Health Information Management Articles by Topic: Clinical Documentation Improvement
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CDI Strategies, Issue 20, May 19, 2016
Robert S. Gold, 1942-2016 If you’ve ever read an issue of HCPro’s flagship...
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CDI Strategies, Issue 20, May 19, 2016
Nine years. Nine conferences. Each is distinctive. Those fortunate enough to attend conferences...
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CDI Strategies, Issue 20, May 19, 2016
Wow. Somehow, it is already that time. The 2016 ACDIS Conference is finally here. After...
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CDI Strategies, Issue 20, May 19, 2016
Data used to gauge and rank the safety of hospitals are woefully inaccurate, according to Johns...
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CDI Strategies, Issue 20, May 19, 2016
CMS recently released its seventh maintenance update for National Coverage Determinations (NCD) to...
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CDI Strategies, Issue 20, May 19, 2016
Q: If a physician documents sepsis due to decubitus ulcer and UTI due to indwelling catheter, can...
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CDI Strategies, Issue 20, May 19, 2016
It’s tradition. Day 1 of the annual conference is ACDIS pride day, where attendees are...
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CDI Strategies, Issue 19, May 12, 2016
Q: When I try to code ileostomy take down of the small bowel resection and end-to-end anastomosis I...
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CDI Strategies, Issue 19, May 12, 2016
Malnutrition has historically been an issue in facilities, mainly because before 2012, no...
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CDI Strategies, Issue 19, May 12, 2016
The Office of the Inspector General (OIG) continues to target fraudulent Kwashiorkor claims. This...
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CDI Strategies, Issue 19, May 12, 2016
With the fourth year of open enrollment for Affordable Care Act (ACA) marketplace health plans just...
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CDI Strategies, Issue 19, May 12, 2016
The Association of Clinical Documentation Improvement Specialists (ACDIS) will soon be launching a...
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CDI Strategies, Issue 19, May 12, 2016
The ACDIS office is in official final countdown mode— shipments are being wrapped, room...
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CDI Strategies, Issue 19, May 12, 2016
by Robin Deakins, RN, CCDS It all started with my desire to attend the 2015 ACDIS conference...
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CDI Strategies, Issue 18, May 5, 2016
I’m asked from time to time what excites me most about the ACDIS conference. Perhaps at one...
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CDI Strategies, Issue 18, May 5, 2016
Just as government healthcare reimbursement methods continue to evolve on the inpatient side...
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CDI Strategies, Issue 18, May 5, 2016
It seems change lurks near every corner we turn this year. While not every change results in...
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CDI Strategies, Issue 18, May 5, 2016
ACDIS will soon be launching a new and improved website. We will continue to provide certain free...
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CDI Strategies, Issue 18, May 5, 2016
Q: Is it appropriate to assign code Y95, nosocomial condition, based on the documentation of...
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CDI Strategies, Issue 17, April 28, 2016
By: Melissa Varnavas
As you read this, the ACDIS administrative team may likely be ensconced in a...
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CDI Strategies, Issue 16, April 21, 2016
Q: I have a patient with Stage 4 lung cancer that presented with fatigue, cough, and loss of...
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CDI Strategies, Issue 16, April 21, 2016
by Penny Richards
Live onsite scoring for the CCDS exam began again last Friday, April 15...
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CDI Strategies, Issue 16, April 21, 2016
CMS launched a voluntary five-year physician payment program dubbed the Comprehensive Primary...
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CDI Strategies, Issue 16, April 21, 2016
The conference is just 35 days away, and if you are among the more than 1,400 people who have...
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CDI Strategies, Issue 15, April 14, 2016
by Katy Rushlau
For those of you who follow ACDIS on social media—yes, we’re...
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CDI Strategies, Issue 15, April 14, 2016
An infographic newly released by CMS guides healthcare providers toward better assessing...
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CDI Strategies, Issue 15, April 14, 2016
by Amy Czahor, RHIT, CCS, CDIP
On February 23, the Journal of the American Medical...
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CDI Strategies, Issue 15, April 14, 2016
Q: How many people should be involved in reviewing a medical record?
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CDI Strategies, Issue 15, April 14, 2016
If you are interested in joining a local chapter remember to complete the short online...
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CDI Strategies, Issue 15, April 14, 2016
Are you in CDI leadership and looking for national networking opportunities? Consider participating...
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CDI Strategies, Issue 14, April 7, 2016
The conference is next month and the ACDIS office is buzzing with excitement. Our staff...
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CDI Strategies, Issue 14, April 7, 2016
The month of April promises a number of educational opportunities for CDI professionals across the...
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CDI Strategies, Issue 14, April 7, 2016
Q: We are currently using a hybrid medical record, so we have standard query forms with...
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CDI Strategies, Issue 14, April 7, 2016
Federal regulators are considering changes to the Affordable Care Act’s Hierarchical...
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CDI Strategies, Issue 14, April 7, 2016
Recent investigations by the Office of Inspector General (OIG) have shown a number of instances in...
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CDI Strategies, Issue 14, April 7, 2016
3,600 new procedure codes. 1,900 new diagnosis codes. 487 code revisions. That’s what’s...
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CDI Strategies, Issue 14, April 7, 2016
Coders can now appropriately assign a code for diastolic or systolic heart failure, as warranted if...
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CDI Strategies, Issue 14, April 7, 2016
It’s been five years since we surveyed the ACDIS members regarding the role physician...
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CDI Strategies, Issue 13, March 31, 2016
Another hospital lost its attempt to push through the backlog of denied claims appeals recently...
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CDI Strategies, Issue 13, March 31, 2016
In 2014, 66% of 318 hospitals surveyed by AHIMA had a CDI program in place. If all surveyed...
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CDI Strategies, Issue 13, March 31, 2016
By: Brian Murphy
As reported in the March 3 edition of CDI Strategies a joint U.S...
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CDI Strategies, Issue 13, March 31, 2016
A reminder to local chapter leaders to complete the ACDIS Local Chapter Agreement...
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CDI Strategies, Issue 13, March 31, 2016
Can you believe that the 2016 ACDIS Conference is just over 50 days away? There’s...
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CDI Strategies, Issue 13, March 30, 2016
Q: I am looking for documentation or physician education tips related to ventilator management or...
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CDI Strategies, Issue 12, March 24, 2016
By Sharme Brodie, RN, CCDS
Usually the attendees in the basic CDI Boot Camp are brand new to the...
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CDI Strategies, Issue 12, March 24, 2016
After a five-year code freeze, the ICD-10 classification system will be back on a regular cycle for...
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CDI Strategies, Issue 12, March 24, 2016
In general, the time spent reviewing and coding records has increased since ICD-10 implementation...
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CDI Strategies, Issue 12, March 24, 2016
Q: I am never sure of correct sequencing when the admission is for flu, pneumonia, and...
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CDI Strategies, Issue 12, March 24, 2016
We’re less than 60 days away from the 2016 ACDIS Conference. The early bird registration...
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CDI Strategies, Issue 11, March 17, 2016
According to the American Hospital Association’s (AHA) 2015 fourth...
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CDI Strategies, Issue 11, March 17, 2016
Physicians in 128 groups exceeded benchmarks in quality and cost efficiency and will receive an...
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CDI Strategies, Issue 11, March 17, 2016
An estimated 30% of Medicare payments are now tied to alternative payment models that reward the...
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CDI Strategies, Issue 11, March 17, 2016
Q: Is a diagnosed and treated condition during the first 24 hours considered present on...
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CDI Strategies, Issue 11, March 17, 2016
Local chapter membership rosters will be due by the end of the month. Please remind local chapter...
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CDI Strategies, Issue 11, March 17, 2016
Did you know that there are just over 60 days until the annual ACDIS conference? As you plan your...
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CDI Strategies, Issue 10, March 10, 2016
By Laurie Prescott, RN- MSN, CCDS, CDIP
I am often asked by CDI managers and directors about how...
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CDI Strategies, Issue 10, March 10, 2016
Members of the ACDIS Advisory Board will conduct a one-hour “CDI Ethics” panel...
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CDI Strategies, Issue 10, March 10, 2016
One of the biggest concerns regarding electronic health record implementation has been the...
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CDI Strategies, Issue 10, March 10, 2016
Q: We are having trouble determining how to assign a code for a pressure ulcer that begins as...
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CDI Strategies, Issue 10, March 10, 2016
CCDS exam results for those who took the exam since January 18 will be issued at the end of March...
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CDI Strategies, Issue 10, March 10, 2016
Reminder that all ACDIS chapter leaders should review and sign the official agreement...
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CDI Strategies, Issue 10, March 10, 2016
The countdown clock to the ACDIS conference officially clicked over to just 74 days. But time runs...
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CDI Strategies, Issue 9, March 3, 2016
By: Katy Rushlau, ACDIS Editor
Community. That’s what I think of when I think of the...
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CDI Strategies, Issue 9, March 3, 2016
The Third International Consensus Definitions Task Force updated the standards of sepsis and septic...
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CDI Strategies, Issue 9, March 3, 2016
Approximately 800 hospitals across the country that perform inpatient total hip and knee joint...
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CDI Strategies, Issue 9, March 3, 2016
The Chapter Advisory Board recently revised its local chapter agreement form to include...
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CDI Strategies, Issue 9, March 3, 2016
We’re officially 80 days until the annual ACDIS Conference. As you begin to plan your...
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CDI Strategies, Issue 8, February 25, 2016
More than 700 ACDIS members registered to participate in last week’s ACDIS Quarterly...
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CDI Strategies, Issue 8, February 25, 2016
CMS and representatives of the private insurance industry have agreed to use a single set of...
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CDI Strategies, Issue 8, February 25, 2016
Looking for more data on inpatient stays? The Agency for Healthcare Quality (AHRQ) added...
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CDI Strategies, Issue 8, February 25, 2016
Those of you who regularly attend your state events, consider volunteering to help leaders either...
