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Tip Card: General Documentation Improvement
The attached Word document is a sample tip card for physicians regarding general documentation requirements regardingt topics such as anemia, respiratory failure, altered mental status, chemotherapy, among other common CDI concerns. Created by Mark N. Dominesey, RN, BSN, MBA, CCDS, CDIP, HIT Pro-CP, it can be printed on card stock, folded, and trimmed as indicated and given to physicians, nurses, quality or case management staff.
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ACDIS is the nation's only association dedicated to the clinical documentation improvement profession. Whether you're a veteran CDI specialist or new to the position, or a physician advisor or HIM/coding professional, you'll want to take advantage of all the benefits of ACDIS membership including a career center, CDI Journal, CDI Forum, sample forms and tools, and much more.
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