Out of habit, many physicians simply will not write the word encephalopathy, says Paul Simmons, MD, Assistant chief medical officer (CMO) and CDI physician advisor at Massachusetts General Hospital in Boston. For other doctors, words like encephalopathy, AMS, and delirium are all synonymous.Read More »
Formerly the vice president of the North Carolina ACDIS chapter, Brenda A. Harris, RN, CCDS, CCA, has worked in the CDI field for 12 years; she currently is a CDI specialist with Carolinas HealthCare Systems: Carolinas Medical Center University in Charlotte, North Carolina.Read More »
The CDI Journal offers CE credits towards the ACDIS CCDS certification. To obtain your CCDS continuing education credits, you must successfully complete the online continuing education quiz. Please note: The expiration date for this activity is May 1, 2016.You must complete...Read More »
When providers use different definitions for the same disease, confusion and chaos result. Inaccurate definitions allow Recovery Auditors (i.e., RACs) ample opportunities for denials, depriving your facility of valuable dollars/patient care resources....Read More »
Sheila Duhon, MBA, RN, CCDS, A-CCRN, is the national director clinical documentation improvement educator, performance management and innovation division for Tenet Healthcare Corporation. She’s been involved in CDI since 2006, and finding the position offered a career in which...Read More »
The quarterly CDI Journal offers CE credits towards the ACDIS CCDS certification. To obtain your CCDS continuing education credits, you must successfully complete the online continuing education quiz. Please note: The expiration date for this activity is January 1, 2016.You...Read More »
Another tradition in my household is to take some time around the dinner table on New Year’s day to talk about some of the things we’re grateful for that happened to us in the year that passed. Such reminisces often raise interesting thoughts. All together as...Read More »
Good documentation captures a patient’s accurate morbidity and severity of illness. It affects the quality measures that comprise physician profiles. Finally, good documentation affects financial reimbursement.
This is even truer when it comes to...Read More »
