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...
As part of the first Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics.
It started with two courageous coders who knew the query process where they worked at Johns Hopkins Bayview Medical Center, Inc., in Baltimore,...Read More »
