Nursing notes cannot be used for coding and billing purposes. This does not mean, however, that they’re worthless for CDI purposes. Often times,...Read More »
Q: If a consulting physician documents a diagnosis related to his or her specialty but the attending does not (instead simply documenting...Read More »
The following sample query was provided by Robert J. Stein M.D., FCCP, CCDS, and Jennifer Eaton, RN, MSN, CCDS, in conjunction with their webinar presented on March 21, 2016, titled "CDI’s Role in Respiratory Failure: Accurate Reimbursement and Quality Measure Reporting." To purchase the...
A number of inpatient prospective payment system changes in recent years, due primarily to the Affordable Care Act, have allowed CMS to adjust...Read More »