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CDI Strategies, Issue 8, February 25, 2016
We’re officially less than 100 days until the annual ACDIS Conference. As you begin to plan...
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CDI Strategies, Issue 7, February 18, 2016
Do you hold the CCDS certification? Do you know when it expires?
Once again, I heard from...
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CDI Strategies, Issue 7, February 18, 2016
CMS issued a final rule on February 11, 2016, creating a reporting and repayment...
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CDI Strategies, Issue 7, February 18, 2016
The government will have to comply with its congressionally mandated deadlines for reviewing claims...
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CDI Strategies, Issue 7, February 18, 2016
Some patients being cared for in a fully electronic health record (EHR) environment were less...
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CDI Strategies, Issue 7, February 18, 2016
Q: In the past few weeks, we noticed physicians are documenting acute congestive heart...
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CDI Strategies, Issue 7, February 18, 2016
We’re officially less than 100 days until the annual ACDIS Conference. The ACDIS office...
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CDI Strategies, Issue 6, February 11, 2016
It’s that time of year again—the time when we start to count down to the 2016...
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CDI Strategies, Issue 6, February 11, 2016
Use of claims data could soon expand to a host of new entities under proposed rules...
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CDI Strategies, Issue 6, February 11, 2016
Even though Promise Hospital of Ascension, a 54-bed transitional care hospital located in Gonzales...
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CDI Strategies, Issue 6, February 11, 2016
Outpatient coding and billing errors led to more than half of all automated denials by Recovery...
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CDI Strategies, Issue 5, February 4, 2016
As you probably saw in last week’s CDI Strategies, we just welcomed four new ACDIS Advisory...
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CDI Strategies, Issue 5, February 4, 2016
Those wishing to obtain their CCDS certification now have an opportunity to take the exam at the...
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CDI Strategies, Issue 5, February 4, 2016
Each year prior to the ACDIS Annual Conference, the event starts a few days early for those...
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CDI Strategies, Issue 5, February 4, 2016
Local ACDIS chapters provide a vital networking and educational service to clinical documentation...
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CDI Strategies, Issue 5, February 4, 2016
Click here to read this article.
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CDI Strategies, Issue 5, February 4, 2016
Productivity decreases post-ICD-10 implementation has been a major concern for CDI specialists...
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CDI Strategies, Issue 5, February 4, 2016
Q: Our facility is developing clinical definitions regarding types of atrial fibrillation...
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CDI Strategies, Issue 4, January 28, 2016
As many of you know, working remotely has its advantages: the commute to work is easy, you can...
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CDI Strategies, Issue 4, January 28, 2016
ACDIS has extended the application deadline for poster session presentations to January 29...
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CDI Strategies, Issue 4, January 28, 2016
Local ACDIS chapters provide a vital networking and educational service to clinical documentation...
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CDI Strategies, Issue 4, January 28, 2016
Clinical documentation improvement (CDI) specialists and case managers share a common goal but...
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CDI Strategies, Issue 4, January 28, 2016
CMS underpaid Medicare Advantage plans for the cost of treating patients with multiple chronic...
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CDI Strategies, Issue 4, January 28, 2016
With the transition to ICD-10-CM/PCS and the implementation of the Patient Protection and...
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CDI Strategies, Issue 4, January 28, 2016
Steward Health Care in Westwood, Massachusetts seeks a CDI program director, who will be...
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CDI Strategies, Issue 3, January 21, 2016
Q: I was reviewing a case with one of our CDI specialists this morning. Briefly, the following...
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CDI Strategies, Issue 3, January 21, 2016
Managing a CDI department can be a daunting task. The Complete Guide to CDI...
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CDI Strategies, Issue 3, January 21, 2016
Local ACDIS chapters provide a vital networking and educational service to clinical documentation...
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CDI Strategies, Issue 3, January 21, 2016
It's time to submit your nominations for the ACDIS Achievement Awards, to be awarded at the...
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CDI Strategies, Issue 3, January 21, 2016
ACDIS is delighted to announce the addition of four new Advisory Board members. The association...
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CDI Strategies, Issue 3, January 21, 2016
Record numbers of people took the CCDS exam in December and early January before the new version of...
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CDI Strategies, Issue 2, January 14, 2016
It’s hard to believe that it’s been one year since I began my first day at ACDIS on...
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CDI Strategies, Issue 2, January 14, 2016
CDI salaries increased dramatically in 2015, according to nearly 800 respondents to the recently...
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CDI Strategies, Issue 2, January 14, 2016
Local ACDIS chapters provide a vital networking and educational service to clinical documentation...
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CDI Strategies, Issue 2, January 14, 2016
ACDIS has made some significant changes to our annual ACDIS Achievement Awards, to be awarded...
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CDI Strategies, Issue 2, January 14, 2016
CMS recently expanded the amount of data available on its Physician Compare tool, to...
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CDI Strategies, Issue 2, January 14, 2016
CMS has to explain its calculation for a negative 0.2% reduction in inpatient payment rates as a...
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CDI Strategies, Issue 2, January 14, 2016
Join speakers Mark LeBlanc, RN, MBA, CCDS and Michelle McCormack, RN, BSN, CCDS, CRCR on Tuesday...
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CDI Strategies, Issue 2, January 14, 2016
Samaritan Health Services in Corvallis, Oregon seeks a regional operations manager to oversee...
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CDI Strategies, Issue 1, January 7, 2016
Welcome to the 2016th year of the Common Era (CE) and Anno Domini (AD) designations. The 16th year...
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CDI Strategies, Issue 1, January 7, 2016
ACDIS is proud to celebrate the 3,000th Certified Clinical Documentation Specialist (CCDS...
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CDI Strategies, Issue 1, January 7, 2016
With more than 40 local chapters and networking groups across the country there’s lots of...
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CDI Strategies, Issue 1, January 7, 2016
Voting is now open for four ACDIS advisory board positions, for terms of service starting in 2016...
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CDI Strategies, Issue 1, January 7, 2016
The new AHA Coding Clinic for ICD-10-CM and ICD-10-PCS cleared up some confusion...
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CDI Strategies, Issue 1, January 7, 2016
In 2016, those sitting for the Certified Clinical Documentation Specialist (CCDS) exam face the...
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CDI Strategies, Issue 1, January 7, 2016
Q: I have seen documentation of oliguric renal failure and non-oliguric renal failure. What is...
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CDI Strategies, Issue 26, December 23, 2015
CMS recently released an ICD-10-CM resource for specialties and specific conditions and...
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CDI Strategies, Issue 26, December 23, 2015
Things are pretty festive here in our little office in Danvers, Massachusetts. It got me...
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CDI Strategies, Issue 26, December 23, 2015
Long-term acute care hospitals (LTCH) have been commonly misunderstood, as the term...
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CDI Strategies, Issue 26, December 23, 2015
Can you believe it? The 9th annual ACDIS Conference is just over 150 days away. We...
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CDI Strategies, Issue 26, December 23, 2015
Some providers who entered bundled payment programs in their initial phase are more reluctant to...
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CDI Strategies, Issue 26, December 23, 2015
This book is the authoritative source outlining query best practices for effectiveness and...
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CDI Strategies, Issue 26, December 23, 2015
Take your CDI career to the next level in 2016 by joining ACDIS. We are currently seeking an...
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CDI Strategies, Issue 26, December 23, 2015
Q: Sometimes I confuse the secondary diagnosis for the primary diagnosis. Do you have any tips...
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CDI Strategies, Issue 25, December 10, 2015
I admit to being in a bit of a post-Thanksgiving malaise—feeling overstuffed and lethargic...
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CDI Strategies, Issue 25, December 10, 2015
To understand how to appropriately assign codes for chronic kidney disease (CKD) and acute kidney...
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CDI Strategies, Issue 25, December 10, 2015
The transition to ICD-10 has gone smoothly for 80% of organizations, according to a survey...
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CDI Strategies, Issue 25, December 10, 2015
The American Medical Association (AMA) recently asked that the American Academy of Professional...
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CDI Strategies, Issue 25, December 10, 2015
Tis the season! Do you have a favorite ACDIS book on your holiday wish list? We're offering free...
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CDI Strategies, Issue 25, December 10, 2015
Riverside Health System in Newport News, Virginia seeks a CDI auditor/educator to review clinical...
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CDI Strategies, Issue 25, December 10, 2015
Q: Can you code strictly from emergency room (ER) documentation? Can you code from test...
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CDI Strategies, Issue 24, November 25, 2015
Most people will experience at least one diagnostic error in their lifetime, sometimes with...
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CDI Strategies, Issue 24, November 25, 2015
ACDIS is making several changes to the Certified Clinical Documentation Specialist exam effective...
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CDI Strategies, Issue 24, November 25, 2015
Consumers need to focus on quality scores and performance metrics when selecting a hospital or...
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CDI Strategies, Issue 24, November 25, 2015
Q: We recently had attending physicians send back queries with responses by the physician...
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CDI Strategies, Issue 23, November 12, 2015
Back in the day (oh, about nine years or so ago), I found myself tucked into my office late into a...
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CDI Strategies, Issue 23, November 12, 2015
We are currently looking for members to nominate themselves or a colleague to be our next...
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CDI Strategies, Issue 23, November 12, 2015
The following groups are holding meetings this November and December.
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CDI Strategies, Issue 23, November 12, 2015
Hospitals could soon be required to develop a discharge plan within 24 hours of admission or...
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CDI Strategies, Issue 23, November 12, 2015
For stays in which the physician expects the patient will need less than two midnights of hospital...
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CDI Strategies, Issue 23, November 12, 2015
Boca Raton Regional Hospital in Florida was overpaid $2.6 million over two years, according to an...
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CDI Strategies, Issue 23, November 12, 2015
In 2016, those sitting for the Certified Clinical Documentation Specialist (CCDS) exam face the...
