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Q: We are receiving denials on the grounds that encephalopathy must be...Read More »

Q: I was originally taught to do subjective, objective, assessment, and plan notes for a prior job...Read More »

Rita Fields, BSN, RN, CCDS, recently retired from her role as regional CDI manager at Baptist Health in Louisville, Kentucky, and was named CDI...Read More »

Q: Should we be advising our providers to start documenting pressure injury as opposed to pressure ulcer? Or, is it okay to document...Read More »

Q: I have a general question about how providers should list their primary and secondary...Read More »

Q: I recently was reviewing a chart where the infection control physician stated the patient had...Read More »

Autumn Reiter, BSN, RN, CCDS, CDIP, CCS, director of CDI services for TrustHCS, based in Springfield, Missouri, will present “Five Pillars for...Read More »

Q: What would be the purpose of coding for a POA status of things like a UTI/...Read More »

Jaime Baker Sherman, RN, BSN, CCDS, is a CDI Quality Oversight Specialist, at the University of Iowa Hospitals and Clinics (UIHC) in Iowa City....Read More »

Q: What do you suggest the providers write to describe medication/substance overdose? In my...Read More »