By Cheryl Ericson, RN, MS, CCDS, CDIP for ICD10monitor Clinical validation queries have been recommended for almost a decade, yet many clinical documentation integrity (CDI) and coding professionals continue to struggle with crafting these types of queries. The Guidelines for…
By G Hatfield for HealthLeaders As the nursing shortage looms, new expectations give way to new recruiting strategies. KEY TAKEAWAYS In the face of a daunting workforce shortage, health systems are struggling to recruit and retain the best talent. Nurse…
By Traci Miller Dolbey has once again been recognized as the Best in KLAS for Computer-Assisted Coding (CAC), marking its ninth consecutive year earning this distinction. This award, based on direct feedback from healthcare providers, underscores Dolbey’s ongoing commitment to…
By Susan Chapman, MA, MFA, PGYT for For The Record HIM continues to evolve, especially as technological advances like artificial intelligence (AI) are rapidly infiltrating health care. As the health care industry experiences this unprecedented transformation, HIM leaders offer their…
By Linnea Archibald for ACDIS Note from the Associate Editorial Director: In case you missed it at the end of the year, the newest CDI Salary Survey report has been released! The survey was fielded to the public in September/October…
From ACDIS CDI Strategies Upcoding—when higher-level codes are assigned than are justified to increase reimbursements—will remain a major ethical dilemma in 2025 for coders, according to survey data released by Black Book Research. Of more than 4,000 surveyed health information management…
By Susan Chapman, MA, MFA, PGYT for For The Record Artificial intelligence (AI) is an evolving technology that’s increasingly being employed across the health care industry. Like many technologies, AI continues to evolve, moving from what’s commonly referred to as…
By ACDIS for CDI Strategies The 2025 Medicare Physician Fee Schedule (MPFS) final rule was released on November 1 and contains a number of billing modifications to payment rates, services, telehealth rules, and other such services. According to the National…
By Susan Chapman, MA, MFA, PGYT for For The Record Gender identity is how individuals perceive themselves, be it different or the same as the sex they were assigned when they were born.1 Gender identity differs from gender expression in…
From For the Record As health care organizations increasingly recognize the critical link between patient health and social determinants of health (SDOH), a new initiative aims to showcase the innovative strategies employed by three leading health systems to enhance SDOH…