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CDI Strategies, Issue 23, November 12, 2015
Wentworth-Douglass Hospital in Dover, New Hampshire seeks a fulltime CDI specialist.
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CDI Strategies, Issue 23, November 12, 2015
Q: In terms of coding blood transfusions, does the documentation of which intravenous (IV...
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CDI Strategies, Issue 22, October 29, 2015
After three years’ worth of frustration and postponements ICD-10-CM/PCS implementation seems...
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CDI Strategies, Issue 22, October 29, 2015
Mark your calendars! The final ACDIS quarterly conference call for 2015 will be held...
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CDI Strategies, Issue 22, October 29, 2015
The following groups are holding meetings this fall.
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CDI Strategies, Issue 22, October 29, 2015
Recovery auditors collectively identified and corrected more than a million claims for improper...
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CDI Strategies, Issue 22, October 29, 2015
This isn’t the first time we’ve heard about hospitals billing for...
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CDI Strategies, Issue 22, October 29, 2015
One of our sister publications, Medical Records Briefings (MRB) is conducting its...
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CDI Strategies, Issue 22, October 29, 2015
Launch a successful CDI career with help from the experts at ACDIS in the comfort of your home or...
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CDI Strategies, Issue 22, October 29, 2015
South Peninsula Hospital in Homer, Alaska is looking for a CDI specialists to support overall...
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CDI Strategies, Issue 22, October 29, 2015
Q: Is there guidance on reviewing a record, such as an operative (OP) note, that has not been...
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CDI Strategies, Issue 21, October 15, 2015
When it comes to dinner-party small talk, CDI professionals often struggle to find an easy...
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CDI Strategies, Issue 21, October 15, 2015
ACDIS is currently seeking four new members to join the advisory board in 2016.
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CDI Strategies, Issue 21, October 15, 2015
Need to recertify? Here's what you need to know.
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CDI Strategies, Issue 21, October 15, 2015
CDI professionals should take a moment during these last days of Case Management Week to recognize...
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CDI Strategies, Issue 21, October 15, 2015
Many CDI programs are shifting their focus to include some sort of quality review. One of those...
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CDI Strategies, Issue 21, October 15, 2015
Providers don’t often receive education on clinical documentation, which can be a challenge...
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CDI Strategies, Issue 21, October 15, 2015
HCA West Florida seeks CDI specialists to join their recently expanded CDI program in their...
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CDI Strategies, Issue 21, October 15, 2015
Q: CMS released guidance this summer about not auditing or counting errors for the specificity...
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CDI Strategies, Issue 20, October 1, 2015
If you need additional go-live advice, we’ve got it for you throughout the latest...
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CDI Strategies, Issue 20, October 1, 2015
The ACDIS Forms & Tool Library continues to be one of members’ most valued resource...
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CDI Strategies, Issue 20, October 1, 2015
Beginning in mid-January 2016, the exam will include ICD-10-related questions.
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CDI Strategies, Issue 20, October 1, 2015
The following groups are holding meetings in October.
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CDI Strategies, Issue 20, October 1, 2015
The electronic health record has been a game-changer for CDI specialists, automating review...
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CDI Strategies, Issue 20, October 1, 2015
A federal judge, finding in favor of hospitals, rejected CMS’s arguments that it met all...
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CDI Strategies, Issue 20, October 1, 2015
Providers need to report all services from October 1 forward with ICD-10 codes, but many will...
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CDI Strategies, Issue 20, October 1, 2015
South Peninsula Hospital in Homer, Alaska seeks a fulltime CDI specialist to support quality and...
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CDI Strategies, Issue 20, October 1, 2015
Q: I am having trouble with the procedure (PCS) coding for a perineal laceration repair. Some...
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CDI Strategies, Issue 19, September 17, 2015
This week clinical documentation specialists around the country have been touting, extoling...
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CDI Strategies, Issue 19, September 17, 2015
We need your help to offer the community insight into clinical documentation improvement trends...
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CDI Strategies, Issue 19, September 17, 2015
Hotel rooms at the ACDIS conferences frequently fill up months in advance of the event. Reserve...
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CDI Strategies, Issue 19, September 17, 2015
ACDIS leadership and its Advisory Board spent the past several months delving into...
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CDI Strategies, Issue 19, September 17, 2015
The percentage of healthcare clinicians who say they wouldn't recommend their electronic medical...
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CDI Strategies, Issue 19, September 17, 2015
State Medicaid offices are also required to switch to ICD-10, but not all of them are going to be...
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CDI Strategies, Issue 19, September 17, 2015
CDI for the Clinician ™ was specifically designed to provide physicians and other...
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CDI Strategies, Issue 19, September 17, 2015
Samaritan Health Services in Corvallis, Oregon seeks a regional operations manager to oversee CDI...
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CDI Strategies, Issue 19, September 17, 2015
Q: How can our CDI team prepare for potential productivity losses post-ICD-10 implementation...
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CDI Strategies, Issue 18, September 3, 2015
It’s heartening to see in the current ACDIS poll that 67% of nearly 300 respondents hold...
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CDI Strategies, Issue 18, September 3, 2015
CDI Week 2015 is just under two weeks away—September 14-18. It’s your week of...
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CDI Strategies, Issue 18, September 3, 2015
The following listing includes upcoming meetings to mark on your calendar. For additional...
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CDI Strategies, Issue 18, September 3, 2015
In this year’s special supplement, we recap some of the learning highlights, fete our annual...
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CDI Strategies, Issue 18, September 3, 2015
CMS completed its third and final ICD-10 end-to-end testing week, July 20-24.
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CDI Strategies, Issue 18, September 3, 2015
The American Hospital Association calls CMS’ proposed 2% reduction in outpatient payments...
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CDI Strategies, Issue 18, September 3, 2015
Houston Methodist San Jacinto Hospital in Baytown, Texas seeks a CDI specialist who will be...
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CDI Strategies, Issue 18, September 3, 2015
Q: Is there an industry standard metric goal for CDI specialist reviews of Medicare cases? Should...
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CDI Strategies, Issue 16, August 6, 2015
The IPPS is updated every year and every year CMS adds new payment initiatives...
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CDI Strategies, Issue 16, August 6, 2015
We want to help you take full advantage of your membership, so we’ve compiled this handy list...
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CDI Strategies, Issue 16, August 6, 2015
ACDIS is currently seeking speakers to present at the 2016 ACDIS Eighth Annual Conference, to be...
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CDI Strategies, Issue 16, August 6, 2015
FInd a local chapter meeting or event near you today.
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CDI Strategies, Issue 16, August 6, 2015
As helpful as electronic health record (EHR) systems may be, physicians say headaches due to...
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CDI Strategies, Issue 16, August 6, 2015
If you follow ACDIS on social media, you may have already heard the news: we’ve got a few new...
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CDI Strategies, Issue 16, August 6, 2015
HCPro, Inc. and ACDIS seek a CDI Education Specialist to serve as an instructor for the...
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CDI Strategies, Issue 16, August 6, 2015
Q: In my facility, we are supposed to send an email to our physician advisor (PA) and to...
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CDI Strategies, Issue 15, July 23, 2015
There’s lots to see and do in Atlanta, Georgia, not the least of which will be the ninth...
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CDI Strategies, Issue 15, July 23, 2015
The Certified Clinical Documentation Specialist (CCDS) exam hit a pretty big milestone last...
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CDI Strategies, Issue 15, July 23, 2015
The summer is busy with local events. Visit the ACDIS website for additional information.
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CDI Strategies, Issue 15, July 23, 2015
Your relationship with the physicians you work with might be challenging from time to time. CDI...
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CDI Strategies, Issue 15, July 23, 2015
Lubbock Heart & Surgical Hospital in Lubbock, Texas seeks a full-time, permanent CDI specialist...
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CDI Strategies, Issue 15, July 23, 2015
We’re less than three months away from ICD-10 implementation. If you haven’t...
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CDI Strategies, Issue 15, July 23, 2015
Q: If the physician says “concerning for,” “considering,&rdquo...
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CDI Strategies, Issue 14, July 9, 2015
Q: I have been asked to build a query for a diagnosis of SIRS and/or sepsis for the following...
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CDI Strategies, Issue 14, July 9, 2015
Those following the episodic turns of the ICD-10-CM/PCS implementation saga witnessed another...
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CDI Strategies, Issue 14, July 9, 2015
The fifth annual CDI Week takes place September 14-18, 2015.
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CDI Strategies, Issue 14, July 9, 2015
Our local chapters have a number of events coming up.
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CDI Strategies, Issue 14, July 9, 2015
CMS attempted, once again, to resolve ongoing patient status confusion—this time in its...
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CDI Strategies, Issue 14, July 9, 2015
Want to know what the top 10 MS-DRGs are in the country? Just ask CMS, which released its...
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CDI Strategies, Issue 14, July 9, 2015
Scripps Health in San Diego, California, seeks an experienced, full-time documentation specialist...
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CDI Strategies, Issue 14, July 9, 2015
Dedicated CDI physician advisors help ensure program success in so many ways.
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CDI Strategies, Issue 13, June 25, 2015
Provident Management Consulting seeks remote CDI specialist to work as a consultant developing work...
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CDI Strategies, Issue 13, June 25, 2015
Just as you don’t talk about politics or religion at the dinner table, CDI and coding staff...
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CDI Strategies, Issue 13, June 25, 2015
We at ACDIS are always looking for membership feedback and insight. If you’d like to have...
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CDI Strategies, Issue 13, June 25, 2015
The following local networking groups will be holding CDI-related educational events over the next...
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CDI Strategies, Issue 13, June 25, 2015
The American Medical Association (AMA) made another attempt to delay ICD-10 recently, but the delay...
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CDI Strategies, Issue 13, June 25, 2015
On June 16, a Senate committee examined how to improve electronic health record (EHR) systems...
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CDI Strategies, Issue 13, June 25, 2015
Many healthcare organizations have experienced the benefits of an established and successful CDI...
