CDI Journal - Volume 14, Issue 2

Ask ACDIS: Queries as part of the permanent medical record

March 1, 2020
Ask ACDIS, Physician Queries

Q: Most of the hospitals in our system make the query a progress note in the patient’s medical record. The provider puts an “X” by the appropriate answer choice and signs the note. At that point, the query is part of the permanent medical record and can be used for coding....Read More »
CDI Journal - Volume 14, Issue 2

Physician Advisor's Corner: Got queries? They need to be compliant

March 1, 2020
Physician Queries, Policies & Procedures

by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Let’s face it: Our organizations are under tremendous scrutiny. As the healthcare dollar shrinks, all payers strive to minimize patient care expenses to maintain profit margins. While the upfront denial of medical services is the...Read More »
CDI Blog - Volume 13, Issue 56

Guest post: Establishing a rounding routine

November 4, 2020
Education, Physician Queries

by Marlene Goodwin-Esola, MSN, RNC, NE-BC

Approximately 11 months ago, I accepted the role of the CDI manager in a facility where I formerly held a nurse executive position. Although I was new to the CDI world, I was given the role of manager based on my experience in leadership...Read More »
CDI Strategies - Volume 13, Issue 51

ACDIS update: Sample query forms for neonatal conditions, MI, and more posted to Resource Library

November 7, 2019
ACDIS Guidance, Physician Queries

The ACDIS Forms & Tools Library Committee recently approved several new samples for publication in the ACDIS Resource Library. The committee also included suggestions with each sample to help those adapting these resources. Here’s what’s new in the Library:

10 new sample queries...Read More »
CDI Strategies - Volume 13, Issue 47

Note from the Associate Editorial Director: Warning, avoid snarky query responses

October 10, 2019
ACDIS Guidance, CDI Management, Clinical & Coding, Education, Physician Queries

by Melissa Varnavas

Recently, we received a question from a member about risk factors associated with providers not taking queries seriously and providing less than helpful responses. The question really goes to the heart of physician engagement.

Everyone has problematic...Read More »
CDI Strategies - Volume 13, Issue 45

Q&A: How to handle physicians who keep using the term ‘bacteremia’

September 26, 2019
Ask ACDIS, Physician Queries

Q: My physicians use the term “bacteremia” frequently and are treating it. The patient may be febrile and receiving antibiotics, but they cannot figure out a source. What should they be calling it? Or, better yet, what query should I be sending?Read More »
CDI Strategies - Volume 13, Issue 36

Q&A: Choosing a principal diagnosis

August 29, 2019
Ask ACDIS, Clinical & Coding, Physician Queries

Q: When a patient comes in with two diagnoses and the documentation reflects that either could be the principal diagnosis, do we choose the principal as the diagnosis that is being treated more intensely, or do we choose the higher paying DRG? Is it true that when a patient comes in...Read More »
CDI Strategies - Volume 13, Issue 36

ACDIS update: New sample queries, appeal letters added to Resource Library

August 29, 2019
Physician Queries, Policies & Procedures

The ACDIS Forms & Tools Library Committee recently approved four new samples for publication in the ACDIS Resource Library. Additionally, the committee has included suggestions with...Read More »

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