Q: At my facility, we are to “pull” bad or un-credible queries from patient charts and report the query to our manager. Is there any official guidance on this practice?Read More »
At 11:30 p.m., Tuesday, April 14, Congress passed the Medicare and CHIP Reauthorization Act (MACRA), which effectively eliminated the more than 17-year battle over cuts to physician reimbursement associated with the Sustainable Growth Rate (SGR).Read More »
by Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI
Some common disease processes require certain types of care. Healthcare specialties often create such standard care intervention checklists to increase efficiency in overall treatments, and to drive notable...Read More »
The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Improvement Specialists (ACDIS) released joint physician query instructions in Guidelines for Achieving a Compliant Query Practice in February 2013.
To help you get revved up and rearing to go this year, we’re previewing a handful of speakers throughout the coming weeks to give you a feel for the sessions. This week, we spoke with Adelaide M. La Rosa, RN, BSN, CCDS, who, along with J. Peter Savini, BA, MHA...Read More »
As I embark on the start-up of a new CDI program for my health system, I face a number of operational decisions that have to be made. One of which is reporting structure.
Q:I understand that most CDI departments develop a standardized list of clinical indicators/criteria to support query efforts. Is this something we need to develop or is it available in the encoder process? If we need to develop this, how do we go about that?...Read More »