Attached is the powerpoint presentation "The Art of Communication in CDI and Beyond," by Colleen Stukenberg, MSN, RN, CCDS, CMSRN, Clinical Documentation Management Professional at FHN Memorial Hospital in Freeport, IL.
Attached is the powerpoint presentation "Challenges of the EHR and Electronic Querying," by Joy A. Coletti, BSN, MBA, RN, CCDS, Director, Clinical Documentation Improvement at Memorial Hermann Healthcare System in Houston.
While most CDI specialists know to query for conditions related to malnutrition, such as obesity and cachexia, programs frequently ignore...Read More »
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that if you use this resource, it requires a space to index clinical indicators, and the resource must be rid of all bold and underlined phrases, as these are considered leading queries...
Q: I am wondering about whether coders can use information the physician takes from test results and includes in the history and physical...Read More »
This ICD-10 cerebral artery infarction progress note is courtesy of Fran Toleno, RHIT, CCS, CDI coordinator and coding reimbursement specialist in the HIM department at Winthrop University Hospital in Mineola, NY. It was published in the February 2012 issue of Medical Records Briefing...
