Whether it be medical necessity, clinical validation, or coding-related—denials seem always on the rise. And those involved in denials management and appeals know how far reaching the...Read More »
Rebecca Robbins Willcutt, RN, BSN, CCDS, CCS, CRC, and Mary M. Rogers, CRC, CPC, COC, CCS present “Is Your Outpatient Query Process Compliant? Thinking Outside the Box: Building an Effective and Sustainable Ambulatory CDI Program,” on Day 1 of the ACDIS Symposium: Outpatient CDI....Read More »
By Marion Kruse, BSN, RN, MBA, and Jennifer Cavagnac, CCDS
The decision of when to query the physician represents an important aspect of the CDI program. In a perfect world, all cases would be reviewed within the first 24 hours of admission. However, due to staffing...Read More »
“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 »
