Clinical & Coding

This sample clinical definition was provided by Jera Van Damme, BSN, RN, CCDS, CCS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.

This sample has been reviewed and approved by the Forms...

Defining and Querying for AKI and CKD: Could It Be ATN?
Rhoda Chism, RN, CCDS, CCS, Manager of CDI Audit and Education, and Sheila Duhon, MBA, RN, CCDS, A-CCRN, CCS, CDI Director from Steward Healthcare, in Dallas
Attendees will learn how the incidence of...

Back to the Laboratory! Assessing Lab Values for CDI Outcomes
Verona Lodholz, CCDS, CCS, MT(ASCP), DC, CDI director for Accuity Delivery Systems, LLC., based in New York, New York
Session attendees will learn how results from laboratory tests provide vast...

Acute Heart Failure: Clinical Validation, Quality, Denials, and Appeals
Beth Wolf, MD, CPC, CCDS, Physician Advisor with 3M Consulting
Not all acute heart failure is manifested as flash pulmonary edema with acute respiratory distress. What...

2021 Changes in E/M Coding
Eli Freilich, MD, CCDS, Medical Director with Enjoin based in Baton Rouge, Louisiana
During this session, participants will learn how evaluation and management code assignment rules for physician practices and ambulatory services...

Understanding Spinal Procedure Processes for CDI and Coding
Laura Anderson, RN, BSN, CCDS, CDI Specialist with Optum360, and Andrea Moreno, RN, Service Area Manager for St. Joseph’s Hospital and Medical Center in Phoenix, Arizona
Session...

This paper is an update of the 2017 ACDIS white paper, “Clinical validation and the role of the CDI professional.” It discusses the concept of clinical validation as it has evolved through CMS regulations and coding guidance. It also attempts to establish consensus about how CDI professionals...