“HCCs [Hierarchical Condition Categories] aren’t just an ambulatory focus. This is inpatient and ambulatory, so it’s really important for [CDI professionals] to be tuned into this model,” said Brett Senor, MD, physician associate for Enjoin CDI on ...Read More »

By Cathy Farraher, RN, BSN, MBA, CCCM, CCDS
At a recent meeting, my facility coders discussed that our special care nursery (SCN) patients were an outlier for length of stay (LOS). This surprised CDI staff—the reputation of the unit was very good, so how could it be an outlier?Read More »

By Amy Sanderson, MD
The term “dysphagia” has many synonyms used by providers in medical documentation. However, not all of these symptoms are able to describe, with specificity, the real problem so it can be translated into its corresponding code assignment.Read More »