Christine Block, RN, BSN, explains the significance of documentation related to SOI/ROM in the oncology service line. It demonstrates how teaching results in more specific documentation, which in turn leads to more accurate coding. The presentation explains how to identify opportunities directed...
Andrew Rothschild, MD, MS, MPH, presentation explores how CDI specialists and coders are taught not to question a physician's clearly documented diagnosis. But what happens when that diagnosis seems to have come from left field? Specialists and coders are also bound to clarify apparent...
Brent Hadder, MD, explores the ICU where multiple issues involving multiple organ systems and diagnoses occur simultaneously. He shares strategies implemented at the University of Iowa to improve surgical ICU documentation and coding. Hadder illustrates how a practicing physician and...
Angela Kertz, RN, and Karen Newhouser, RN, BSN, CCDS, CCS, CCM, presentation includes an easy-to follow, light-hearted analogy on choosing the most appropriate principal diagnosis. The proper "driver" ensures the CDI professional is capturing the maximum benefit by assisting with precise...
“If ICD- 10-PCS is not necessary, why the debate? Why should we bother assigning codes when we don’t have to?”The ICD-10 system was designed to...Read More »
Thankfully, some of the documentation and coding issues I have been screaming about over the past 10 years have been heard with the transition...Read More »
As of this writing, it appears that ICD-10 will be delayed at least another year. Note my use of “at least” because the actual language in the...Read More »