Q: Our physician advisors are requesting the question and options be listed before the clinical indicators and treatment in the query. I could not locate any direction regarding this format in the current ACDIS/AHIMA physician query practice...Read More »
The TRIC tactic to queries provides a quick and systematic approach that ensures the necessary components of the query are present and displayed in a compliant manner to the provider. TRIC is the acronym that stands for these four...Read More »
At the time of the 2017 Physician Queries Benchmarking Survey, 48.75% of respondents conducted retrospective, pre-bill reviews and 14.96% conducted post-bill reviews. While this data is only a year and a half old, we know that things sometimes move quickly in CDI.Read More »
As the coder or CDI specialist reviews the documentation, he or she will identify opportunities to clarify diagnoses or even to identify conditions that were not previously documented but may be possible given the patient’s presentation.Read More »
Tara Bell, MSN, RN, CCDS, CCM, manager of CDI and utilization review services for UASI based in Cincinnati, will present “Clinical Validation: Expanding Clinical Validation into Outpatient CDI,” on Day 2 of the ACDIS Symposium: Outpatient CDI. Rebecca “Ali” Williams, MSN, RN, CCDS, also...Read More »
By Marion Kruse, BSN, RN, MBA, and Jennifer Cavagnac, CCDS
The decision of when to query the physician represents an important aspect of the CDI program. In a perfect world, all cases would be reviewed within the first 24 hours of admission. However, due to staffing...Read More »
I think we’re all familiar with the Law of Unintended Consequences. That’s the concept that something begun with the best of intentions can wind up going horribly awry. Examples include “New Coke” and anything ending in the word “Kardashian.” (...Read More »
Q: I have a general question about how providers should list their primary and secondary diagnosis in their daily progress notes. I was taught the primary diagnosis should be listed as number 1 (first listed diagnosis) and then the other...Read More »
