by Melissa Varnavas
“E-mail eats the day away.” Sounds like a play on the ‘ole “apple a day” routine, doesn’t it? It’s...Read More »
by Sylvia Hoffman, RN
Changes in the IPPS (Inpatient Prospective Payment System) led hospitals to develop clinical documentation...Read More »
When AHIMA released its “Managing an Effective Query Process” brief in September 2008, it raised a number of concerns among them the...Read More »
Good communication is a key attribute of a successful clinical documentation improvement specialist (CDIS)....Read More »
By Melissa Varnavas
Shortly before New Year’s Day, I looked over my notes from the November 17th HealthLeaders Web cast...Read More »
Q: We have been educated by our coding staff not to use the residents’ notes except as a guideline. They have said that they can only code...Read More »
Q: Should we document verbal queries in the record? Should we include paper queries in the record?Read More »
by Lynne Spryszak, RN, CCDS, CPC
Does it sometimes seem like wound and pressure ulcer documentation is a movable feast? I’ve spent...Read More »
Preface to the following: You won’t find a stauncher advocate for ethical behavior in the...Read More »
Hey, you CDS with new programs out there! How’s it going? Are you sailing along on the smooth...Read More »
