Courtesy of Ina Corley, clinical documentation specialist for Tulane Medical Center, this device associated infection documentation flowchart provides tips for accurate and consistent documentation.
The following ICD-10 preparation checklist was published in the Clinical Documentation Improvement Specialist's Guide to ICD-10. This sample was examined and approved by the Resource Library Committee in 2023.
This educational poster created by Rebecca "Ali" Williams, RN, BSN, CCDS, manager of documentation integrity at Spartanburg (SC) Regional Medical Center & Village Hospital, explains that in order for coders to accurately capture intracerebral hemorrhage physicians will need to specify the...
There are a number of ways to get CDI information into the hands of your facility’s physicians. The following list offers a number of suggestions...Read More »
It did not take Bonnie I. Epps, MN, RN, manager of the CDI department at Emory Healthcare, Inc., in Atlanta,long to realize that staff physicians...Read More »
The attached Word document offers quick documentation improvement tips for specifying the acuity and type of heart failure. Created by Cindy Ulrich, RN, MSN, this document can be printed out and hung in physician common areas or documentation rooms.
