This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee recommends that, should you choose to use this sample, you adapt it to your particular programmatic needs, policies, and procedures. Additionally, the RLC noted that it does not condone the use...

This sample was provided by Trey La Charité, MD, FACP, SFHM, CCS, CCDS, a hospitalist at the University of Tennessee Medical Center at Knoxville, a clinical assistant professor with the department of internal medicine, and the medical director of UTMC’s CDI, coding, and revenue auditor response...

This sample was provided by Trey La Charité, MD, FACP, SFHM, CCS, CCDS, a hospitalist at the University of Tennessee Medical Center at Knoxville, a clinical assistant professor with the department of internal medicine, and the medical director of UTMC’s CDI, coding, and revenue auditor response...

This sample was provided by Trey La Charité, MD, FACP, SFHM, CCS, CCDS, a hospitalist at the University of Tennessee Medical Center at Knoxville, a clinical assistant professor with the department of internal medicine, and the medical director of UTMC’s CDI, coding, and revenue auditor response...

This sample trifold was provided by Schimanya Sullivan, RHIA, CCS, CCDS, director of CDI at Prisma Health in Columbia, South Carolina.

This sample has been reviewed and approved by the Forms & Tools Library Committee...

This sample trifold was provided by Deanne Wilk, BSN, RN, CCDS, CDIP, CCDS-O, CCS, CDI director at Penn State Health in Hershey, Pennsylvania.

This sample has been reviewed and approved by the Forms & Tools Library...

This sample trifold was provided by Deanne Wilk, BSN, RN, CCDS, CDIP, CCDS-O, CCS, CDI director at Penn State Health in Hershey, Pennsylvania.

This sample has been reviewed and approved by the 

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This sample trifold was provided by Jera Van Damme, BSN, RN, CCDS, CCS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.

This sample has been reviewed and approved by the Forms & Tools...

This sample clinical definition was provided by Jera Van Damme, BSN, RN, CCDS, CCS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.

This sample has been reviewed and approved by the Forms...

This sample clinical definition was provided by Jera Van Damme, BSN, RN, CCDS, CCS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.

This sample has been reviewed and

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