As part of the third annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics.
The compliance date of ICD-10 is looming larger and larger. So how prepared are the nation’s CDI specialists for this impending change? Most are well underway with training, but the results still concern Clinical Documentation Improvement Week survey advisor Walter Houlihan, MBA, RHIA, CCS, director of health information management and clinical documentation at Baystate Health in Springfield, Mass.
The attached Word document donated by Mary Solomon, BSN, RN, CCM, CCDS, CDI specialist at Tahoe Pacific Hospitals in Reno, Nev., offers improvement tips for physicians history and physical documentation. It can be used as a handout following an educational session, posted in the physician lounge...
The attached PDF document offers tips for clinical documentation improvement regarding altered mental status donated by Paul Evans, RHIA, CCS, CCS-P, CCDS. It includes definitions for:
Susan Belley, M. Ed., RHIA, CPHQ, iproject manager with 3M Health Information Systems Division, Consulting Services,provided this six-slide primer on APR-DRG payment method during the May 2013 ACDIS Quarterly Conference Call. ACDIS members have...
ACDIS Advisory Board member Timothy N. Brundage, MD, created these sample CDI sample newsletters which he shares with physicians at his facility. They include:
The attached zip file contains a physician documentation tip sheet, a CDI specialist worksheet, a tracking spreadsheet, and sample procedure for obtaining documentation regarding patient mortality, submitted by Vicki Davis, RN, CDI specialist at Alamance Regional Medical Center, Burlington, N.C...
For many CDI specialists just starting out, finding an experienced mentor can make all the difference. Mentors offer words of wisdom, a helping...Read More »