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CDI Strategies, Issue 13, June 25, 2015
Q: Could you please explain unrelated surgical procedure DRGs? Also can you explain how we can...
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CDI Strategies, Issue 12, June 11, 2015
Last Thursday, the ACDIS Facebook page hit 1,000 “Likes.” After working nearly five...
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CDI Strategies, Issue 12, June 11, 2015
Today, CDI is set on an evolutionary path as illustrated in nearly every article of...
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CDI Strategies, Issue 12, June 11, 2015
There are a number of upcoming opportunities to engage with your local chapter. Don't miss...
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CDI Strategies, Issue 12, June 11, 2015
CMS is calling the completion of their second ICD-10 end-to-end testing week a success.
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CDI Strategies, Issue 12, June 11, 2015
Facilities struggling with their electronic health record (EHR) system need to get back to basics...
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CDI Strategies, Issue 12, June 11, 2015
WellStar Health System in Atlanta, Georgia seeks a fulltime CDI manager.
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CDI Strategies, Issue 12, June 11, 2015
Physicians who provide E/M services must document the necessary clinical information to support...
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CDI Strategies, Issue 12, June 11, 2015
Q: When I started as a CDI specialist, I learned that when a complication code, such as 999 or...
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CDI Strategies, Issue 11, May 28, 2015
The next ACDIS quarterly conference call is slated for today, Thursday, May 28, 1-2 p.m., ET
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CDI Strategies, Issue 11, May 28, 2015
The ACDIS team is back in Danvers, Massachusetts after an amazing conference in San Antonio. Many...
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CDI Strategies, Issue 11, May 28, 2015
Believe it or not, there are more than 100 volunteer leaders devoting a portion of their lives to...
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CDI Strategies, Issue 11, May 28, 2015
CMS will accept quality measure suggestions for potential inclusion in the Physician...
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CDI Strategies, Issue 11, May 28, 2015
Northwestern Medicine in St. Charles, Illinois, seeks a fulltime CDI specialist to facilitate...
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CDI Strategies, Issue 11, May 28, 2015
What if the PSIs your facility reports aren’t actual PSIs, but documentation and coding...
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CDI Strategies, Issue 11, May 28, 2015
Q: What information do you have about physician response to ICD-10-PCS? I am getting some...
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CDI Strategies, Issue 10, May 14, 2015
Hospitals are asking whether or not they really should dedicate the time and money to prepare for...
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CDI Strategies, Issue 10, May 14, 2015
In a recent ACDIS Poll, 60 respondents split almost evenly on the question of whether they’d...
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CDI Strategies, Issue 10, May 14, 2015
Since most ACDIS chapters hold their meetings quarterly, it makes sense that networking...
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CDI Strategies, Issue 10, May 14, 2015
Where has the time gone? The annual conference is only a few days away, and we’re sure you...
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CDI Strategies, Issue 10, May 14, 2015
On May 4, Rep. Ted Poe (R-Texas) introduced a new bill that could potentially cease ICD-10-CM/PCS...
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CDI Strategies, Issue 10, May 14, 2015
Consumers looking for a hospital will no longer have to sort through confusing websites and pages...
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CDI Strategies, Issue 10, May 14, 2015
Finding effective ways to continuously remind physicians of documentation improvement methods can...
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CDI Strategies, Issue 10, May 14, 2015
Q: Should “diabetes with gastroparesis” be coded as 536.3, diabetes with a...
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CDI Strategies, Issue 9, April 30, 2015
When was the last time you reviewed ACDIS/AHIMA’s “Guidelines for Achieving a Compliant...
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CDI Strategies, Issue 9, April 30, 2015
CMS announced last week that ICD-10 is a go, and hospitals better get ready.
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CDI Strategies, Issue 9, April 30, 2015
We've got a full calendar of May meetings set to cover a wide variety of educational hot topics...
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CDI Strategies, Issue 9, April 30, 2015
The annual conference is less than a month away! And there’s only two...
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CDI Strategies, Issue 9, April 30, 2015
CMS released its fiscal year (FY) 2016 IPPS proposed rule, and announced changes to MS-DRGs and...
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CDI Strategies, Issue 9, April 30, 2015
The American Hospital Association and Executive Health Resources partnered in...
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CDI Strategies, Issue 9, April 30, 2015
A study of more than 28,000 online reviews of doctors revealed that as a doctor’s...
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CDI Strategies, Issue 9, April 30, 2015
The Arkansas Children's Hospital in Little Rock, Arizona seeks an experienced, full-time CDI...
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CDI Strategies, Issue 9, April 30, 2015
Q: Do you have any advice or guidance on how to conduct chart reviews for beginners in CDI? I...
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CDI Strategies, Issue 8, April 16, 2015
We all love a good contest. We all want to know which city will earn the “best place to...
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CDI Strategies, Issue 8, April 16, 2015
Many programs evaluate their facility’s case mix index (CMI) on a regular basis, and many...
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CDI Strategies, Issue 8, April 16, 2015
The ACDIS local chapter/networking calendar for April filled up quickly and May meetings are set to...
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CDI Strategies, Issue 8, April 16, 2015
We’re less than six weeks away from our annual conference! Here are the top five reasons you...
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CDI Strategies, Issue 8, April 16, 2015
At 11:30 p.m., Tuesday, April 14, Congress passed the Medicare and CHIP Reauthorization Act...
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CDI Strategies, Issue 8, April 16, 2015
Today (Thursday, April 16) at 1 p.m., Eastern the American Hospital Association (AHA) joins...
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CDI Strategies, Issue 8, April 16, 2015
Huntington Hospital in Pasadena, California seeks an experienced, independent, full-time CDI...
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CDI Strategies, Issue 8, April 16, 2015
Have you heard that CDI efforts can help in the pediatric setting but don't know where to...
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CDI Strategies, Issue 8, April 16, 2015
Q: Is the statement “please document in a progress note to capture the severity of...
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CDI Strategies, Issue 7, April 2, 2015
Q: A patient came to the emergency department with shortness of breath (SOB). The admitting...
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CDI Strategies, Issue 7, April 2, 2015
ICD-10 is just six months away, and there’s a lot to do to prepare. But don’t worry...
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CDI Strategies, Issue 7, April 2, 2015
St. Louis Children’s Hospital seeks a full-time CDI specialist with at least five...
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CDI Strategies, Issue 7, April 2, 2015
As of April 1, CMS will allow inpatient-only procedures to be included on inpatient claims similar...
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CDI Strategies, Issue 7, April 2, 2015
$2.3 billion. That’s what the HHS Office of the Inspector General (OIG) and the Department of...
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CDI Strategies, Issue 7, April 2, 2015
Take a look back at last year’s conference with a couple of special supplements and relive...
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CDI Strategies, Issue 7, April 2, 2015
With dozens of local chapters meeting all across the country April and May educational events for...
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CDI Strategies, Issue 7, April 2, 2015
Get your CDI product, service, or message in front of this engaged group of CDI professionals.
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CDI Strategies, Issue 7, April 2, 2015
Last week the House of Representatives passed a bill to replace the Sustainable Growth Rate (SGR; a...
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CDI Strategies, Issue 5, March 5, 2015
A recent poll on the ACDIS website seems to show that electronic health record (EHR) implementation...
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CDI Strategies, Issue 5, March 5, 2015
Quality. Mortality. Advanced CDI. Pay-for-performance. Value Based Purchasing (VBP). Last...
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CDI Strategies, Issue 5, March 5, 2015
There are dozens of local CDI networking opportunities coming up as winter slowly relinquishes its...
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CDI Strategies, Issue 5, March 5, 2015
We’re counting down the days until the 2015 annual conference in San Antonio. If...
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CDI Strategies, Issue 5, March 5, 2015
Three university hospitals saw a doubling of Recovery Auditor (RAC) audit activity from...
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CDI Strategies, Issue 5, March 5, 2015
For calendar years (CYs) 2010 and 2011, Medicare paid hospitals $711 million for claims that...
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CDI Strategies, Issue 5, March 5, 2015
Northwestern Memorial Hospital in downtown Chicago seeks a full-time CDI specialist to identify...
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CDI Strategies, Issue 5, March 5, 2015
Q: Can CDI programs use information on ambulance forms or trip tickets to abstract from if the...
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CDI Strategies, Issue 5, March 4, 2015
CDI specialists are in high demand, and finding experienced staff can be difficult. That often...
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CDI Strategies, Issue 4, February 19, 2015
Last week’s congressional House Energy and Commerce Committee subcommittee hearing regarding...
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CDI Strategies, Issue 4, February 19, 2015
The next ACDIS Quarterly Membership Conference Call will be held Thursday, February 26, from 1-2...
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CDI Strategies, Issue 4, February 19, 2015
The 2015 annual conference is right around the corner, and we’ve got dozens of...
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CDI Strategies, Issue 4, February 19, 2015
Here's a list of local chapter events happening this February in Puerto Rico, North Carolina, and...
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CDI Strategies, Issue 4, February 19, 2015
As healthcare reform bring changes in reimbursement and focus, it also brings a shift in job...
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CDI Strategies, Issue 4, February 19, 2015
Medicare’s Value-Based Purchasing ties reimbursement to quality measures, assessing criteria...
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CDI Strategies, Issue 4, February 19, 2015
The guidelines for principal diagnosis selection involving heart failure have changed over the...
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CDI Strategies, Issue 4, February 19, 2015
Q: Our facility is considering having our coders and CDI specialists...
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CDI Strategies, Issue 4, February 18, 2015
The Houston (Texas) Methodist Hospital seeks a CDI specialist to facilitate clarification and...
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CDI Strategies, Issue 3, February 5, 2015
We welcome the new members of the ACDIS Advisory Board and encourage you to visit the Advisory...
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CDI Strategies, Issue 3, February 5, 2015
What the heck is a “tweet”? Turns out it’s a pretty useful way to get some...
