Q: Lately, we have been receiving responses of “did not assess or treat” or “this is a chronic...Read More »
By Brian Murphy
Outpatient CDI is a different beast than CDI performed in the inpatient hospital setting. The volume of encounters...Read More »
by Erica E. Remer, MD, FACEP, CCDS
Computer-assisted coding (CAC) is to native, manual coding as reading Dickens’ Great...Read More »
The following Position Paper provides an ACDIS-endorsed policy and procedure for compliant physician queries in the outpatient setting.
Q: I encountered clinical validation issues where documentation noted a diagnosis with criteria, but the criteria used didn't...Read More »
by Paul Evans, RHIA, CCDS, CCS, CCS-P We have seen our industry grow increasingly complicated each year. With that increased...Read More »
Along with new year’s resolutions, many CDI programs update their policies and procedures at the beginning of the year. To gauge the prevalence of...Read More »
Q: Our facility does not retain written queries in the medical record...Read More »
by Laurie L. Prescott, RN, MSN, CCDS, CDIP, CRC
I learned a lot from my father growing up. One of the main things he taught me was...Read More »
By Marion Kruse, BSN, RN, MBA, and Jennifer Cavagnac, CCDS
Every CDI program should objectively evaluate the outcomes, processes,...Read More »
