This tip card was provided by Deanne Wilk, BSN, RN, CCDS, manager of CDI at Penn State Health in Hershey.
This sample was re-reviewed and approved by the ACDIS Resource Library Committee in 2024. The committee recommends that, should you choose to use this sample, you...
This tip card was provided by Tonya Motsinger, MBA, BSN, RN, system director, CDI, at Ohio Health in Columbus.
This item was reviewed by the Resource Library Committee in 2024. The Committee recommends that if you use this resource, you adjust the template based upon the...
This tip card was provided by Tonya Motsinger, MBA, BSN, RN, system director, CDI, at Ohio Health in Columbus.
This item was reviewed by the Resource Library Committee in 2024. The Committee recommends that your organization should be using ASPEN criteria if you choose to...
“Physicians have never been taught documenting for coding based reasons; they’ve always been taught documenting for clinical reasons,” says Timothy N. Brundage, MD, CCDS.
This ICD-10-CM/PCS Quiz Slide Presentation was created by Kelley Sears and Cindy Labins for the December 2015 Massachusetts ACDIS Chapter meeting. Answers are included within the presentation following the question.
The attached Word document donated by Mary Solomon, BSN, RN, CCM, CCDS, CDI specialist at Tahoe Pacific Hospitals in Reno, Nev., offers improvement tips for physicians history and physical documentation. It can be used as a handout following an educational session, posted in the physician lounge...
The attached PDF document include helpful reminders for physicians regarding documentation integrity and consistency regarding the discharge summary. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, this document can be adapted and posted in physician documentation areas.
Attached are four ICD-10 training games developed for JustCoding.com Platinum subscribers and donated to ACDIS for its members. It includes a circulatory and musculoskeletal system word search, and a root operations crossword and root operations...
The attached PDF document contains documentation 26 documentation tip cards covering everything from CDI basics to physician evaluation and management (E/M) documentation requirements. Provided by Robert S. Hodges, BSN, MSN, RN, CCDS, the cards can be printed and folded together to create a...
This document provides documentation and coding advice for toxic metabolic encephalopathy. It was provided by Don Butler and comes from an HCPro e-newsletter, "HIM Connection."
