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:

  • Encephalopathy
  • Delirium
  • Dementia
  • Stupor
  • Coma
  • TIA
  • ...

 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...

This tip sheet regarding post-operative surgical complications was donated Audrey G. Howard, RHIA, AHIMA-Approved ICD-10-CM/PCS Trainer, and Cheryl Manchenton, RN, BSN, 3M Consulting, adapted from the 2012 HCPro Inc., audio conference Inpatient Postoperative Complications: Resolve Your...

ACDIS Advisory Board member Timothy N. Brundage, MD, created these sample CDI sample newsletters which he shares with physicians at his facility. They include:

  • Anemia
  • ATN
  • Bacteremia
  • Encephalopathy
  • Functional quadriplegia
  • GI bleed
  • ...

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...

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