The road to ICD-10 has been a long one, and we still have many miles ahead of us. Organizations have invested a significant amount of time and money into this venture, and even though October 1 is rapidly approaching, there’s still work to be done before and after implementation.
“Documentation can be greatly improved by a properly functioning query process,” AHIMA says in its 2008 “Managing an Effective Query Process” practice brief. But how can you tell whether your query process works? Peer-to-peer review of query practices and outcomes may provide a low-cost,...Read More »
In 2004, I passed the AAPC certification exam and became a certified professional coder. Since that time, I’ve worked as a coder in several different specialties. When I began my first coding assignment as a new coding graduate with no coding experience, I had...Read More »
In thinking about all the initiatives swirling around the industry, I realize that CDI specialists can become quite confused as they attempt to juggle the increased workload. Core measures, present on admission, patient safety indicators,...Read More »
Patients of physicians using dictated electronic health records appear to be receiving lower quality care than those of physicians who use structured or even free-text documentation. At least that’s the findings of a recent study by Jeffrey A. Linder, PhD, division of general medicine and...Read More »
Editor's Note: This article first published in the 2012 special conference coverage. Read more about last year's event in the July section of the CDI Journal. Early bird...Read More »