Effective January 1, 2011, CMS will start to accept up to 25 codes for secondary diagnoses. The change, listed in a March 2010 MedLearn Matters article and also listed in the...Read More »
CDI specialists are getting too tied up with the minutiae of ICD-9-CM coding and DRG optimization instead of focusing on the overall clinical picture of the patient and the integrity of the medical record, says Glenn Krauss, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI, an independent...Read More »
Happy CDI Week and welcome to the 2022/2023 Council term! It always feels fitting when the first CDI Leadership Insider (CLI) edition of the new term falls during our CDI Week celebration. It’s a great way to welcome new members into our...Read More »
Q:I know that in an inpatient setting coders are allowed to use a suspected diagnosis when a definitive diagnosis cannot be determined. However, we have had some trouble with physicians using the term “rule out” or “differential diagnosis” when it comes to a recovery...Read More »
Whether you’re new to the Council this year or returning for a subsequent term, we wanted to highlight some helpful information to make the most of your Council membership this year. Read More »
The American Health Information Management Association (AHIMA) published its Clinical Documentation Improvement Toolkit earlier this month. The 41-page document offers sample job descriptions for CDI specialists and physician advisers to CDI, provides definitions for documentation...Read More »