Q: I am working with my coding manager to solidify a coding/CDI query request process that works for all, but so far have had some roadblocks. What is the process or policy for query requests from the coding department to the CDI department at your organization? Are there specific...Read More »
Q: According to the Official Guidelines for Coding and Reporting, the stage of a pressure injury can be taken from a nurse's documentation, provided it is also documented by a provider in the same location and with the same etiology. Institutions have the...Read More »
Q: I was wondering how CDI programs are dealing with clinical validation of conditions as opposed to coding and the coding guidelines that instruct coders not to skip diagnoses just because of clinical criteria. What do you do when executive leadership says to just skip coding...Read More »
Q: Our physicians are answering our CDI queries and agreeing to the proposed diagnoses but not carrying their documentation forward into their subsequent notes and discharge summary. If your health system has found a solution to help providers carry the query response forward into...Read More »
Q: How many of your facilities are fully remote? I’m currently having issues with staff getting their CCDS and then moving to a fully remote position.Read More »
Q: A patient with severe emphysematous bronchitis is hospitalized due to acute RSV bronchitis. He is noted to have a history for cerebrovascular accident (CVA) with residual oropharyngeal dysphagia occurring in the past year and on day three of the hospitalization, he aspirated some...Read More »
Q: My facility does not have a template for a non-traumatic myocardial injury query. Would the following, in your opinion, be an appropriate query?Read More »
Not sure what to expect at this year’s ACDIS conference? Join us on Join us on February 12, 2025, at 1:00 p.m. eastern to find all that is in store to Inspire you at the 2025 conference, held May 4–7 in Kissimmee...Read More »
