Our system is seeing increasing cases being denied inpatient care with the suggestion that the cases should have been billed as observation. Right...Read More »
Q: We recently had a situation where a CDI reviewer sent a multiple-choice query and the physician responded and agreed that the diagnosis...Read More »
Currently, when we ask clinical validation queries, we do not take a financial impact into account. We only reconcile as "agreed and documented."...Read More »
I’ve heard that the geometric length of stay (GMLOS) is always rounded to the nearest whole number as inpatient claims are paid by day. Based on...Read More »
We recently had a patient admitted with severe acute meningitis causing respiratory decompensation. A diagnostic lumbar puncture and mechanical...Read More »
My physicians use the term “bacteremia” frequently and are treating it. The patient may be febrile and receiving antibiotics, but they cannot...Read More »
We’re having a lot of discussions lately on whether we should query for pressure injuries when they’re only documented by nursing. Our wound care...Read More »
CDI leaders’ responsibilities are varied and far reaching. Rather than going the journey alone, leaders can gain valuable insight by connecting with peers outside their organizations to collaborate, trade advice, and share challenges and successes.
I recently listened to a webinar where treatment was emphasized especially for diagnoses such as sepsis, acute respiratory failure, and severe...Read More »