Q:I’ve heard people say that CDI professionals should be wary of conflicting diagnoses that occur in the discharge summary as the provider’s documentation may not “conflict” with the consulting provider. Can you clarify what...Read More »
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
Step one in the prospective process, is for the CDI specialist to pull an initial worklist from the patient population lists within each office. Which offices covered, and the frequency of visits...Read More »
Q:Have you, or would you ever, send queries for an ethical reason? Meaning, a query for a concern that does not have any financial impact, but raised red flags during the chart review.Read More »
A typical day for a CDI specialist entails obtaining an assignment, whether it’s all payer or Medicare only, and determining the action course for the day. Best practice would be to perform follow ups on any previously queried charts to allow...Read More »
Editor's note: Kerry Termaat, RN, MSM, CCDS, is the supervisor of CDI at ProHealth Care—Waukesha Memorial Hospital. Termaat will be presenting a poster at the 2018 ACDIS Conference entitled “Eight-day process to improve physician query response rate,” with Sara Neitzel, RN,...Read More »
It’s easy to pick on physicians. As CDI specialists, we joke about the physician who still writes “urospesis” in the record, or the provider who consistently answers queries with “unable to be determined.”
