Ask ACDIS

Are records with only one MCC noted targeted by Recovery Auditors or other audit agencies? I am confused because I have also heard that it’s good...Read More »

Editor’s Note: James S. Kennedy, MD, CCS, CDIP,director of CDIMD Physician Champions offers the following perspective on a Q...Read More »

Q: What is ACDIS’ stance on physicians cutting and pasting the entire radiology report into their progress note? Are we allowed to take...Read More »

Q: How would you suggest I approach my CDI efforts with physicians? I plan to inform them that I am there to protect their...Read More »

Q: What are hospitals expecting in terms of productivity reductions in ICD-10-CM/PCS? How many more queries will CDI...Read More »

Q: The physician documented “encephalopathy” in the record of a patient who was admitted with a cerebral vascular accident (CVA)and/or...Read More »

Q: A question was raised by some of the members of my staff regarding the titles of queries. If a query is entitled “Sepsis Query” even if...Read More »

Q: Our cardiologists like to document “biventricular heart failure.” Is a query needed to clarify systolic and/or diastolic?...Read More »

Q: If a is patient admitted with malnutrition and the physician documented the patient to be malnourished from mild to severe, would the...Read More »

Q: What should I do if I see a non-compliant query in the chart? Should I remove it, let my co-worker know, or just leave...Read More »