CDI Strategies - Volume 9, Issue 23

Q&A: Coding of blood transfusions

November 12, 2015
Ask ACDIS

Q: In terms of coding blood transfusions, does the documentation of which intravenous (IV) site used has to come from the physician in the progress note, or can this particular information be extrapolated from nursing notes, orders, etc.? Read More »
CDI Blog - Volume 9, Issue 22

Guest Post: Documentation requirements for observation services

April 20, 2016
ACDIS Guidance, CDI Expansion, Outpatient CDI

by Kimberly Anderwood Hoy Baker, JD

Medicare covers observation care as an outpatient service under Part B payments. (Medicare reimburses different healthcare providers under different systems or parts—Part A for hospital payments, Part B for medical/doctor’s services,...Read More »
CDI Strategies - Volume 9, Issue 22

Associate Director's Note: Much ado about ICD-10

October 29, 2015
ACDIS Guidance

After three years’ worth of frustration and postponements ICD-10-CM/PCS implementation seems to have been much ado about nothing (to quote Shakespeare). The October 1, 2015, implementation date has come and nearly a month has passed wherein the United States healthcare system lumbered on pretty...Read More »
CDI Strategies - Volume 9, Issue 22

Local Chapter Update: Fourth quarter educational sessions planned

October 29, 2015
News

The following groups are holding meetings this fall.Read More »
CDI Strategies - Volume 9, Issue 22

News: CMS report to Congress highlights recovery auditing program

October 29, 2015
News, Quality & Regulatory

Recovery auditors collectively identified and corrected more than a million claims for improper payments, resulting in $2.57 billion dollars being corrected, according to CMS’ fiscal year (FY) 2014 report on the recovery audit contractor (RAC) program.Read More »
CDI Strategies - Volume 9, Issue 22

News: Hospitals incorrectly billed for Kwashiorkor, hit for overpayment

October 29, 2015
News, Quality & Regulatory

This isn’t the first time we’ve heard about hospitals billing for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
CDI Strategies - Volume 9, Issue 22

News: Tell us about your release of information practices, win an HCPro webcast

October 29, 2015
News

One of our sister publications, Medical Records Briefings (MRB) is conducting its benchmarking survey on release of information practices.Read More »
CDI Strategies - Volume 9, Issue 22

Q&A: Unsigned notes

October 29, 2015
Ask ACDIS

Q: Is there guidance on reviewing a record, such as an operative (OP) note, that has not been signed by a physician? I am at a facility that allows coding from unsigned transcriptions. I was always told that the information needs to be confirmed by a signature as valid before including...Read More »

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