Only 1.5% of the nearly 3,000 nonfederal hospitals in the United States reported the use of a comprehensive electronic medical record (EMR) system...Read More »
It’s not enough to know whether heart failure is systolic or diastolic. Congestive heart failure (CHF), for example, isn’t an inherent component...Read More »
Congestive heart failure (CHF) is one example of a condition for which coders and CDI specialists should understand clinical indicators before...Read More »
Despite some misconceptions to the contrary, a coder may report angina, unstable (411.1) if a physician documents any of the following diagnoses...Read More »
Many CDI specialists struggle with the problem of educating physicians about documentation requirements. Typical trouble areas include acute...Read More »
Recent CDI-related headlines include concerns about the burden of paperwork on patient care and the cost of healthcare. And article authors cite...Read More »
Although AHIMA’s October 2008 practice brief “Managing an Effective Query Process” clearly states that the agency intended the article as guidance...Read More »
Like many CDI specialists, Janice Davis, RN, clinical documentation analyst at High Point (NC) Regional Health System and her four co-workers...Read More »