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CDI Strategies, Issue 3, February 5, 2015
January was full of successful local chapter events despite Mother Nature’s best attempts to...
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CDI Strategies, Issue 3, February 5, 2015
Are you coming to the Eighth Annual ACDIS Conference in San Antonio in May? Have you considered...
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CDI Strategies, Issue 3, February 5, 2015
Department of Health and Human Services Secretary Sylvia Burwell announced last week...
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CDI Strategies, Issue 3, February 5, 2015
William E. Haik, MD, FCCP, CDIP, AHIMA-approved ICD-10-CM/PCS trainer, director with DRG...
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CDI Strategies, Issue 3, February 5, 2015
The Cancer Treatment Centers of America at Midwestern Regional Medical Center in Zion, Illinois...
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CDI Strategies, Issue 3, February 5, 2015
Join ACDIS Advisory Board members Donald A. Butler RN, BSN, and Wendy Clesi, RN, CCDS, on...
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CDI Strategies, Issue 3, February 5, 2015
Are records with only one MCC noted targeted by Recovery Auditors or other audit agencies? I am...
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CDI Strategies, Issue 2, January 22, 2015
Clinical validation—reviewing a claim to determine if the codes reported depict an accurate...
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CDI Strategies, Issue 2, January 22, 2015
The Seattle based UW Medicine Northwest Hospital and Medical Center seeks a Clinical Nurse...
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CDI Strategies, Issue 2, January 22, 2015
Editor’s Note: James S. Kennedy, MD, CCS, CDIP,director of CDIMD Physician Champions offers...
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CDI Strategies, Issue 2, January 22, 2015
Both hospital inpatient and outpatient payments require substantial increases in payments in...
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CDI Strategies, Issue 2, January 22, 2015
The battle over timely reviews for Medicare claims denials continues despite a federal...
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CDI Strategies, Issue 2, January 22, 2015
As a token of our appreciation, the entire company will take some time to celebrate you in...
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CDI Strategies, Issue 2, January 22, 2015
The ACDIS (electronic) ballot box has been primed and dusted, ready for the amazing new...
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CDI Strategies, Issue 2, January 22, 2015
To access the new edition, login to the ACDIS website and visit the CDI Journal...
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CDI Strategies, Issue 2, January 22, 2015
Thursday, January 29, Deanne Wilk, CDI and inpatient coding manager at Good Samaritan Health...
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CDI Strategies, Issue 1, January 8, 2015
More than 500 providers, suppliers, billing companies, and clearinghouses participated in ICD-10...
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CDI Strategies, Issue 1, January 8, 2015
Editor’s Note: The following job posting is an excerpt from the ACDIS Job Board. For...
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CDI Strategies, Issue 1, January 8, 2015
Beginning March 1, 2015, the number of continuing education units (CEUs) required to recertify the...
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CDI Strategies, Issue 1, January 8, 2015
Q: What is ACDIS’ stance on physicians cutting and pasting the entire radiology report into...
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CDI Strategies, Issue 1, January 8, 2015
It’s a New Year and, with it, we welcome the latest edition of the CDI Pocket Guide. Authors...
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CDI Strategies, Issue 26, December 18, 2014
We heard from a number you seeking to become more involved in starting local chapters and in...
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CDI Strategies, Issue 26, December 18, 2014
Preliminary estimates for 2013 show a 9% decline in the rate of hospital-acquired conditions...
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CDI Strategies, Issue 26, December 18, 2014
Q: The physician documented “encephalopathy” in the record of a patient who was...
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CDI Strategies, Issue 26, December 18, 2014
Take time to write out your 2015 CDI resolutions—take that Boot Camp you’ve been...
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CDI Strategies, Issue 26, December 18, 2014
To nominate a colleague or peer for the prestigious CDI Professional of the Year and...
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CDI Strategies, Issue 26, December 18, 2014
The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal...
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CDI Strategies, Issue 26, December 18, 2014
Remedy Partners, Inc., seeks an HIM manager to work with hospitals, physician groups, and skilled...
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CDI Strategies, Issue 26, December 18, 2014
Struggling to identify the clinical indicators needed to qualify a diagnosis as a...
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CDI Strategies, Issue 25, December 4, 2014
Note: AHIMA is calling for grassroots action supporting the 2015 ICD-10-CM/PCS implementation date...
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CDI Strategies, Issue 25, December 4, 2014
The House Ways and Means Committee recently released a draft of the Hospital Improvements for...
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CDI Strategies, Issue 25, December 4, 2014
The Government Accountability Office (GAO) found that while CMS’ transparency tools such as...
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CDI Strategies, Issue 25, December 4, 2014
The 2015 CDI Pocket Guide helps you take clinical findings and dig deeper, looking for additional...
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CDI Strategies, Issue 25, December 4, 2014
Q: If a is patient admitted with malnutrition and the physician documented the patient to be...
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CDI Strategies, Issue 25, December 4, 2014
We all have much to be thankful for. Here at ACDIS, we have a wonderful staff dedicated to serving...
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CDI Strategies, Issue 25, December 4, 2014
Monday, December 1, was World AIDS Day—a day when various social, governmental, and...
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CDI Strategies, Issue 25, December 4, 2014
ACDIS is exploring opportunities to develop additional CCDS exam preparation resources. You may...
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CDI Strategies, Issue 25, December 4, 2014
For additional information about ACDIS networking and state and local events, visit the Local...
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CDI Strategies, Issue 25, December 4, 2014
Carson Tahoe Health in Carson City, Nevada, seeks a CDI specialist to works closely with HIM/coding...
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CDI Strategies, Issue 24, November 20, 2014
Most of the mainstream media coverage of the recent 2014 mid-term elections focused on continued...
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CDI Strategies, Issue 24, November 20, 2014
The next ACDIS Quarterly Membership Conference Call will be held today Thursday, November 20, from...
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CDI Strategies, Issue 24, November 20, 2014
The National Association of Clinical Nurse Specialists (NACNS) has gathered experts to focus on...
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CDI Strategies, Issue 24, November 20, 2014
The Office of the Inspector General (OIG) cited Yale-New Haven Hospital for errors which included...
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CDI Strategies, Issue 24, November 20, 2014
CMS’ finalization of its comprehensive APC (C-APC) policy represents the most radical change...
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CDI Strategies, Issue 24, November 20, 2014
Nemours in Wilmington, Delaware, seeks a CDI specialist responsible for review of inpatient or...
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CDI Strategies, Issue 24, November 20, 2014
The 2015 CDI Pocket Guide helps you take clinical findings and dig deeper, and look for additional...
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CDI Strategies, Issue 24, November 20, 2014
Q: I work in a large, provider-based orthopedic clinic with a rheumatology department that has many...
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CDI Strategies, Issue 23, November 6, 2014
Each year, four new Advisory Board members step forward to lead ACDIS, and four trusted members...
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CDI Strategies, Issue 23, November 6, 2014
Q: Although I understand that a coder cannot code from a previous encounter’s documentation...
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CDI Strategies, Issue 23, November 6, 2014
According to an ACDIS website poll posted on October 22, 86% of more than 300 respondents indicate...
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CDI Strategies, Issue 23, November 6, 2014
Every October, the Office of the Inspector General (OIG) hands the public a cheat sheet of...
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CDI Strategies, Issue 23, November 6, 2014
Inpatient admissions for patients undergoing cardiovascular procedures such as implants of stents...
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CDI Strategies, Issue 23, November 6, 2014
ACDIS now has more than 40 local chapters whose volunteer leaders gather CDI professionals for...
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CDI Strategies, Issue 23, November 6, 2014
“Many CDI programs have set their goals as: accurate coding, maximum reimbursement...
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CDI Strategies, Issue 23, November 6, 2014
Tanner Health System in Georgia seeks a CDI specialist to coordinate reviews and ensure the...
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CDI Strategies, Issue 23, November 6, 2014
Whether your new CDI specialist is a nurse who needs to learn coding and reimbursement basics, or...
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CDI Strategies, Issue 22, October 23, 2014
Q: Should I query for chronic respiratory failure if the documentation indicates the patient has...
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CDI Strategies, Issue 22, October 23, 2014
Due to high demand, ACDIS added an additional CDI Boot Camp to its 2014 roster. CDI specialists can...
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CDI Strategies, Issue 22, October 23, 2014
The Carson Tahoe Health CDI program in Carson City, Nevada seeks a CDI specialist to work with an...
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CDI Strategies, Issue 22, October 23, 2014
CMS hosts a national provider call on transitioning to ICD-10 Wednesday, November 5, at 1:30 p.m...
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CDI Strategies, Issue 22, October 23, 2014
Medical Records Briefing is conducting a benchmarking survey on release of information (ROI), and...
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CDI Strategies, Issue 22, October 23, 2014
The American Medical Association (AMA) addressed weaknesses in CMS’ EHR Incentive Programs...
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CDI Strategies, Issue 22, October 23, 2014
By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI
CDI specialists need a total...
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CDI Strategies, Issue 22, October 23, 2014
CDI programs—like everything else—evolve over time. But what does it mean to be a...
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CDI Strategies, Issue 22, October 23, 2014
Yesterday I hosted our second installment of “ACDIS Radio.” During the call I was...
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CDI Strategies, Issue 21, October 9, 2014
The University of Chicago Medicine seeks four CDI specialists to facilitate the overall improvement...
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CDI Strategies, Issue 21, October 9, 2014
ACDIS Associate Director Melissa Varnavas and Membership Services Specialist Penny Richards were...
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CDI Strategies, Issue 21, October 9, 2014
CCDS candidates, please take note of the following important changes to the CCDS certification...
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CDI Strategies, Issue 21, October 9, 2014
We are currently seeking four new ACDIS members to join our advisory board in 2015. ACDIS advisors...
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CDI Strategies, Issue 21, October 9, 2014
Never fear, ICD-10 will be here (hopefully) by this time next year.A week ago, the industry sounded...
