In giving choices for responses, our query templates include “other (please specify)” and “unable to determine.” We get many responses of “unable...Read More »
May a physician/provider, who does not take care of a patient during an episode of care answer a query for another physician who did take care of...Read More »
This sample clinical definition was provided by Dawn Miller, BSN, RN, CCDS, CPC-A, clinical documentation coordinator at Henry Ford Health System in Detroit, Michigan
Gotcha! A CDI Physician Advisor’s Guide to Effective Chart Reviews Trey La Charité, MD, FACP, SFHM, CCS, CCDS, medical director for CDI and coding at the University of Tennessee Medical Center (UTMC) in Knoxville, Tennessee
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As part of the eleventh annual Clinical Documentation Integrity Week, ACDIS conducted a series of interiews with CDI professionals on a variety of...Read More »