Q: I am new to the CDI role and looking for suggestions as to how to work with our surgeons to help them beef up their documentation. Do you have any suggestions?Read More »
Q: I am a relatively new CDI specialist in a relatively new CDI program. We learned that we should be examining the health record with an eye toward “what bought the bed.” When we raise this concept to our coders, however, they disagreed with the premise telling us that such a concept was...Read More »
Q: We are implementing a new electronic CDI system. Our concurrent queries are not currently a part of the medical record. The providers document their responses in the progress notes. We believe this adds to the consistency of the medical record and will avoid any issues related to...Read More »
ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question-asker. In order to share...Read More »
Please clarify the rule regarding presumption of the link of diabetes, when documented, to the diagnosis of osteomyelitis when both are documented by the provider.Read More »
Q: We recently admitted a 52-year-old man who was waiting for a liver transplant. He has a history of hepatitis C, chronic back pain, and drug and alcohol abuse. He was found unresponsive at home in a pool of vomit. The toxicology screen on admission was positive for benzodiazepine,...Read More »
