Admit type continues to present a significant risk across hospital operations, driven by limited formal education and widespread misinterpretation of national standards. Outside the National...Read More »
If your CDI program hasn’t gotten involved in Patient Safety Indicator (PSI) reviews yet, it may only be a matter of time, and this year the 2025/2026 ACDIS CDI Leadership Council has gathered a Mastermind group dedicated to topics surrounding CDI and quality. (...Read More »
Copy-and-paste functionality—also referred to as copy-forward or cloned documentation—has become deeply embedded in EHR workflows. In an environment of escalating documentation demands, this functionality offers clinicians much-...Read More »
Let’s face it: Commonly used clinical vernacular within the medical record is sometimes out of step with today’s healthcare environment. Throughout training, providers learn terms, phrases, and charting techniques that are...Read More »
Q: How are outpatient consultations reported? And what qualifies as a consultation?
A: Outpatient consultations are reported with CPT codes 99242-99245. Each has a time and a level of medical decision-making (MDM). You report either the time or MDM. Here's an overview:...Read More »
Q: What is the correct ICD-10-CM coding approach for poisoning cases that include documented manifestations, and how are these cases reflected in code selections and sequencing?
A: Let’s look at two examples of poisoning, one accidental and the other intentional...Read More »
ACDIS polls allow both the national team and our members a chance to obtain a specific piece of data that speaks to industry trends and professional consensus. Sometimes, a poll gathers information for one CDI department with a specific question or helps shape content for ACDIS’ publications. In...Read More »
