to ESRD and requires initiation of dialysis this admission? The heart failure is chronic. The ICD-10 combination code takes you...Read More »
CDI Blog - Volume 11, Issue 135

Note from the Instructor: Encephalopathy tips

July 9, 2018
ACDIS Guidance, Clinical & Coding

By Sharme Brodie, RN, CCDS

Recently, I was asked an interesting question about querying for the diagnosis of encephalopathy. The student asked whether it was required for a patient to return to their mental status baseline prior to the CDI specialist querying the...Read More »
CDI Blog - Volume 11, Issue 134

Guest post: Defining “normal”

July 6, 2018
ACDIS Guidance, Clinical & Coding, Physician Queries

By Howard Rodenberg, MD, MPH, CCDS
When my son was in middle school, I would call him every evening to review the school day. I would want to know all about the things he was learning and the friends he was making, and he would grudgingly oblique me with a one-word answer if he...Read More »
CDI Blog - Volume 11, Issue 133

Guest post: Reviewing PSIs to ensure patient safety, ICD-10-CM/PCS compliance

July 5, 2018
ACDIS Guidance, Quality & Regulatory

by James S. Kennedy, MD, CCS, CDIP, CCDS

Physicians are ethically engaged in keeping patients safe and doing no harm. Unfortunately, medical and surgical care is complicated, especially in patients with high-risk comorbidities; thus, unintended negative results do occur.Read More »
CDI Blog - Volume 11, Issue 132

Book excerpt: Identifying physician education needs

July 4, 2018
ACDIS Guidance, Education

By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, and Sharme Brodie, RN, CCDS
What do physicians need to learn about CDI? Just about everything—up to a point. If you are joining a new CDI program, physicians likely need to learn what a CDI program is, how it functions, and how it...Read More »

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