Q: Lately, we have been receiving responses of “did not assess or treat” or “this is a chronic stable medical problem not associated with the patient’s presentation,” although the nutritional assessment such as severe malnutrition is...Read More »
Q: If a consulting physician documents a diagnosis related to his or her specialty but the attending does not (instead simply documenting, “thank you for your assistance”) can the consulting physician’s documentation be used for coding purposes? My most experienced associate says we can...Read More »
Wondering how your CDI query efforts stack up against national norms? Wish you had some national benchmarking data at your fingertips to help you understand your physician's engagement with your CDI program?
Please take 10 minutes to participate in the...Read More »
Computer-assisted coding (CAC) is to native, manual coding as reading Dickens’ Great Expectations for an English class is to reading the book for pleasure (in my opinion).Read More »
