Quality & Regulatory

Q: If I document a wound at Stage 3 with no CC or MCC, do I also need to assign a present on admission (POA) status?
...Read More »

by James S. Kennedy, MD, CCS, CDIP

Even though we now have a new president of the United States who vowed to abolish the...Read More »

Nearly half of the death certificates reviewed by the Centers for Disease Control and Prevention from 2009 to 2012 listed the cause of death...Read More »

A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation caused the most improper payments for facet joint injections,...Read More »

Since the advent of electronic medical record (EMR) systems, CDI professionals have known that physician copy and paste errors pose a threat to...Read More »

Editor’s note: Over the coming weeks leading up to the conference, we’ll take some time to introduce members to a...Read More »

Q: Can coders change the principal diagnosis assignment without querying the physician?

A: Once the...Read More »

Intensive care units are expensive, invasive, and supposed to be reserved for the sickest hospital patients, but more than half the time, they're...Read More »

Even after Medicare officials agreed that seniors cannot be denied...Read More »

Editor’s Note: Over the comings weeks, we’ll take some time to introduce members to a few of this year’s ACDIS...Read More »