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.

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...

Pages