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Ask ACDIS: Query appropriately for fluid overload vs. CHF
This is a classic documentation opportunity to clarify “volume/fluid overload,” says Lynne Spryszak, RN, CPC-A, CCDS, CDI education director for HCPro, Inc., in Danvers, MA. “If the physician hasn’t documented acute CHF, I would hesitate to ask for this condition based on this mild BNP elevation,” Spryszak says.
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ACDIS is the nation's only association dedicated to the clinical documentation improvement profession. Whether you're a veteran CDI specialist or new to the position, or a physician advisor or HIM/coding professional, you'll want to take advantage of all the benefits of ACDIS membership including a career center, CDI Journal, CDI Forum, sample forms and tools, and much more.
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