“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 »
In a recent “CDI Talk” discussion, ACDIS members shared reporting structure details,describing the pros and cons of their situations. Of those participating in the discussion,three reported to quality, one reported to the chief financial officer, and one reported to thechief medical information...Read More »
