CDI Journal - Volume 5, Issue 2

Take a closer look when reviewing lung cancer charts

April 1, 2011
Clinical & Coding, Physician Queries

by Helen Walker, MD

CDI specialists should know what to look for when reviewing cancer admissions in order to capture the true severity of these patients’ illnesses. Often patients are discharged with the diagnosis of “possible” or “probable” cancer when the pathology report is...Read More »
CDI Strategies - Volume 5, Issue 2

News: CMS releases improved Physician Compare tool

January 20, 2011
News

At the start of the New Year, CMS released an enhanced Physician Compare site which “begins to fill an important gap in our online tools by...Read More »
CDI Journal - Volume 5, Issue 2

Sociologist begins academic study of CDI profession

April 1, 2011
CDI Expansion

After four years of studying the intricacies of the medical transcription industry, Gary C. David, PhD, associate professor of sociology and associate professor of information design and corporate communication at Bentley University in Waltham, MA, has turned his attention to CDI. David is in...Read More »
CDI Strategies - Volume 5, Issue 2

Q&A: Malnutrition query results in additional confusion

January 20, 2011
Ask ACDIS

Q: Our physician provided an illegible diagnosis of malnutrition, and when we queried him regarding the specific type of malnutrition, he provided protein malnutrition. The ICD-9-CM Coding Manual directs us to assign code 260;...Read More »
CDI Journal - Volume 5, Issue 2

E-nvolved: The case for planning EHR implementation

April 1, 2011
CDI Management

With all the discussion regarding electronic health record (EHR) implementation, many CDI professionals worry that facilities pay little real attention to the collection of meaningful health information or the interconnection of the various electronic tools vendors offer. Added to their concerns...Read More »
CDI Journal - Volume 5, Issue 2

Improve documentation of underperforming service lines

April 1, 2011
Clinical & Coding

by Trey La Charité, MD

Wouldn’t it be nice if every service line in your hospital fully embraced your CDI program’s goals? How frustrating is it when all of the clinical indicators for a given diagnosis are placed squarely under the nose of one of your physicians—only to be...Read More »
CDI Journal - Volume 5, Issue 2

A CDI program's purpose: Documentation for care quality

April 1, 2011
Quality & Regulatory

by Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI

The overarching goal of a documentation improvement program is not to improve reimbursement for the hospital, but to effect a positive change in the behavior of those who document in the medical record. This change...Read More »
CDI Journal - Volume 5, Issue 2

Coding Clinic for ICD-9-CM, first quarter 2011 update

August 22, 2011
Clinical & Coding

Attached is a supplement to the April 2011 issue of CDI Journal. It provides important updates every CDI specialist should know regarding new guidance issued in AHA Coding Clinic for ICD-9-CM for both the first quarter of 2011. The author of the article is James Kennedy, MD,...Read More »

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