CDI Journal - Volume 5, Issue 4

Body Mass Index and malnutrition: Interrelated comorbidities

October 1, 2011
Clinical & Coding

Documentation of both malnutrition and body mass index (BMI) affects MS-DRGs’ assignment as CCs or MCCs and can clarify the patient’s SOI as well as the complexity of care required to treat him or her. Understanding the interrelationship between BMI and malnutrition as well as the clinical...Read More »
CDI Strategies - Volume 5, Issue 4

Tip: Documentation key to ensuring inpatient medical necessity

February 17, 2011
Quality & Regulatory

The RACs have ramped up medical necessity reviews. Determining the medical necessity of an inpatient admission can be a complex process so we have to look at several different places for CMS guidance.

According to the Medicare Benefit Policy Manual, Chapter 1, § 10, an “inpatient...Read More »
CDI Leadership Insider - Volume 5, Issue 4

RSVP for the special Council reception at the 2023 ACDIS national conference

April 10, 2023
Leadership Council, Education

ACDIS is planning a special Leadership Council reception at the 2023 ACDIS conference on Wednesday, May 10, 5-6:30 p.m. in the Plaza Ballroom/Terrace! If you’re planning to attend the conference, we encourage you to fill out this...Read More »
CDI Journal - Volume 5, Issue 4

CDI education goes back to school: Training takes creativity

October 1, 2011
Education

It did not take Bonnie I. Epps, MN, RN, manager of the CDI department at Emory Healthcare, Inc., in Atlanta,long to realize that staff physicians were not quite chomping at the bit to answer her team’s queries. To raise awareness, she quickly created a multifaceted educational approach and...Read More »
CDI Strategies - Volume 5, Issue 4

Q&A: Look for etiology when querying for renal failure

February 17, 2011
Ask ACDIS

Q: Since Acute Renal Failure (ARF) is no longer a MCC (as of October 1, 2010). I would like some input on how facilities have coped with the change. Do you just code ARF, or have you started querying physicians for more specific information such as documentation for acute...Read More »
CDI Leadership Insider - Volume 5, Issue 4

New questions from Council members on contingency staffing, clinical validation queries, problem list updates

April 10, 2023
Leadership Council, CDI Management, Clinical & Coding, Physician Queries

If you have experience with the topics, please email Associate Editorial Director Linnea Archibald at larchibald@acdis.org by noon eastern on Friday, April 14, and she'll connect you with the relevant folks...Read More »
CDI Journal - Volume 5, Issue 4

Physician education: Lessons worth learning from A-Z

October 1, 2011
Education

There are a number of ways to get CDI information into the hands of your facility’s physicians. The following list offers a number of suggestions on how to train and engage your medical staff.Read More »
CDI Journal - Volume 5, Issue 4

Ask ACDIS: Use of tumor board notes post discharge

October 1, 2011
Ask ACDIS

Q: Some physicians are uncomfortable making addendums to the discharge summary to include the pathological findings (e.g., malignancy). Instead, they dictate a tumor board note to summarize the course of treatment and final pathological diagnosis. However, the tumor board note is usually dated...Read More »

Pages