The attached Word document reviews documentation and coding needs for complications and establishes policies and procedures for coders and CDI professionals to follow. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, the document provides complication definitations, explains when queries should be...
The attached PowerPoint document offers a sample education session for physicians regarding documentation and coding needs for complications. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, the presentation provides complication definitations and walks physicians through related CDI and coding...
The attached PowerPoint document offers physicians documentation tips regarding respiratory failure. Created by Jennifer Love Roberts, RN, BA, CCDS, CDIP, senior CDI consultant with United Audit Systems Inc., it can be incorporated into an electronic bulletin board presentation or printed as a...
The attached PowerPoint document offers physicians documentation tips regarding kidney disease. Created by Jennifer Love Roberts, RN, BA, CCDS, CDIP, senior CDI consultant with United Audit Systems Inc., it can be incorporated into an electronic bulletin board presentation or printed as a tip...
The attached PowerPoint document offers physicians documentation tips regarding hemiparesis. Created by Jennifer Love Roberts, RN, BA, CCDS, CDIP, senior CDI consultant with United Audit Systems Inc., it can be incorporated into an electronic bulletin board presentation or printed as a tip...
The attached Word document contains a number of tips regarding common documentation improvement opportunities such as xray findings, congestive heart failure, late effects, and more. Created by Mike Alcorn, LVN, CDI director at North Cypress (TX) Medical Center, these tips were intended to be...
The attached PDF document contains common documentation improvement target areas as well as "Golden Rules" for physician documentation. Created by ACDIS Advisory Board member Timothy N. Brundage, MD, the two page document includes clinical definitions and documentation reminders for physicians....
Tiffany H. Estes, RHIA, CCDS, CDI Supervisor for UNC Healthcare in Chapel Hill, N.C., donated this 60-plus page UNC Healthcare Clinical Documentation: Handbook for Physicians and other Licensed Healthcare Providers, which took her team more than 100 hours to create....
Kim MaGee, RN, the CDI program’s team leader at Park Nicollet Health Services in Minneapolis, Minn. offers this sample facility-specific CDI newsletter. Her team works with its physician advisor to devise a different clinical topic each month and disseminate the newsletters to...
Karen Macy, RN, CDI specialist at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, N.Y., offers this sample tri-fold brochure full of need-to-know documentation improvement program basics which she gives to physicians when explaining the role of CDI specialists at her...
