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By Kelly Sutton, RN, BSN, MHL, CCDS for ACDIS CDI Blog The transition into CDI from other avenues can be filled with overwhelming thoughts and emotions. In my experience as division educator, almost every CDI specialist will, at some point, have doubts about their career change. In the CDI specialist role, the relationships with physicians…
By Marlene Goodwin-Esola, MSN, CV-BC, NE-BC for ACDIS CDI Blog When I first entered the CDI field, I received feedback from someone who left this specialty expressing that her reason for leaving was that CDI was “too sad.” Her rationale was that as a CDI specialist, you might be reviewing a chart of a patient…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog In one of my recent efforts for the ACDIS Blog, I mentioned that there were times when it might be better not to query. I’ve also mentioned that before one sends a query, one needs to take into account the entire context of the patient encounter. I’d like…
ACDIS Journal Excerpt from The ACDIS CDI Blog No matter the level of training and preparation you put into implementing a new technology, you’ll likely still encounter some struggles along the adoption journey. Inevitably, regardless of the project, there will always be a few troublesome providers, according to Vaughn Matacale, MD, CCDS, director of the CDI advisor…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog You would think that actually defining something would make it easier to recognize. That statement assumes, of course, that you can actually define what you’re trying to see. (I’m reminded of Justice Potter Stewart’s quote on obscenity, “I shall not today attempt further to define…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog I know this will come as a shock to my many (two) readers, but I’m not quite as perfect as I make myself out to be. I, too, have character flaws. One is that I ask questions. A lot of questions. I do so in…
For Health Day FRIDAY, June 25, 2021 (HealthDay News) — Certain International Classification of Diseases (ICD), Tenth Revision (ICD-10) codes are recorded more frequently before the initial diagnosis in patients with multiple sclerosis (MS) compared with patients with other autoimmune diseases or individuals without these diseases, according to a study published in the June 15…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog One rarely thinks of CDI as having a moral dimension. But when we do think about it, we consider ourselves doing the “right thing” for patients to have their complexity of illness fully documented within the medical record. If we divorce ourselves from the financial…
By Kathryn Fallah from ACDIS CDI Blog According to the World Health Organization , pneumonia is a form of an acute respiratory infection that inflames the lungs. When CDI professionals review the record and ensure that the documentation of pneumonia is accurate and complete, they can impact reimbursement, risk of mortality scores, and risk adjustment. There are…
By Clarissa Barnes, MD for For The Record While often said in jest, my dislike of getting queries delivered to my inbox is (at least indirectly) 100% responsible for my work as a physician advisor. Queries were an intrusion in my otherwise organized workflow. It seemed like my only option was to keep answering them…