Tip Sheets & Samples

This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The attached tip sheet for acute kidney injury, acute tubular necrosis, and acute interstitial nephritis was donated by Heidi Hillstrom MS, MBA, RN, CCDS, Clinical Documentation Management at St. Luke's...

This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. Should you use this resource, the committee noted that this resource mainly utilizes the terms of ICD-9, and needs to be updated to reflect ICD-10 coding practices. The attached physician report card,...

This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that, should you use this resource, the reference to RW in the 2nd column must be removed, as it is too confusing for providers and technically inaccurate. Additionally, the relative...

This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that, should you use this sample, this resource needs to be updated to reflect current ICD-10 Coding procedures; in particular, the last three slides. Glenn Krauss, BBA, RHIA, CCS, CCS-P,...

This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. In this PowerPoint presentation, JoAnn Czech, RN, CDI specialist at St. Cloud (MN) Hospital shares information regarding Acute Renal Failure and Acute Kidney Injury including information regarding acute...

Jennifer Love, RN, BA, CCDS, manager of clinical documentation specialists at Novant Health in North Carolina, shares a physician education flyers regarding congestive heart failure, pneumonia, and malnutrition. Adopt these Power Point slides to your facility's documentation clinical indicators...

Jennifer Love, RN, BA, CCDS, manager of clinical documentation specialists at Novant Health in North Carolina, shares a physician education flyer regarding which reminds physicians that a BMI greater than 40 constitutes morbid obesity.

The attached debridement documentation flyer was provided by Trish Talton, RN, BSN, Clinical Documentation Improvement Specialist with WakeMed Health and Hospitals. It is intended to be printed out and posted in a visible area as a reminder for physicians to document excisional vs. non-...

At Emerson Hospital in Concord, MA, CDI Specialist Patty Spry, RN, snuck in a little physician education for congestive heart failure (CHF) by including important clinical standards on the reverse side of the facility’s standard CHF query form.

The supporting information...