The TRIC tactic to queries provides a quick and systematic approach that ensures the necessary components of the query are present and displayed in a compliant manner to the provider. TRIC is the acronym that stands for these four...Read More »
As the coder or CDI specialist reviews the documentation, he or she will identify opportunities to clarify diagnoses or even to identify conditions that were not previously documented but may be possible given the patient’s presentation.Read More »
Tara Bell, MSN, RN, CCDS, CCM, manager of CDI and utilization review services for UASI based in Cincinnati, will present “Clinical Validation: Expanding Clinical Validation into Outpatient CDI,” on Day 2 of the ACDIS Symposium: Outpatient CDI. Rebecca “Ali” Williams, MSN, RN, CCDS, also...Read More »
By Marion Kruse, BSN, RN, MBA, and Jennifer Cavagnac, CCDS
The decision of when to query the physician represents an important aspect of the CDI program. In a perfect world, all cases would be reviewed within the first 24 hours of admission. However, due to staffing...Read More »
I think we’re all familiar with the Law of Unintended Consequences. That’s the concept that something begun with the best of intentions can wind up going horribly awry. Examples include “New Coke” and anything ending in the word “Kardashian.” (...Read More »
Although managing accurate principal diagnoses and CC/MCC assignment is always going to be a focus for CDI professionals and coders (along with clarifying general documentation inconsistencies). Clinical validation denials are on the rise, making record...Read More »
Q: During a final pre-bill coding review, the coding leader identifies a CDI initiated query that does not meet the ACDIS/AHIMA guidelines for a compliant query. But, the physician has already responded to the query with a diagnosis which was then...Read More »
By Howard Rodenberg, MD, MPH, CCDSDo you ever wonder if your professional skills are actually useful in the real world? I know I do. My resume as an emergency physician falls apart when applied outside of the ED, where it turns out you’re not allowed to stare at someone writhing on the...Read More »