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CDI Strategies, Issue 21, October 9, 2014
Q: The primary physician documented subacute cerebral infarction and I am wondering whether I...
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CDI Strategies, Issue 21, October 9, 2014
Many CDI programs understand the need to expand their reviews beyond CC/MCC capture rates. But...
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CDI Strategies, Issue 21, October 9, 2014
If the hospital documentation, including history and physical and progress notes, doesn't support...
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CDI Strategies, Issue 20, September 25, 2014
Most of you receiving this edition of CDI Strategies have probably heard about our “Share...
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CDI Strategies, Issue 20, September 25, 2014
Of the more than 300 individuals who responded to a recent ACDIS Website Poll, most CDI...
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CDI Strategies, Issue 20, September 25, 2014
The ACDIS California Chapter has been meeting since 2009. Originally three separate groups planned...
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CDI Strategies, Issue 20, September 25, 2014
Hillcrest Medical Center in Tulsa, Oklahoma seeks a CDI supervisor who would be responsible for...
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CDI Strategies, Issue 20, September 25, 2014
Starting Wednesday, Oct. 8, tune in every other Wednesday at 11:30 a.m. ET for ACDIS Radio, a fun...
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CDI Strategies, Issue 20, September 25, 2014
CMS is currently looking for 850 volunteers from various specialties and sizes for the...
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CDI Strategies, Issue 20, September 25, 2014
After announcing its intention to essentially cut a deal with hospitals in order to settle a...
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CDI Strategies, Issue 20, September 25, 2014
Q: When atelectasis is noted on an ancillary test such as a CT-scan of the abdomen or chest...
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CDI Strategies, Issue 19, September 11, 2014
In exchange for dropping appeals, CMS says it will provide partial payment of previously denied...
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CDI Strategies, Issue 19, September 11, 2014
The CDI Pocket Guide 2015 update is under development, and authors Dr. Richard Pinson and Cynthia...
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CDI Strategies, Issue 19, September 11, 2014
Samaritan Health Services in Corvallis, Oregon, seeks an experienced CDI director to manage...
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CDI Strategies, Issue 19, September 11, 2014
The Advanced CDI Boot Camp is designed for established clinical documentation departments and...
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CDI Strategies, Issue 19, September 11, 2014
Q: We’re having a lot of discussions with physicians right now and need to get some clarity...
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CDI Strategies, Issue 19, September 11, 2014
The Fourth Annual Clinical Documentation Improvement Week takes place on Sept. 14-20. This...
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CDI Strategies, Issue 19, September 11, 2014
The following ACDIS chapters are planning networking events. For additional information, visit...
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CDI Strategies, Issue 18, August 28, 2014
September 14 - 20 is CDI Week. It’s our fourth annual celebration of the profession and its...
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CDI Strategies, Issue 18, August 28, 2014
ACDIS local chapter leaders frequently offer leadership in more than just CDI-related educational...
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CDI Strategies, Issue 18, August 28, 2014
CMS and its contractors will conduct three ICD-10-CM/PCS testing periods in November, March, and...
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CDI Strategies, Issue 18, August 28, 2014
Although only about 25% of hospitals currently outsource their CDI efforts, roughly 70% plan to...
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CDI Strategies, Issue 18, August 28, 2014
Editor’s Note: The following job posting is an excerpt from the ACDIS Job...
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CDI Strategies, Issue 18, August 28, 2014
The ICD-10 for CDI Boot Camp provides experienced CDI specialists with in-depth education on new...
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CDI Strategies, Issue 18, August 28, 2014
The 2015 IPPS final rule, released August 4, focuses on quality initiatives and includes no...
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CDI Strategies, Issue 17, August 14, 2014
ACDIS seeks speakers to present at the 2015 ACDIS Eighth Annual Conference, May 19-21, 2015, at the...
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CDI Strategies, Issue 17, August 14, 2014
The following ACDIS chapters are planning networking events. For additional information, visit...
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CDI Strategies, Issue 17, August 14, 2014
October 1, 2015, will be the new ICD-10 implementation date, according to the final rule...
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CDI Strategies, Issue 17, August 14, 2014
A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Hospital...
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CDI Strategies, Issue 17, August 14, 2014
Safety net hospitals—those with a Medicare Disproportionate Share patient percentage in the...
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CDI Strategies, Issue 17, August 14, 2014
Due to the continued delay in awarding new Recovery Auditor (RA) contracts, CMS made modifications...
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CDI Strategies, Issue 17, August 14, 2014
Have you started dual coding for ICD-9 and ICD-10? Two facilities shared their experiences during a...
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CDI Strategies, Issue 17, August 14, 2014
The following changes to the Certified Clinical Documentation Specialist (CCDS) credential and...
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CDI Strategies, Issue 17, August 14, 2014
The next ACDIS Quarterly Membership Conference Call is scheduled for Wednesday, August 27 (note...
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CDI Strategies, Issue 17, August 14, 2014
Q: How would the following be viewed if it was included in a cardiology consult...
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CDI Strategies, Issue 17, August 14, 2014
Natural language processing (NLP), an emerging technology for CDI professionals, can help drive...
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CDI Strategies, Issue 16, July 31, 2014
The Association of Clinical Documentation Improvement Specialists (ACDIS) is sponsoring the fourth...
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CDI Strategies, Issue 16, July 31, 2014
Every provider has basic information he or she must document in the health record, says Lisa...
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CDI Strategies, Issue 16, July 31, 2014
Two local ACDIS chapters met last week to take advantage of some ACDIS insight.
On Wednesday, July...
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CDI Strategies, Issue 16, July 31, 2014
Editor’s Note: The following job posting is an excerpt from the ACDIS Job Board. For...
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CDI Strategies, Issue 16, July 31, 2014
Is your EHR on the right track? That’s the question a new poll on the ACDIS website aims to...
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CDI Strategies, Issue 16, July 31, 2014
Emerging legislation and technology has created tremendous demand for CDI that extends beyond...
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CDI Strategies, Issue 15, July 17, 2014
Statistical sampling or alternative dispute resolution: These possible two solutions to the...
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CDI Strategies, Issue 15, July 17, 2014
Q: Is it okay to code a diagnosis if the physician documents two diagnoses using the phrase...
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CDI Strategies, Issue 15, July 17, 2014
This year’s CDI Week theme is “CDI and Quality.” On September 15-19 we’ll...
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CDI Strategies, Issue 15, July 17, 2014
The July edition of the CDI Journal includes a number of news-related information for CDI...
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CDI Strategies, Issue 15, July 17, 2014
If you haven’t joined your local ACDIS chapter yet, what are you waiting for? Local chapter...
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CDI Strategies, Issue 14, July 3, 2014
Just a quick note this week to have a safe and fun July 4 holiday! Our offices will be closed...
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CDI Strategies, Issue 14, July 3, 2014
When ACDIS put out the call for participation in its 2014 CDI Salary Survey last week more than 500...
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CDI Strategies, Issue 14, July 3, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 14, July 3, 2014
If you haven’t seen the OIG report “Medicare Compliance Review of University of...
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CDI Strategies, Issue 14, July 3, 2014
It’s a headband with a monitor; or a set of glasses with a computer; it’s a smart...
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CDI Strategies, Issue 14, July 3, 2014
What’s the number one financial reason for CDI initiatives? Improving the accuracy of...
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CDI Strategies, Issue 14, July 3, 2014
When asked to rank their level of engagement on a scale of one to 10, with 10 being the most...
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CDI Strategies, Issue 14, July 3, 2014
Q: We have a problem getting our physicians to understand what we are querying for (chronic...
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CDI Strategies, Issue 14, July 3, 2014
During the 90-minute webcast Coding Clinic for CDI: Targeting New Opportunities for Program...
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CDI Strategies, Issue 13, June 19, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 13, June 19, 2014
Of all the Recovery Auditor denials, hospitals reported appealing about 50% with more than a 50...
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CDI Strategies, Issue 13, June 19, 2014
In the first half of the 2014 fiscal year, the Office of the Inspector General (OIG) reported more...
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CDI Strategies, Issue 13, June 19, 2014
As more facilities face the specter of reimbursement losses related to the Readmission Reduction...
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CDI Strategies, Issue 13, June 19, 2014
Q: I am the only CDI specialist in our 150-bed facility. I have held the position for three years...
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CDI Strategies, Issue 13, June 19, 2014
Over-identifying sepsis and failing to code sepsis when it is present are just two of the problems...
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CDI Strategies, Issue 13, June 19, 2014
At ACDIS we’re seeing more and more departments expand their medical record reviews to focus...
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CDI Strategies, Issue 12, June 5, 2014
We know that not every ACDIS member gets to come to the conference every year—and those that...
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CDI Strategies, Issue 12, June 5, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 12, June 5, 2014
At the close of fiscal year 2013, nearly 5,000 claims denials remained pending review at the...
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CDI Strategies, Issue 12, June 5, 2014
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about...
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CDI Strategies, Issue 12, June 5, 2014
CMS released the Official Guidelines for Coding and Reporting for ICD-10-PCS last week. Although...
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CDI Strategies, Issue 12, June 5, 2014
Q: I am looking for help on reviewing a neonatal intensive-care unit (NICU) death chart for...
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CDI Strategies, Issue 12, June 5, 2014
Now that ICD-10 has been delayed, its a great time to go back and perfect the basics. The Tuesday...
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CDI Strategies, Issue 12, June 5, 2014
Those interested in serving on the 2015 ACDIS Conference Committee must be active ACDIS members...
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CDI Strategies, Issue 11, May 22, 2014
Q: Can you please provide me any additional information that supports the option of only offering a...
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CDI Strategies, Issue 11, May 22, 2014
The 7th annual ACDIS conference has come and gone and I wanted to thank the behind-the-scenes...
