By Laurie L. Prescott, RN, MSN, CCDS, CDIP, CRC
Though many coders and auditors say so, there is no official direction that states...Read More »
Q: Providers at our facility believe coding and CDI send too many queries. What's an...Read More »
Composing and documenting verbal query interactions often confuses CDI specialists. While the guidance published by ACDIS and AHIMA holds for all...Read More »
Q: Lately, we have been receiving responses of “did not assess or treat” or “this is a chronic...Read More »
By Brian Murphy
Outpatient CDI is a different beast than CDI performed in the inpatient hospital setting. The volume of encounters...Read More »
by Erica E. Remer, MD, FACEP, CCDS
Computer-assisted coding (CAC) is to native, manual coding as reading Dickens’ Great...Read More »
The following Position Paper provides an ACDIS-endorsed policy and procedure for compliant physician queries in the outpatient setting.
Q: I encountered clinical validation issues where documentation noted a diagnosis with criteria, but the criteria used didn't...Read More »
by Paul Evans, RHIA, CCDS, CCS, CCS-P We have seen our industry grow increasingly complicated each year. With that increased...Read More »
Q: Our facility does not retain written queries in the medical record...Read More »
