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By Angela Lima, BS, CCS, CDIP, CIC, COC for For the Record Libman Education’s survey found that 87% of respondents plan to increase their coding expertise. As you read this article, you’re probably sitting in your home office, drinking your third (or fourth) cup of coffee, and perhaps even wearing your favorite pair of slippers. That’s…
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…
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.…
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…
Georgina Gonzalez for Becker’s Hospital Review Z codes, which are ICD-10-CM codes used to identify non-medical factors that may affect a patient’s health status, are a useful way to track social determinants of health and capture standardized data for Medicare beneficiaries. However, they are underused, with Z codes reported from only 1.59 percent of beneficiaries…