As part of the seventh annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Kristie Perry, RN, MHSA, CCDS, CCS, a CDI specialist at Erlanger Health System in Chattanooga,...Read More »
Q: What are some times when it might be acceptable for a provider to copy and paste medical information into an electronic health record (EHR) and when is it absolutely not acceptable...Read More »
According to an ACDIS poll, 71% of respondents conduct clinical validation reviews. Listen to the Quarterly Membership Call to learn more about this complex topic.Read More »
Clinical validation is definitely a hot topic in CDI right now. According to the 2017 CDI Industry Survey (which will be made available during CDI Week), 85.13% of respondents sent at least one to five clinical validation queries in the last month. Yet, only 41.81% have a policy governing these...Read More »
Is there a best practice when writing a query? ACDIS and AHIMA believe there is, to the point of writing multiple articles and guidelines on the topic. So, what is the “best” way to query a physician and obtain additional information?Read More »
Q: We recently reviewed a troubling case related to sepsis core extractions which revealed that the patient did not have sepsis and the physicians did not document sepsis as there was no bacterial infection. The CDI specialist, however...Read More »
As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly difficult to determine when a condition reaches a reportable threshold, according to a new ACDIS White Paper “...Read More »
Many facilities employ CDI specialists as frontline educators for physician ICD-10 documentation training. Post-implementation, they rely on CDI staff for continuing education efforts. Any number of continued training tactics may prove successful. One such an approach incorporates documentation...Read More »
