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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…
Dolbey’s Fusion CAC ranked #1 Best in KLAS in the February 2021 KLAS Research healthcare software satisfaction report. On April 29, 2021 KLAS Research released a Premium Report titled “Computer-Assisted Coding 2021, Which Vendors Best Meet Needs in the Face of COVID-19?” In this latest Premium Report, KLAS Research surveyed customers of Dolbey, 3M and…
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…
By Sonja Racke, RN, BSBM, CPC, CRCR for the ACDIS CDI Blog How many of you remember the nursing days of “see one, do one, teach one?” Of having Nurse Wretched (not Ratchet) hanging over your shoulder while inserting your first Foley catheter in a female grumbling “just look for the blinking eye” and then…
By Ben Howard for Med City News This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) and the updated coding guidelines for Evaluation and Management (E/M) services from the American Medical Association. For…
By Cynthia Raymond, RN, MSN, CPC, COC, CCDS, ACM-RN for ACDIS CDI Blog CDI specialist’s work can often be tapered down to two categories of work. One category is concurrent stay reviews where CDI makes efforts to ensure that the medical record is accurate and compliant before final coding. The second category of work is…