The April edition of the CDI Journal was posted last week, and is available to ACDIS members for download. Here are the articles you’ll find in this quarter’s edition:
Hospital acquired conditions (HAC): The phrase seems simple enough to understand. These are conditions one acquires while in the hospital, right? Like most phrases included in the healthcare vernacular, however, discussion of HAC contains various levels of detail that can be difficult to...Read More »
The Centers for Disease Control (CDC) in March posted new 2011 guidelines for ICD-10-CM. There are relatively few changes to conventions, general coding guidelines, and chapter specific guidelines. Adjustments are easy to spot since...Read More »
Legible. Complete. Dated, timed, signed, and authenticated. That's what section 482.24 of the Medicare Conditions of Participation requires of medical records. But many facilities struggle to achieve this seemingly simple task. Falling short doesn't just affect quality and patient care. Auditors...Read More »
Members of the Association of Clinical Documentation Improvement Specialists (ACDIS) advisory board recently provided commentary on the Centers for Disease Control and Prevention (CDC) proposed changes to the fiscal year 2012 ICD-9-CM codes, as detailed in the March 9-10, 2011 Diagnosis Agenda...Read More »
Highlights from Coding Clinic, Third and Fourth Quarters 2010, include:
When a primary lung cancer metastasizes into another lobe of the lung, the second lesion should receive an additional code as a metastasis—not as a primary lesion. However, coders cannot
By Vickie Balistreri, BA, RHIA, CCS, CCS-P, CCDS, CPC, CPC-H
“Tell me and I’ll forget. Show me, and I may not remember. Involve me, and I’ll understand.” I often think about that adage when attempting to educate physicians about CDI efforts. One of the most challenging and yet...Read More »
