Documentation of developmental issues is critical because the goal is accurately diagnosing each child and focusing appropriate resources toward the maximization of the child’s abilities. To accomplish this goal, the integrity of each patient’s chart with accurate and specific diagnoses is...Read More »
You hear it all the time: “We only use SIRS,” “I like sepsis-3 because that’s the way I learned it medical school,” “one of our commercial insurance companies only pays for sepsis-3,” “CMS tells us to use sep-1”. For some unexplainable...Read More »
Q:If the provider documents: “Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue, right elbow,” does the CDI specialist need to query for the stage? Or, will it be coded as a stage...Read More »
Approximately 24% of respondents earned a salary in the $40,000-49,000 range, with 18% of respondents earning $39,000 or less and 58% of respondents earning $50,000 or more.Read More »
By Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS
A coding audit may be conducted by internal staff or external entities (often by insurers paying for the care). When planning to implement an internal coding auditing program, the type of reviews, focus areas, and review...Read More »
That’s the theme of Nurses Week in 2018 and it reflects so well how nurses have affected the profession of CDI over the years. Of course, nurses share this profession of CDI with many...Read More »