Follow these steps to keep your verbal interactions brief and to respect not only the physician’s limited time but also his or her knowledge of the patient’s condition.Read More »
By Lori Drodge, RHIT, CCS
Ever find yourself thinking that you have too much work to do to find time to read and digest a recent publication of AHA’s Coding Clinic? If so, your hospital’s severity adjusted data could be suffering. All conditions that meet reportable...Read More »
Most CDI programs start the same way: looking for CCs and MCCs to maximize the DRG for reimbursement purposes. But, as programs matured over the last decade or so, that mission has necessarily changed. Due to the wide variety of program expansion areas, however, one program’s definition of “...Read More »
CDI has a steep learning curve. Sometimes it can take several months, if not longer, to start seeing good documentation reviews from a new CDI specialist. The initial days of being a CDI specialist are almost exclusively task-focused. Before new CDI...Read More »
Q: What do you suggest the providers write to describe medication/substance overdose? In my experience, physicians don’t write “poisoning” in these cases. Read More »
CDI professionals wishing to earn support from program administrators to attend the “ACDIS Symposium: Outpatient CDI” may adapt the following proposal.Read More »
By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, and Sharme Brodie, RN, CCDS
The inpatient prospective payment system (IPPS) requires all facilities to report a present on admission (POA) indicator (or code) for all claims. There is no required time frame as to when a provider...Read More »
My colleague Dr. Douglas Campbell, my senior partner and mentor in all things CDI, dropped into my glass-fronted office the other day with a question. I mention the glass because, as, Dr. Campbell had the foresight to have his glass wall frosted...Read More »