Q: I have a question regarding CDI practice by registered nurses (RN) in states in which they do not have an endorsement of their nursing licenses. Some facilities do not require this, whereas others do.
Obviously, it makes it much easier if the states in which an RN CDI...Read More »
by Wendy Frushon Tsaninos, RN, CCDS, CCS, CMSRN, MSTD
In the CDI industry, the remote CDI role is highly coveted. One way to attain such a position is to apply for employment with a supplemental staffing agency. Through this process, a candidate can be matched...Read More »
The 2016 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice call on CDI or coding pro- fessionals to query physicians if the documentation:
Describes or is associated with clinical indicators without a definitive relationship to an underlying diagnosis
The last few weeks have been mind-spinning. First and foremost, the 2017 inpatient prospective payment system (IPPS) final rule, which includes Medicare payment system changes, coding changes, and MS-DRG shifts, was...Read More »
I couldn’t imagine a more appropriate graphic to adorn the cover of this issue—nearly every article in its pages points to how CDI programs can expand their existing efforts and take flight.Read More »
Call me unorthodox, but let’s start at the back of the latest edition of the American Hospital Association (AHA)’s Coding Clinic for ICD-10-CM/PCS for this review. Here, on pp. 36–37, we have the clarifications, including some potentially confusing—and possibly conflicting—information...Read More »
Healthcare reimbursement is changing; both CMS and private payers are working toward payment methodologies that reflect quality of care versus quantity of care. In most cases, quality is measured based on patient outcomes. The concept of risk adjustment is now being applied to healthcare...Read More »