A quarter of respondents call their CDI program’s relationship with coding “fair” or “poor” according to a September 26, 2018, ACDIS Radio episode. Despite being called the bridge between the coding and clinical worlds, CDI professionals frequently need to build or repair their relationship with...Read More »
Even on a small scale, knowing where to start with an outpatient CDI program implementation can leave leaders at a loss. Add in the complications of a large healthcare system and things can get even hairier. With multiple sites and teams dispersed geographically, there’s a lot to consider before...Read More »
by Tammy Trombley, RHIT, CDIP, CCDS
Recently, an outpatient CDI review project at a large family practice/internal medicine physician clinic identified numerous coding errors on physician-coded claims. More than half of the errors affected risk adjustment for the CMS-Hierarchical...Read More »
by William E. Haik, MD, FCCP, CDIP
Complex pneumonias such as Gram-negative bacterial pneumonias and aspiration pneumonias segregate to a higher-weighted MS-DRG (MS-DRGs 177–179 [Respiratory Infections and Inflammations]) than simple pneumonias such as Streptococcus pneumoniae...Read More »
by Sharme Brodie, RN, CCDS
The last quarter of the year typically includes a large number of items for the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS publication. This recent release doesn’t disappoint, with a whopping 94 pages worth of material...Read More »
Valerie Parent, RN, BSN, CCDS, CCRN-K, is employed with Norther Light Health as the CDI manager at Eastern Maine Medical Center in Bangor, and is the leader of the Maine ACDIS chapter. Parent has held her CCDS credential since 2015.Read More »
FEATURES 7 Concurrent coding 12 CMS-HCC version 23 released 17 Mortality reviews and publicly reported quality scores 25 Submit questions to Coding...Read More »
by Melissa Varnavas
It’s that time of the year again: time to pull down the tome that is the inpatient prospective payment system (IPPS) final rule and mine its pages for changes relevant to daily CDI reviews. While intimidating at more than 600 pages, the IPPS rule can be broken...Read More »