Journal excerpt: Familiarizing yourself with coding guidelines

From the ACDIS CDI Blog Because every chart is coded before being sent to payers, it’s important that CDI specialists have a working knowledge of code sets and coding rules. The inpatient prospective payment system (IPPS) final ruling, traditionally updated annually, has been changed to update twice a year on April 1 and October 1 beginning…

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White Paper Details Technology’s Impact on CDI

From For the Record AHIMA and the Association of Clinical Documentation Integrity Specialists (ACDIS) released a new white paper that examines how rapid advancement in health care technology is driving changes to the practice of clinical documentation integrity (CDI). CDI is critical to the usability of medical data and ongoing efforts to improve patient care. New technologies, such as artificial…

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Book excerpt: A brief history of query practice briefs

By Karen Newhouser, RN, BSN, CCDS, CCDS-O, CCS, CDIP, CCM from the ACDIS CDI Blog As the CDI and coding professions continue to evolve, query guidance methods have changed along with them. The first industry standard brief, “Developing a Physician Query Process,” published by AHIMA in 2001, set the foundation for the compliant query practice.…

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Q&A: Relationship between hypertension and CKD

For ACDIS CDI Blog Q: I’ve been told that if there are clinical indicators to support that chronic kidney disease (CKD) is the etiology of a patient’s hypertension, a code from category I15 would be assigned. Code I12 is for hypertensive CKD, isn’t it? So why do we have to use I15 codes instead? What’s…

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