By Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS
A commonly recommended audit sample size is 30 cases for routine quality auditing with no known serious compliance issues. Conducting an audit of this magnitude for every coder every month can be a daunting challenge....Read More »
Q: Recently, our inpatient psychiatric facility has been asking if it would be beneficial to have CDI review their accounts. I researched this a few years back and learned from other programs that there was little benefit as most psych DRGs are single...Read More »
There is a book that every CDI specialist who’s been in the field for more than 10 years knows about, but I recently had a conversation with a group of CDI specialists with four years of experience who were not familiar with this book. The book...Read More »
Q: I have a question about coding HIV and HIV-related illnesses. If a physician documents a patient is HIV positive, should the chart be coded to Z21? What about if they document the patient is HIV positive with an HIV-related illness—would that be...Read More »
When I was trained in CDI, ACDIS didn’t exist. I had no encoder to use. There was hardly anyone I could turn to and run a case by. We were a group of 10 case managers, all educated on the fundamentals of coding, the reasons behind CDI efforts,...Read More »
