Composing and documenting verbal query interactions often confuses CDI specialists. While the guidance published by ACDIS and AHIMA holds for all queries, written and unwritten alike, gauging a verbal query’s compliance can be a tricky business.Read More »
By Amy Sanderson, MD
The term “dysphagia” has many synonyms used by providers in medical documentation. However, not all of these symptoms are able to describe, with specificity, the real problem so it can be translated into its corresponding code assignment.Read More »
"I remember talking to some of the folks who work in CDI at conferences, and when I would ask them about psych units, none of them had CDI working on those units at all,” says Suzanne Dennis, CTRS, CCDS, director of clinical services/documentation specialist at Acadia Healthcare...Read More »
Lately, I’ve been sending out emails to chapter leaders across the country asking for their latest updates and giving them a few reminders along the way. I wanted to pass along the information here, too.Read More »
By Karin Killenberger, BSN, RN, CCDS
Working as a remote CDI specialist can be either totally fulfilling or a bit difficult. If you’re a people person, you will miss the camaraderie of working in the hospital setting, the ability to problem-solve by bouncing ideas off your...Read More »
After saying the Merit-based Incentive Payment System (MIPS) was doomed to fall short of its policy goals, the Medicare Payment Advisory Commission (MedPAC) voted in favor of ending the...Read More »
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 »