Some words are just fun. Fun to say, fun to spell, fun to use. One of those words, in my opinion, is quiver. Say it out loud. “Quiver, quiver, quiver.” You can’t help but smile.Read More »
Jera Van Damme, BSN, RN, CCDS, is a senior clinical documentation educator at Essentia Health in Duluth, Minnesota, a member of the Minnesota ACDIS Chapter, and a member of the ACDIS Forms & Tools Library Committee.Read More »
The evaluation and management (E/M) section of the Current Procedural Terminology (CPT®) manual is divided into broad categories such as office visits, hospital visits, and consultations. E/M code assignment consists of seven...Read More »
by James S. Kennedy, MD, CCS, CDIP, CCDS
Many hospitals find that their patient safety indicator (PSI) ratios remain high despite doing a spectacular job of addressing these events and exclusions.Read More »
By Anny Yuen, RHIA, CCS, CCDS, CDIP, and Page Knauss, BSN, RN, LNC, ACM, CPC, CDEO
In many instances, the documentation for a particular service needs to be provided before the encounter. This is especially true for diagnostic tests such as MRI scans.Read More »
By Howard Rodenberg, MD, MPH, CCDSDo you ever wonder if your professional skills are actually useful in the real world? I know I do. My resume as an emergency physician falls apart when applied outside of the ED, where it turns out you’re not allowed to stare at someone writhing on the...Read More »
Many organizations have HCC tools built into their CDI software or EHRs that can help them capture HCCs. When providers click on a diagnosis or a condition, the tool will mark whether the diagnosis is an HCC. Other technology can extract pharmacy data, lab data, other diagnoses, and the problem...Read More »
