It’s a problem most CDI professionals reviewing pediatric records know well: physicians are often reticent to diagnose acute respiratory failure for their patients.Read More »
When a patient comes into the hospital and, despite the medical staff’s best efforts, dies, the documentation in the record should accurately reflect how truly sick the patient was. Unfortunately, the record frequently depicts a more-or-less healthy patient who came into the hospital and then...Read More »
CDI specialists’ salaries continue to grow, according to the 2017 CDI Salary Survey, but participants this year aren’t as optimistic as in years past. Similarly, job titles...Read More »
by Cesar M. Limjoco, MD
Sepsis has been defined as a toxic response to infection. Sepsis-1 and Sepsis-2 defined it as a systemic inflammatory response to infection. Sepsis-3 now defines it as life-threatening organ dysfunction caused by a dysregulated host response to infection....Read More »
Rules governing code assignment often don’t make sense to those coming to CDI from the clinical side of the house. In truth, they often confound professionals with years of HIM/coding experience, too. And most CDI and coding professionals have a list of frustrations when it comes to translating...Read More »
by Sharme Brodie, RN, CCDS
I’m glad I’m not the only one who sometimes has a problem determining the proper codes and their proper sequence. I also must not be the only person out there who has questions about coding diabetes, it turns out, because the Third Quarter 2018 edition...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Do you want to see a doctor explode? Just ask about the facility’s electronic health record (EHR) system. I have never heard a practicing clinician say, “I love the EHR.” Most clinicians see the EHR as a bureaucrat-imposed quagmire...Read More »
Dianne Rodrigue, PA, MHP, CHC, CCDS, CRC, CPC, is a senior manager at Baker Newman Noyes, a public accounting firm based in Portland, Maine, with a healthcare advisory and consulting division. She is also a member of the Maine chapter of ACDIS.Read More »