We do many queries for malnutrition and are looking for a better way to get this essential diagnosis into the medical record without a query. I understand that some organizations have the dietitian document it and the provider attest to the diagnosis. Is that acceptable practice? Our thought is...Read More »
We have a somewhat confusing scenario in our organization whereby the CDI team might have an open query and a coder then queries a different provider regarding a similar concern in order to expedite a response. Do other organizations work this way? Are there better workflow options or official...Read More »
We have a physician advisor (PA) principally based in utilization review (UR) department, with additional duties at the bedside. Our CDI needs are sporadic and unpredictable. For example, query escalations and peer-to-peer discussions can be on the fly. We may need him five hours one week and...Read More »
Fran Jurcak, MSN, RN, CCDS, CCDS-O, is chief clinical strategist at Iodine Software and a member of the Michigan chapter of ACDIS. She has been in the CDI field for 15 years and has been a repeat presenter at the ACDIS national conference.
In giving choices for responses, our query templates include “other (please specify)” and “unable to determine.” We get many responses of “unable to determine.” How do you interpret the AHIMA/ACDIS Guidelines for Achieving Compliant Query Practices brief with just using “other” in query choice...Read More »
Do we need to provide choices of "unable to determine" and "other, please specify" on our multiple-choice written queries? It was recommended that we use one or the other, citing the 2019 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice. These choices would be in...Read More »
