The attached Word document reviews documentation and coding needs for complications and establishes policies and procedures for coders and CDI professionals to follow. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, the document provides complication definitations, explains when queries should be...
The attached PowerPoint document offers a sample education session for physicians regarding documentation and coding needs for complications. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, the presentation provides complication definitations and walks physicians through related CDI and coding...
The attached PowerPoint document offers physicians documentation tips regarding respiratory failure. Created by Jennifer Love Roberts, RN, BA, CCDS, CDIP, senior CDI consultant with United Audit Systems Inc., it can be incorporated into an electronic bulletin board presentation or printed as a...
The attached PowerPoint document offers physicians documentation tips regarding kidney disease. Created by Jennifer Love Roberts, RN, BA, CCDS, CDIP, senior CDI consultant with United Audit Systems Inc., it can be incorporated into an electronic bulletin board presentation or printed as a tip...
This PowerPoint presentation takes typical documentation improvement targets and offers tips for CDI program next steps. Created by Donald Butler, RN, BSN, the presentation illustrates how common focus areas may nevertheless be missing documentation improvement opportunities regarding mortality...
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."
The attached Hospitalist Inpatient Progress Note will help hospitalists document patient assessment and the care plan. It was submitted by Kathy Shumpert, RN, Howard Regional Health System.
