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 »
Ever wonder how your CDI program ranks in terms of physician query responses? Wondering if your facility is the only one that struggles to reduce the number of doctors who habitually answer “unable to determine” as a means to bypass supporting CDI?Read More »
Q:I’ve heard people say that CDI professionals should be wary of conflicting diagnoses that occur in the discharge summary as the provider’s documentation may not “conflict” with the consulting provider. Can you clarify what...Read More »
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
Step one in the prospective process, is for the CDI specialist to pull an initial worklist from the patient population lists within each office. Which offices covered, and the frequency of visits...Read More »
Q:Have you, or would you ever, send queries for an ethical reason? Meaning, a query for a concern that does not have any financial impact, but raised red flags during the chart review.Read More »
A typical day for a CDI specialist entails obtaining an assignment, whether it’s all payer or Medicare only, and determining the action course for the day. Best practice would be to perform follow ups on any previously queried charts to allow...Read More »
