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Bettina Sonen, RN, CCDS, is a clinical documentation educator at Northeast Georgia Health Systems (NGHS) in Gainesville, and she is a member of...Read More »

Q: I recently heard in a class that the TNM (tumor, nodes, metastasis) system can be used for...Read More »

Q: I’ve been told that a patient with the documentation of “traumatic...Read More »

By Melissa Varnavas

Last night, I stopped to pick up a few things at Staples. At the checkout counter, the clerk ran into a couple...Read More »

Q: I’m having trouble understanding what MDC are. For example, why would circulatory disorders...Read More »

Q: Our physician advisors are requesting the question and options be listed before the...Read More »

Q: Our coding team has established their own clinical criteria for a specific diagnosis despite what the physician is documenting...Read More »

Valerie Parent, RN, BSN, CCDS, CCRN-K, is employed with Norther Light Health as the CDI manager at Eastern Maine Medical Center in Bangor, and is...Read More »

Q: Our hospital system recently restructured our department and downgraded the staff level...Read More »

Q: We have a couple providers that will diagnose patients with severe sepsis...Read More »