By Marion Kruse, BSN, RN, MBA, and Jennifer Cavagnac, CCDS
As medical information moves from paper-based to electronic, CDI professionals as well as providers, hospital clinical and administrative leaders, coders, and other record analysts must consider the following questions...Read More »
Q:We recently had a patient admitted for femur fracture from falling off some bleachers to ground. The patient has a history of osteoporosis and takes medications for this disease. The physician does not state traumatic...Read More »
Memo from the Full Disclosure Department: Lying behind my confident attitude, my devil-may-care good looks, and my abundant modesty lies a geek. I say this knowing full well what that entails, for a geek is different than a dork or a nerd.Read More »
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 »
