As part of the upcoming twelfth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Tina L. Medrano, MSN/MSM, RN, CCDS, the CDI manager at ChristianaCare in Delaware, answered these questions....Read More »
Q: We’re working on an auto-population for the outliers of body mass index (BMI), underweight and morbid obesity. We are considering changing our terminology for morbid obesity to class 3 obesity as, now that patients have access to their online records, they may be unhappy with...Read More »
The ACDIS CDI Leadership Council connects forward-thinking CDI supervisors, managers, and directors who often do not have the community and resources they need while in a leadership role. Through personalized insight-sharing and networking opportunities, the Council helps CDI leaders make...Read More »
Q: Does your facility have any requirements for providers to document how a diagnosis of obesity and/or morbid obesity has met the Uniform Hospital Discharge Data Set (UHDDS) definition of “monitoring, evaluating, assessing, etc.” in order for it to be coded? For example, if a...Read More »
Q: I am considering metric-based incentives for accuracy. How would you suggest these be structured? Also, what are the impacts of implementing incentives for CDI specialists?
A: One way you can do this is to set goals for compliant...Read More »
Q: A few facilities in our system have a schedule for certain units, such as the trauma unit. The physicians listed are the ones scheduled to cover those units. We are being instructed to go ahead and query those physicians if we see an opportunity even if the provider has not...Read More »
Q: Did your organization get formal training for outpatient CDI? If not, what was your source for education? Also, how did you choose the first providers to work with and what was the process of doing so? Lastly, how does query compliance work in the outpatient setting?...Read More »