Ask ACDIS

Q: We recently had attending physicians send back queries with responses by the physician assistant (PA) or nurse practitioner (NP) who...Read More »

Q: In terms of coding blood transfusions, does the documentation of which intravenous (IV) site used has to come from the physician in the...Read More »

Our present hospital policy states that our queries are not part of the medical record. We have several years’ worth of queries and we were...Read More »

Q: Is there guidance on reviewing a record, such as an operative (OP) note, that has not been signed by a physician? I am at a facility...Read More »

Q: CMS released guidance this summer about not auditing or counting errors for the specificity of an ICD-10-CM code. CMS is not going to...Read More »

Q: I am having trouble with the procedure (PCS) coding for a perineal laceration repair. Some sources state that the correct code uses the...Read More »

Editor’s Note: As part of the fifth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of...Read More »

Q: How can our CDI team prepare for potential productivity losses post-ICD-10 implementation, specifically regarding procedure codes (PCS...Read More »

 Editor’s Note: As part of the fifth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of...Read More »

Editor’s Note: As part of the fifth annual ...Read More »