The most well-attended track at the ACDIS conference year-over-year has always been its first, titled “Clinical & Coding.” Most CDI professionals come from a clinical background and have a basic understanding of...Read More »
by Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS
CMS is signaling a clear shift in how it views risk adjustment, quality performance, and documentation integrity (CMS, 2024a; CMS, 2025). While recent Medicare Advantage rulemaking stopped short of announcing a new risk...Read More »
There are certain words a CDI professional would call both the bane of and the reason for their existence. Sepsis might provide the most visceral reaction if you brought it up in conversation with them, though others like respiratory failure and malnutrition come...Read More »
Professional coders and CDI specialists have distinct yet complementary roles, each requiring specialized expertise that occasionally overlaps. Although these roles differ, it is important for CDI specialists to understand coding rules to ensure...Read More »
Q: What are some documentation gaps in behavioral health encounters?
A: Many times, we see a lack of specificity regarding symptoms, severity, and treatment details required for accurate ICD-10-CM coding, as well as incomplete...Read More »
Cardiac professionals may already be aware of porcelain aorta, but it was a subject that was new for me. The case I was reviewing was a patient who was being evaluated for a coronary artery bypass graft (CABG) but was deemed unfit for...Read More »
CDI has often been referred to as the bridge between the clinical and coding worlds, with the unique skill set and knowledge base that allows them to look at clinical medical record documentation and understand how it does (or does not) translate into codes...Read More »
