CDI professionals often work with physicians and coders, but record reviews also lend themselves to collaboration with case management. Part of a case manager’s job is to look at documentation in the medical record from the standpoint of medical necessity, meaning the justification for the...Read More »
Even on a small scale, knowing where to start with an outpatient CDI program implementation can leave leaders at a loss. Add in the complications of a large healthcare system and things can get even hairier. With multiple sites and teams dispersed geographically, there’s a lot to consider before...Read More »
by Tammy Trombley, RHIT, CDIP, CCDS
Recently, an outpatient CDI review project at a large family practice/internal medicine physician clinic identified numerous coding errors on physician-coded claims. More than half of the errors affected risk adjustment for the CMS-Hierarchical...Read More »
by Tracy Boldt, RN, BSN, CCDS, CDIP and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
Physician support in the CDI decision-making process from the CDI program’s inception helps physicians see beyond the immediate obligation of documentation to the greater good such documentation...Read More »
by Johanne Brautigam, RN, BSN, CCDS and Mindy Davis, RHIT, CDIP, CCS, CCDS
Career ladders are a relatively new concept for CDI. With the adoption of the inpatient and outpatient CDI programs, there is a greater need for a ladder program because there will likely be individual...Read More »
To be successful CDI programs need to expand across the care continuum into the ambulatory and the post-acute care setting to capture all diseases and conditions that paint the picture of patient care.Read More »
There are many ways to fight a claim denial, but the first step is to decide to appeal. That’s why it’s important to have a dedicated denials management division and a denials management steering committee to provide oversight (as described in...Read More »
Deanne Wilk, RN, BSN, CCDS, CDIP, CCS, will present “How to Handle the Problematic Problem List” on Day 1 of the ACDIS Symposium: Outpatient CDI, which takes place November 14-15 at the Hyatt Regency in Austin, Texas. Wilk is...Read More »
