by Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI
Some common disease processes require certain types of care. Healthcare specialties often create such standard care intervention checklists to increase efficiency in overall treatments, and to drive notable...Read More »
The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Improvement Specialists (ACDIS) released joint physician query instructions in Guidelines for Achieving a Compliant Query Practice in February 2013.
To help you get revved up and rearing to go this year, we’re previewing a handful of speakers throughout the coming weeks to give you a feel for the sessions. This week, we spoke with Adelaide M. La Rosa, RN, BSN, CCDS, who, along with J. Peter Savini, BA, MHA...Read More »
As I embark on the start-up of a new CDI program for my health system, I face a number of operational decisions that have to be made. One of which is reporting structure.
Q:I understand that most CDI departments develop a standardized list of clinical indicators/criteria to support query efforts. Is this something we need to develop or is it available in the encoder process? If we need to develop this, how do we go about that?...Read More »
Q:I am the only CDI specialist in our 150-bed facility. I have held the position for three years, and am the first one to do so helping to build the position from the ground up. Being the only CDI, I am on several committees, responsible for continual physician...Read More »
Q:I have come across an ethical dilemma. We have a small CDI program and a “home grown” application we use to report metrics to the chief financial officer (CFO). In this, we track whether a CDI specialist’s query captured a CC/MCC. If it is the first and/or only CC/MCC...Read More »