Q: I have a situation where providers are using abbreviations such as AHRF for acute hypoxic respiratory failure, ADHF for acute decompensated heart failure, etc. Can I code these conditions, or do I need to query to clarify the abbreviation? Read More »
Q: Our physicians are answering our CDI queries and agreeing to the proposed diagnoses but not carrying their documentation forward into their subsequent notes and discharge summary. If your health system has found a solution to help providers carry the query response forward into...Read More »
Q: My facility does not have a template for a non-traumatic myocardial injury query. Would the following, in your opinion, be an appropriate query?Read More »
Q: I have a question about querying for excisional debridement. Our organization uses an operative template containing two sections that have caused some pushback from our surgeons. Those sections are “Procedure performed” and “Operation details.” Our CDI specialists have been...Read More »
As part of the fourteenth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Maria Gracia (Gigi) Donohue, BSN, RN, CCDS, regional manager of clinical documentation excellence at South...Read More »
As part of the 14th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Maricus Gibbs, PhD, RN, CDI specialist at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina,...Read More »
As part of the 14th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Lynette A. Byerly, BSN, RN, CCDS, CCS, CDIS auditor/educator at University of Colorado Health, and Mariclare...Read More »
