By Sharme Brodie, RN, CCDS
So, the first AHA Coding Clinic for 2018 is out, and I must admit, I was surprised at its length. At only 26 pages, it is one of the shorter editions of late. Some of the questions covered within its few pages, however, were ones I often discuss...Read More »
There are 12,400 home health agencies which provided care to 4.9 million patients in 2014, according to the Centers for Disease Control and Prevention. In light of efforts to keep patients from being readmitted to hospitals, and to keep the hospital stays they do undergo as short as possible,...Read More »
By Drew Siegel, MD, CCDS
One of the more interesting aspects of CDI is taking on the role of a detective to identify and evaluate clues in the medical record that suggest the presence of an undocumented diagnosis, then using these clues to write a compliant and clinically-...Read More »
By Steve Robinson, MS-HSM, PA-O, RN, SSBB, CDIP
When building a successful proactive clinical documentation approach in any patient care venue—inpatient, outpatient, or professional—the effort of setting up communication dynamics is essential and should certainly be a priority.Read More »
By Lori-Lynne A. Webb, CPC, CCS-P, CHDA, CDIP, COBGC
Back in 2016, I wrote the following synopsis for HCPro about outpatient/office diagnosis reporting, clarifying some of the misunderstood procedural guidelines between inpatient and outpatient services....Read More »
Suzanne Megown, RN, BSN, CCDS, CDIP, CCS, is a CDI specialist at St. Luke’s Hospital in Chesterfield, Missouri, and a member of the St. Louis ACDIS chapter, AHIMA, the Missouri component of AHIMA, and eHIMA. A CDI specialist for the past nine years, she worked in pain management...Read More »
FEATURES
7 The creepy-crawlies: Avoiding CDI scope creep
11 The buck stops here: CDI escalation policies
16 Tips from the frontlines for physician engagementRead More »
Outpatient CDI is a different beast than CDI performed in the inpatient hospital setting. The volume of encounters is significantly higher, as is the speed of the visit and the turnover of patients. Trying use the same processes for clarifying documentation with...Read More »