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CDI Strategies, Issue 11, May 22, 2014
The next ACDIS Quarterly Membership Conference Call is scheduled for next Thursday, May 29, from...
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CDI Strategies, Issue 11, May 22, 2014
The announcement that ICD-10 would be delayed once again made waves throughout the healthcare...
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CDI Strategies, Issue 11, May 22, 2014
The Office of the Inspector General (OIG) found that Robert Packer Hospital in Sayre, Pa., part of...
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CDI Strategies, Issue 11, May 22, 2014
Physician Quality Reporting System (PQRS) participation increased 36% from 2011 to 2012, according...
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CDI Strategies, Issue 10, May 8, 2014
On Tuesday, May 6, more than 1,000 conference attendees gathered in the Bally’s Casino Event...
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CDI Strategies, Issue 10, May 8, 2014
This year the Talk Ten Tuesdays crew once again heads to the ACDIS Annual Conference to broadcast...
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CDI Strategies, Issue 10, May 8, 2014
Q: I’m in a little debate: Does documentation of the patient’s body mass index (BMI...
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CDI Strategies, Issue 10, May 8, 2014
The new ICD-10-CM/PCS implementation date looks to be October 1, 2015. CMS mentioned October...
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CDI Strategies, Issue 10, May 8, 2014
National Nurses Week is celebrated annually from May 6, also known as National Nurses Day, through...
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CDI Strategies, Issue 10, May 8, 2014
According to 49.8% of 592 survey respondents, the majority of CDI programs continue to be housed in...
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CDI Strategies, Issue 9, April 24, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 9, April 24, 2014
On Wednesday, April 30, at 1 p.m., Optum offers a free one-hour session “Automated CDI...
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CDI Strategies, Issue 9, April 24, 2014
The American Hospital Association (AHA) along with four hospital associations and several...
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CDI Strategies, Issue 9, April 24, 2014
Oakwood Hospital and Medical Center (the Hospital), in Dearborn, Mich., is the latest facility to...
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CDI Strategies, Issue 9, April 24, 2014
Despite all the negative news surrounding EMR implementation, a new study aimed at reducing risk...
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CDI Strategies, Issue 9, April 24, 2014
There’s only 12 days left until the Seventh Annual ACDIS Conference and our offices here are...
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CDI Strategies, Issue 8, April 10, 2014
ACDIS is preparing to draft its third incarnation of the popular The Physician Documentation...
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CDI Strategies, Issue 8, April 10, 2014
According to a recent ACDIS poll, productivity truly runs the gamut:
33% review 1-10...
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CDI Strategies, Issue 8, April 10, 2014
Selecting the right tools, assembling the right team, and deploying a precise strategy can produce...
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CDI Strategies, Issue 8, April 10, 2014
The Department of Health and Human Services (HHS) recently released its fiscal year (FY...
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CDI Strategies, Issue 8, April 10, 2014
After the big news about the ICD-10 delay, you may be wondering what it means for the 7th Annual...
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CDI Strategies, Issue 8, April 10, 2014
Q: Is it is okay to alter, add to, or take back a query form after the physician answers it?
A...
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CDI Strategies, Issue 8, April 10, 2014
Friday, April 11 is the deadline to apply for the Certified Clinical Documentation Specialist...
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CDI Strategies, Issue 8, April 10, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 7, March 27, 2014
More than a dozen healthcare organizations—from AHIMA to the AHA and from 3M to...
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CDI Strategies, Issue 7, March 27, 2014
We're nearly down to the wire—there's only a little more than a month left before the 7th...
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CDI Strategies, Issue 7, March 27, 2014
ACDIS is proud to announce the promotion of CDI Education Director Cheryl Ericson, MS, RN, CCDS...
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CDI Strategies, Issue 7, March 27, 2014
The transition to ICD-10-CM will result in a “significant information loss”, according...
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CDI Strategies, Issue 7, March 27, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 7, March 27, 2014
Q: I am new to the CDI role and looking for suggestions as to how to work with our surgeons to help...
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CDI Strategies, Issue 6, March 13, 2014
Certified Nurses Day takes place next Wednesday, March 19, as a national day to honor and recognize...
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CDI Strategies, Issue 6, March 13, 2014
Not to beat a dead cliché, but the old adage “garbage in, garbage out” is as...
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CDI Strategies, Issue 6, March 13, 2014
This year’s ACDIS conference on May 7-9 offers in-depth CDI training to prepare for the...
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CDI Strategies, Issue 6, March 13, 2014
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 6, March 13, 2014
Since the Institute of Medicine’s November 1999 report “To Err is Human,” a new...
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CDI Strategies, Issue 6, March 13, 2014
After a decade of performance-based healthcare payment initiatives, the Department of Health and...
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CDI Strategies, Issue 6, March 13, 2014
Volunteers sought for ICD-10-CM/PCS end-to-end testing set to begin in July. The tests will...
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CDI Strategies, Issue 6, March 13, 2014
The latest RACTrac survey from the American Hospital Association shows facilities 49% of denials...
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CDI Strategies, Issue 6, March 13, 2014
Q: I am a relatively new CDI specialist in a relatively new CDI program. We learned that we should...
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CDI Strategies, Issue 4, February 13, 2014
Medicare Administrative Contractors can continue their “probe and educate” audits...
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CDI Strategies, Issue 4, February 13, 2014
Christus Saint Vincent Regional Medical Center, in Santa Fe, used ICD-9-CM diagnosis code 260 for...
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CDI Strategies, Issue 4, February 13, 2014
Congress proposes new bill to reform physician payments
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CDI Strategies, Issue 4, February 13, 2014
News: CMS hosts ICD-10 summit Friday; Physician Compare meeting Feb. 24
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CDI Strategies, Issue 4, February 13, 2014
Please clarify the rule regarding presumption of the link of diabetes, when documented, to the...
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CDI Strategies, Issue 4, February 13, 2014
Please join us in welcoming our newest additions to the ACDIS Advisory Board—Wendy Clesi...
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CDI Strategies, Issue 4, February 13, 2014
AHA Coding Clinic for ICD-9-CM released its Third and Fourth Quarter 2014 editions of ICD-10...
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CDI Strategies, Issue 4, February 13, 2014
The ACDIS Quarterly Membership Conference Call is scheduled for Thursday, Feb. 20, from 1-2 p.m...
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CDI Strategies, Issue 4, February 13, 2014
Professional of the Year nominations sought; deadline this Friday, Feb. 14
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CDI Strategies, Issue 4, February 13, 2014
Local Chapter Events: March meetings scheduled
The following ACDIS chapters are planning upcoming...
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CDI Strategies, Issue 3, January 30, 2014
The American Hospital Association (AHA) released two fact sheets this month highlighting the...
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CDI Strategies, Issue 3, January 30, 2014
Careful use of terminology may help alleviate miscommunication in situations of potential tragedy...
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CDI Strategies, Issue 3, January 30, 2014
Director's Note: 2014 Advisory Board voting closes January 31
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CDI Strategies, Issue 3, January 30, 2014
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CDI Strategies, Issue 3, January 30, 2014
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CDI Strategies, Issue 3, January 30, 2014
Q: We recently admitted a 52-year-old man who was waiting for a liver transplant. He has a...
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CDI Strategies, Issue 3, January 30, 2014
Of the 187 physicians who responded to a recent survey, only 25% were involved in evaluating or...
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Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014
Whether you work in a dedicated children’s hospital or a general hospital with a pediatric...
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Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014
These sample queries were adapted from The CDI Specialist’s Guide to ICD-10, created and...
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Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014
Inpatient coders will see an entirely new coding system October 1 when they begin officially using...
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Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014
To report an unspecified code or to query, that is the question. And like so many coding...
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CDI Strategies, Issue 2, January 16, 2014
If you haven’t been keeping up with the CDI Journal you’ve likely missed out on...
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CDI Strategies, Issue 2, January 16, 2014
Contractors could use a little guidance from CMS to do a better job at reviewing medical...
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CDI Strategies, Issue 2, January 16, 2014
Of the nearly 450 respondents to a recent ACDIS website poll, 50% say they conduct pre-payment...
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CDI Strategies, Issue 2, January 16, 2014
Q: We are struggling with how to query physicians regarding complications of procedures or...
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CDI Strategies, Issue 2, January 16, 2014
The ACDIS Conference Committee is accepting applications for the Poster Session at the 7th...
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CDI Strategies, Issue 26, December 19, 2013
New CCDS exam eligibility requirements take effect January 1. You will need to demonstrate that you...
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CDI Strategies, Issue 26, December 19, 2013
As we close out 2013, we want to take a moment to express our gratitude to the 4,000 members of...
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CDI Strategies, Issue 26, December 19, 2013
Q: We recently had a situation where a 72 year old was admitted with large pleural effusion, fever...
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CDI Strategies, Issue 26, December 19, 2013
It’s been more than a decade since the Workgroup for Electronic Data Interchange (WEDI...
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CDI Strategies, Issue 26, December 19, 2013
The American Hospital Association threw its support behind proposed legislation that would delay...
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CDI Strategies, Issue 26, December 19, 2013
By the end of 2104, more than 80% of all healthcare providers are expected to implement a CDI...
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CDI Strategies, Issue 26, December 19, 2013
According to an informal ACDIS poll, 66% of facilities plan to begin dual coding for ICD-10-CM/PCS...
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CDI Strategies, Issue 26, December 19, 2013
The following ACDIS chapters are planning upcoming networking events. For additional...
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CDI Strategies, Issue 25, December 5, 2013
The ICD- 10 National Pilot Program began on April 12, 2012 and was completed on August 30, 2013...
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CDI Strategies, Issue 25, December 5, 2013
As the old adage goes, “garbage in, garbage out.” Protection of healthcare data and the...
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CDI Strategies, Issue 25, December 5, 2013
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 25, December 5, 2013
The ACDIS quarterly conference call of Thursday, November 21, is now available for download...
