CDI Strategies - Volume 4, Issue 11

Q&A: Policies for late entry documentation

May 27, 2010
Ask ACDIS

Q: Payers have been pushing back when a diagnosis appears in the discharge summary and not in the chart. Can the physician add a late entry or addendum into the medical record by way of a progress note or an addition to a discharge summary...Read More »
CDI Leadership Insider - Volume 4, Issue 10

Note from the Interim ACDIS Director: ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice—2022 update released, comment period open

October 10, 2022
Leadership Council, Physician Queries

by Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC

Today marks the release of the 2022 update to the co-authored ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice©*. This practice brief supersedes all previously published versions. ACDIS and AHIMA are...Read More »
CDI Blog - Volume 4, Issue 10

Guest Post: The myth of ‘meaningful use’

February 24, 2011
ACDIS Guidance, Policies & Procedures

by Robert S. Gold, MD

We, in the United States, will soon need to adopt the electronic health record (EHR). Over the past few years, of course, healthcare entities have slowly converted from the traditional handwritten medical record toward one that is totally digital. There have...Read More »
CDI Strategies - Volume 4, Issue 10

News: AHIMA releases CDI program guidance

May 13, 2010
News

Shortly after releasing its Clinical Documentation Improvement Toolkit in April, the American Health Information Management Association (AHIMA) released its Guidance for Clinical Documentation Improvement Programs in the May issue of the Journal of AHIMA.

Like the...Read More »
CDI Leadership Insider - Volume 4, Issue 10

Council member Q&A: CDI dashboards

October 10, 2022
Leadership Council, CDI Management

ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question-asker. In order to share...Read More »
CDI Strategies - Volume 4, Issue 10

News: CMS offers partial answer to RAC query submission questions

May 13, 2010
News

CMS has been holding a number of open forum calls regarding its Recovery Audit Contractor (RAC) programs. Dubbed “Nationwide RAC 101 Calls” these sessions covered the basics of RAC reviews, each focusing on a different provider area.

The first call on April 28, intended for all acute...Read More »
CDI Leadership Insider - Volume 4, Issue 10

New questions from Council members on vendors for post-claim review, 3M advanced code sequencing, unspecified sepsis

October 10, 2022
Leadership Council

One of the biggest benefits of Council membership is that it opens opportunities for collaboration and networking between members. While you can always ask questions via the ACDIS Forum thread specifically for Council members...Read More »
CDI Strategies - Volume 4, Issue 10

News: CMS adds to the number of codes processed on institutional claims

May 13, 2010
News

Effective January 1, 2011, CMS will start to accept up to 25 codes for secondary diagnoses. The change, listed in a March 2010 MedLearn Matters article and also listed in the...Read More »

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