Q: Our CDI leadership group is currently working on developing clear role expectations and corresponding accountability steps specifically for our concurrent CDI staff. As part of this work, we’re looking to outline minimum standards for the role and define the appropriate points at...Read More »
Q: What are some tips for properly documenting evaluation and management (E/M) as it relates to medical decision-making (MDM), including improving communication with providers?
Q: What are common query opportunities coding professionals may encounter when reviewing unclear drug documentation?
A: Accurate coding of poisonings, adverse effects, and underdosing events depends entirely on clear provider documentation. Because code assignment is...Read More »
Many conditions can be confusing both to diagnose and assign the proper coding. One such condition is tumor lysis syndrome (TLS), which occurs when...Read More »
Q: What is burnout, and how might it present itself?
Tonya Skeen, MSN, RN, CCDS, CDIP: Professional burnout is a state of exhaustion typically caused by prolonged and excessive work-related stress. Burnout can be directly related to the...Read More »
