Q: Recently, we had a provider who responded to the multiple-choice query, but they didn’t pick the answer we wanted, even though it met the clinical criteria. I’ve been taught previously that when a physician selects a non-desirable answer, the CDI specialist should close the query...Read More »
Q: I am exploring the idea of staffing our outpatient CDI program using both candidates with an RN and an HIM/coding background. We currently have all RNs on our CDI team who have also gotten (at the least) their certified professional coder (CPC) credential. If we decide to include coders to...Read More »
On the ACDIS Forum, members can ask questions on nearly any aspect of the CDI industry and receive guidance from their peers. This unique opportunity allows CDI specialists from across the country to compare notes and share advice about real issues, and...Read More »
Q: We perform CDI audits on a quarterly basis, which are calculated for a final score. Is there a threshold for audits for which those CDI specialists below the threshold are audited more frequently or provided additional education? What is a good threshold?
Q: We are looking more closely at the National Uniform Billing Committee (NUBC) definitions of admission type, specifically urgent versus elective. We have received several inquiries from the care teams to update cases from elective to urgent; however, when we look at the timeline...Read More »
Q: We have a process on the inpatient side of our CDI program to only place three queries on a chart to avoid query fatigue. How do you manage the number of queries/alerts to a primary care provider in the ambulatory space? There may be 10–15 hierarchical condition categories (HCC) that need to...Read More »
Q: I recently reviewed a chart where the patient received packed red blood cells (PRBC), the hemoglobin and hematocrit were 6 and 21 respectively, the estimated blood loss was only 50 ccs after a surgery, and minimal fluids were given. Would it be appropriate to query the...Read More »