“When we look back even five to 10 years ago, CDI tools were really just seen as an extension of whatever coding was using or maybe just spreadsheets,” said Aaron Brauser, vice president of CDI solutions at M*Modal the Pittsburgh, Pennsylvania area, on...Read More »
Q: I was originally taught to do subjective, objective, assessment, and plan notes for a prior job with principal diagnosis listed first. Do I need to intervene when providers change the first-listed diagnosis from...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 Professional of the Year in 2017. Susanne Warford, MBA-HCM, RN, CCDS, is the system CDI analyst and appeals nurse for Baptist Health in Louisville,...Read More »
When it comes to children’s hospitals, U.S. News and World Report is perhaps the most ubiquitous, and arguably, it uses the most clear-cut methodology for data abstraction.Read More »
I think we’re all familiar with the Law of Unintended Consequences. That’s the concept that something begun with the best of intentions can wind up going horribly awry. Examples include “New Coke” and anything ending in the word “Kardashian.” (...Read More »
December Douglas, RN, CCDS, is a clinical documentation integrity specialist at Memorial Hermann Hospital, Texas Medical Center, in Houston, Texas.Read More »
Q: I recently was reviewing a chart where the infection control physician stated the patient had sepsis, but the attending listed bacteremia as the diagnosis. I sent a query to clarify which was correct and the attending confirmed bacteremia. On the...Read More »
Autumn Reiter, BSN, RN, CCDS, CDIP, CCS, director of CDI services for TrustHCS, based in Springfield, Missouri, will present “Five Pillars for Building a Successful CDI Program in Emergency Services and Other Outpatient Areas,” on Day 1 of the ACDIS Symposium: Outpatient CDI....Read More »
