Karen Macy, RN, CDI specialist at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, N.Y., offers this poster regarding documentation requirements related to chest pain.
This short video depicts a CDI specialist attempting to explain the CDI process to a physician. Developed by Sheryl Hines RN, CDS, it can be used as an entertaining addition to either CDI or physician education efforts.
This PowerPoint presentation takes typical documentation improvement targets and offers tips for CDI program next steps. Created by Donald Butler, RN, BSN, the presentation illustrates how common focus areas may nevertheless be missing documentation improvement opportunites regarding mortality...
This PDF article presents clinical indicators and documentation improvement tips for malnutrition. Provided by Denyatta Henry of McLaren Healthcare in Flint, Mich., consider adapting this article for use in your physician newsletter or other education efforts....
Attached are four ICD-10 training games developed for JustCoding.com Platinum subscribers and donated to ACDIS for its members. It includes a circulatory and musculoskeletal system word search, and a root operations crossword and root operations...
The attached PDF document contains documentation 26 documentation tip cards covering everything from CDI basics to physician evaluation and management (E/M) documentation requirements. Provided by Robert S. Hodges, BSN, MSN, RN, CCDS, the cards can be printed and folded together to create a...
This document provides documentation and coding advice for toxic metabolic encephalopathy. It was provided by Don Butler and comes from an HCPro e-newsletter, "HIM Connection."
The attached Hospitalist Inpatient Progress Note will help hospitalists document patient assessment and the care plan. It was submitted by Kathy Shumpert, RN, Howard Regional Health System.
Courtesy of Ina Corley, clinical documentation specialist for Tulane Medical Center, this device associated infection documentation flowchart provides tips for accurate and consistent documentation.
