The following sample query was donated by ACDIS Advisory Board member Paul Evans, RHIA, CCS, CCS-P, CCDS, Manager, Regional Clinical Documentation at Sutter West Bay in San Francisco. Contact him at evanspx@sutterhealth.org.
During the 2015 Association for Clinical Documentation Improvement Specialists (ACDIS) Conference, a national work group of experienced pediatric CDI specialists including pediatricians, pediatric hospitalists, pediatric critical care physicians, nurses, and coding specialists was formed to...
Physicians often ask why documentation matters to them. Last week, CMS sent out a reminder regarding the importance of complete and accurate...Read More »
As part of the sixth annual Clinical Documentation Improvement Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics.
When ICD-10-CM was launched last year, CMS said it would allow providers billing Part B physician fee schedule codes a one-year grace period to...Read More »
At this time last year, many CDI specialists, providers, and coders worried about the arrival of ICD-10; some spoke of doomsday scenarios with...Read More »
Physician advisors serve a variety of purposes beyond documentation improvement, including assisting case management, utilization review, quality...Read More »
Susan Edamala, RN, MSN, CCRN; Karl Kochendorfer, MD, FAAFP
Learn how one CDI program created a successful query process utilizing three key strategies. Review a case study presentation using this method with supporting data demonstrating a sustained change in the query response...