When it comes to querying physicians, CDI specialists need to first recognize when it’s appropriate to query. The next step? Using tact in the wording of the query. This will help ensure compliance and elicit appropriate clarification from the physician. Although doing so does not have to be a...Read More »
Q: A consultant has advised us to code only diagnoses listed on the discharge summary. If the diagnosis is not on the discharge summary, the consultant instructed us to query the physician. How do other facilities handle these scenarios?
Over and over again in CDI Talk, at the ACDIS conference, local chapters, anywhere two CDI professionals have an opportunity to interact, it seems, some very common topics arise. One of the most common it seems is how to gain cooperation and collaboration of...Read More »
What can you can do to improve your program? How can you put some of your CDI strengths into better practice and re-examine your weaknesses to determine what you can do to tweak it and make it a more successful program? There are numerous...Read More »
In March, I started a conversation on CDI Talk entitled “Failed Programs,” hoping at the time that there might be someone willing to divulge a first-hand account of how and why their program “failed”...Read More »
by Joel Moorhead, MD, PhD, CPC, and Diana Williams, BS, CPC, CCS-P, CPMA
The ICD-9 chapter-specific guidelines for neoplasms (Section 1.C.2) provides guidance for coding and sequencing of complications associated with malignancies. This section in the ICD-9-CM Manual ...Read More »