I’ve always thought that, as long as the clinical indicators support the condition you’re querying for, providing all the options for the specific type/specificity of that condition allows the provider to use their clinical judgement. Is this correct?Read More »
If a patient is admitted with both gram-negative pneumonia and acute respiratory failure, which should be sequenced as the principal diagnosis?Read More »
Dawn Valdez RN, LNC, CCDS, CDIP, joined the ACDIS team officially at the beginning of 2020, as a full-time CDI education specialist. Since then, she’s been busy getting up to speed, hitting the road with Education Director Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, and...Read More »
Q: What’s the best way to approach CDI rounding with providers? We are considering implementing this practice and are looking at processes, outcomes, lessons learned, etc. Read More »
Q: Our organization has implemented a workflow to identify social determinants of health (SDOH). The tool is provided to patients at annual visits and Medicare annual wellness visit. I feel that the question which would lead to the assignment of SDOH code Z55.9, Problems related to education and...Read More »
Q: Upon review of some of my old query formats, I noticed that come of them have a standard statement like the ones below:
“To facilitate accurate documentation of severity of illness (SOI), please clarify the etiology of abdominal pain for this patient based on these clinical
