Q: I had a recent case where the nephrologist and cardiologist both documented hypertensive (HTN) emergency, but the attending documented HTN urgency. The attending was correct based on clinical indicators. Does that mean I don't have to query the attending and can just take...Read More »
An EHR integration tool (Jumpstart) that pushes goals-of-care guides to patients and their clinicians, leads to a higher documentation of care goals, according to a study published in the Journal of the American...Read More »
Join Karla Accorto,ACDIS Editor & Product Coordinator, and Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, interim director of ACDIS and director of CDI Education, as they take a deep dive into...Read More »
Is there a list or guidelines for what terminology is considered adequate to establish a link between two conditions, similar to the uncertain diagnosis list?
Would the example above of “GI bleed in the setting of anticoagulants” be sufficient