While most CDI specialists know to query for conditions related to malnutrition, such as obesity and cachexia, programs frequently ignore...Read More »
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee noted that if you use this resource, it requires a space to index clinical indicators, and the resource must be rid of all bold and underlined phrases, as these are considered leading queries...
Q: I am wondering about whether coders can use information the physician takes from test results and includes in the history and physical...Read More »
This ICD-10 cerebral artery infarction progress note is courtesy of Fran Toleno, RHIT, CCS, CDI coordinator and coding reimbursement specialist in the HIM department at Winthrop University Hospital in Mineola, NY. It was published in the February 2012 issue of Medical Records Briefing...
As part of the first Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics.
