by Deanne Wilk, BSN, RN, CCDS, CCDS-O, CDIP, CCS
The ability for CDI programs to evolve is especially relevant today due to the impact of the pandemic. CDI programs must have a strong focus on quality and revenue, and include an approach that is more holistic and has a larger-...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 »
May a physician/provider, who does not take care of a patient during an episode of care answer a query for another physician who did take care of the patient, but does not have time to answer the queries issued to them by the CDI/coders? Could that documented response be used as a basis for...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
If you haven’t noticed, things are a little different these days. I am willing to bet your CDI program does not look like it did before COVID-19 reared its ugly head. As a result of the pandemic, delivering consistent, quality CDI...Read More »
As part of the eleventh annual Clinical Documentation Integrity Week, ACDIS conducted a series of interiews with CDI professionals on a variety of emerging industry topics. Keisha Downes, BSN, RN, CCDS, director of CDI at Wellforce in Boston, Massachusetts, answered these questions.
ACDIS celebrates CDI specialists annually with a full week of recognition for the profession through activities, education, and fun. This year’s CDI Week theme is CDI Kitchen: Recipes for a Successful Program, aiming to go back to the basics of what it takes to make a CDI program great...Read More »
The False Claims Act of 1863 imposes penalties on anyone who submits a “false claim” for services that were not actually performed. In healthcare, that means CMS needs to check that all services billed are clinically valid and the patient...Read More »
My physicians use the term “bacteremia” frequently and are treating it. The patient may be febrile and receiving antibiotics, but they cannot figure out a source. What should they be calling it? Or, better yet, what query should I be sending?Read More »