Q:Our facility does not retain written queries in the medical record, but I’ve heard that other hospitals do. Is this something we should consider? Read More »
Along with new year’s resolutions, many CDI programs update their policies and procedures at the beginning of the year. To gauge the prevalence of policy updates, ACDIS is currently running a polling question on the...Read More »
I learned a lot from my father growing up. One of the main things he taught me was punctuality. His thought was you must arrive 15 minutes early to be considered on time. And, if you were going to be late, just don’t bother going at...Read More »
Back in 2015, 40% of ACDIS Radio listeners (of the October 28, 2015, broadcast) indicated their CDI program had an established query auditing process in place....Read More »
Q:We recently had a patient with a pleural effusion who came to the hospital for shortness of breath. The patient had a bronchoscopy, left video-assisted thoracoscopy, evacuation of pleural effusion, pleural biopsies,...Read More »
Show me the money. The Jerry Maguire quote is a phrase CDI professionals are likely also familiar with. Originally, CDI programs cropped up under the financial department with the goal of ensuring accurate reimbursement for the services provided to the patients.Read More »
As part of the seventh annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Kristie Perry, RN, MHSA, CCDS, CCS, a CDI specialist at Erlanger Health System in Chattanooga,...Read More »
Q: What are some times when it might be acceptable for a provider to copy and paste medical information into an electronic health record (EHR) and when is it absolutely not acceptable...Read More »