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CDI Strategies, Issue 25, December 5, 2013
As our members know, ACDIS is a community of CDI professionals who share the latest tested tools...
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CDI Strategies, Issue 25, December 5, 2013
Q: An intoxicated patient comes into the emergency department with a history of alcoholism and the...
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CDI Strategies, Issue 25, December 5, 2013
Cedars-Sinai Medical Center in Los Angeles receives nearly $300 million in Medicare...
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CDI Strategies, Issue 24, November 21, 2013
"[Recovery Auditors] are doing a really good job at identifying the patients who don't have...
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CDI Strategies, Issue 24, November 21, 2013
HCPro, Inc. and the Association of Clinical Documentation Improvement Specialists (ACDIS) are...
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CDI Strategies, Issue 24, November 21, 2013
Our next ACDIS quarterly conference call is scheduled for today, Thursday, November 21, from 1-2...
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CDI Strategies, Issue 24, November 21, 2013
As you know, ACDIS regularly asks for assistance with industry and product related insight. Many of...
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CDI Strategies, Issue 24, November 21, 2013
Many facilities worry about the affect the new code set will have on MS-DRGs and their payments...
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CDI Strategies, Issue 24, November 21, 2013
Q: I am part of a fairly new CDI department trying to amp-up our physician education/guidelines. To...
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CDI Strategies, Issue 23, November 7, 2013
Of the more than 700 individuals who responded to the 2013 CDI salary survey, most respondents...
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CDI Strategies, Issue 23, November 7, 2013
CMS awarded approximately $6.3 billion in Medicare EHR Incentive Program payments in 2012...
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CDI Strategies, Issue 23, November 7, 2013
CMS will not conduct post-payment patient status reviews for admission dated October 1, 2013...
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CDI Strategies, Issue 23, November 7, 2013
Coder productivity was a hot topic of conversation during the AHIMA pre-conference in Atlanta...
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CDI Strategies, Issue 23, November 7, 2013
With less than a year until ICD-10 implementation, Noridian CMS contractor for Region D, published...
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CDI Strategies, Issue 23, November 7, 2013
Q: When a provider states that the patient is admitted rule out (R/O) a myocardial infarction (MI...
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CDI Strategies, Issue 23, November 7, 2013
Our next ACDIS quarterly conference call is scheduled for Thursday, November 21, from 1-2 p.m. ET...
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CDI Strategies, Issue 23, November 7, 2013
We are currently seeking four ACDIS members to join our advisory board in 2014. ACDIS advisors are...
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CDI Strategies, Issue 23, November 7, 2013
The following ACDIS chapters are planning upcoming networking events. For additional information...
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CDI Strategies, Issue 23, November 7, 2013
Former ACDIS Advisory Board member Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, is seeking input into...
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CDI Strategies, Issue 22, October 24, 2013
Q: The majority of the admissions I am reviewing this week are for an elderly population. It seems...
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CDI Strategies, Issue 22, October 24, 2013
If you need evidence to support the contention that physicians shouldn’t copy and paste...
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CDI Strategies, Issue 22, October 24, 2013
The following ACDIS chapters plan upcoming networking events. For additional information visit the...
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CDI Strategies, Issue 22, October 24, 2013
In a statistical brief released this August, the Agency for Healthcare Research and Quality (AHRQ...
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CDI Strategies, Issue 22, October 24, 2013
The Workgroup for Electronic Data Interchange (WEDI) is conducting an ICD-10 implementation status...
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CDI Strategies, Issue 22, October 24, 2013
The application period for four new ACDIS advisory board members is now open. The deadline for...
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CDI Strategies, Issue 22, October 24, 2013
ACDIS membership includes the quarterly electronic newsletter CDI Journal. If you haven’t...
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CDI Strategies, Issue 21, October 10, 2013
Your Certified Clinical Documentation Specialist (CCDS) re-certification is due on the two-year...
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CDI Strategies, Issue 21, October 10, 2013
The following ACDIS chapters plan upcoming networking events. For additional information visit the...
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CDI Strategies, Issue 21, October 10, 2013
The AHA updated its fiscal year (FY) 2014 calculators for the Medicare hospital value-based...
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CDI Strategies, Issue 21, October 10, 2013
The time a patient spends in observation status—that is being observed by a physician pending...
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CDI Strategies, Issue 21, October 10, 2013
Q: With electronic health records, many times the attending provider will “pull” the...
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CDI Strategies, Issue 20, September 26, 2013
Q: If a pathologist serves as a “consulting physician,” why isn’t the coder...
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CDI Strategies, Issue 20, September 26, 2013
The third annual CDI Week celebration was a tremendous success. More than 2,000 individuals...
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CDI Strategies, Issue 20, September 26, 2013
The following ACDIS chapters plan upcoming networking events. For additional information visit the...
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CDI Strategies, Issue 20, September 26, 2013
At least a few members of Congress heard the complaints of constituents regarding the...
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CDI Strategies, Issue 20, September 26, 2013
In two recent findings from the Office of the Inspector General (OIG), improper documentation may...
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CDI Strategies, Issue 20, September 26, 2013
CMS has been releasing ICD-10 National Coverage Determination (NCD) “omnibus&rdquo...
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CDI Strategies, Issue 19, September 12, 2013
This year CDI Week takes place September 16-20, and focuses on ICD-10 preparedness, with the theme...
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CDI Strategies, Issue 19, September 12, 2013
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Two recent surveys conducted by ACDIS illustrate opportunities for expanded...
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CDI Strategies, Issue 19, September 12, 2013
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CMS issued new guidance last week aimed at clarifying the so-called...
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CDI Strategies, Issue 19, September 12, 2013
Although Recovery Auditors have identified more than a billion dollars in inappropriate payments...
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CDI Strategies, Issue 19, September 12, 2013
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Inpatient coders are accustomed to assigning a present-on-admission (POA...
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CDI Strategies, Issue 19, September 12, 2013
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Q: If we were live with ICD-10 would we query for sepsis infectious versus...
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CDI Strategies, Issue 18, August 29, 2013
Q: I had a question about whether or not queries can be used to question the documentation of a...
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CDI Strategies, Issue 18, August 29, 2013
Effective January 1, 2014, candidates who apply for the Certified Clinical Documentation Specialist...
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CDI Strategies, Issue 18, August 29, 2013
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CDI Strategies, Issue 18, August 29, 2013
The audio-on-demand of last week’s ACDIS Quarterly Membership Conference Call has been posted...
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CDI Strategies, Issue 18, August 29, 2013
The following ACDIS local chapters will be holding networking meeting throughout Sept., and Oct...
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CDI Strategies, Issue 18, August 29, 2013
By the end of September, hospitals will be able to view results for eight hospital-acquired...
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CDI Strategies, Issue 18, August 29, 2013
U.S. News & World Report published two reports last month providing insight into the...
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CDI Strategies, Issue 18, August 29, 2013
It took some time to break down the wall between coders and CDI specialists at New Hanover Regional...
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CDI Strategies, Issue 17, August 15, 2013
Q: I have come across an ethical dilemma. We have a small CDI program and a “home...
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CDI Strategies, Issue 17, August 15, 2013
HCPro is seeking Coding Education Specialists to serve as instructors for ICD-10-related boot...
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CDI Strategies, Issue 17, August 15, 2013
The ACDIS Forms & Tool Library Review Committee invites member submissions.
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CDI Strategies, Issue 17, August 15, 2013
ACDIS members are invited to participate in a Quarterly Conference Call taking place, Thursday...
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CDI Strategies, Issue 17, August 15, 2013
The U.S. Veterans Health Administration announced yesterday that it is rolling out system-wide...
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CDI Strategies, Issue 17, August 15, 2013
Many of you have been patiently waiting, and it’s finally ready—the CDI Week poster is...
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CDI Strategies, Issue 17, August 15, 2013
A recent study conducted by the AHIMA Foundation in collaboration with the Cleveland Clinic...
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CDI Strategies, Issue 17, August 15, 2013
CMS first released the new ICD-10-PCS codes and guidelines in May, followed by the new ICD-10-CM...
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CDI Strategies, Issue 16, August 1, 2013
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Documentation in the EHR can have a significant impact both from data reporting...
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CDI Strategies, Issue 16, August 1, 2013
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Q: I enjoyed listening to the ACDIS quarterly conference call in...
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CDI Strategies, Issue 16, August 1, 2013
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ACDIS hosts the third annual Clinical Documentation Improvement Week on...
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CDI Strategies, Issue 16, August 1, 2013
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ACDIS is currently seeking speakers to present at the seventh annual ACDIS...
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CDI Strategies, Issue 16, August 1, 2013
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ACDIS members have access to a large collection of sample Forms & Tools...
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CDI Strategies, Issue 16, August 1, 2013
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North Carolina: The N.C. ACDIS Chapter summer conference takes place Friday...
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CDI Strategies, Issue 16, August 1, 2013
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As much discussion of ICD-10-CM/PCS implementation circulates on healthcare...
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CDI Strategies, Issue 15, July 18, 2013
Q: During a recent ACDIS Quarterly Conference Call a coder expressed discomfort regarding a...
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CDI Strategies, Issue 15, July 18, 2013
The July edition of the CDI Journal is posted and includes the following articles:
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CDI Strategies, Issue 15, July 18, 2013
Following are upcoming ACDIS local chapter meetings. If you are interested in joining a local...
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CDI Strategies, Issue 15, July 18, 2013
Sepsis. Ureosepsis. Severe Sepsis. Systemic inflammatory response syndrome (SIRS). Bacteremia...
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CDI Strategies, Issue 15, July 18, 2013
In ACDIS’ 2012 CDI Salary Survey, the majority (26%) of respondents earned...
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CDI Strategies, Issue 15, July 18, 2013
Low hemoglobin and the need for erythropoiesis stimulating agents (ESAs) indicated an increased...
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CDI Strategies, Issue 15, July 18, 2013
Use of external cause ICD-10 codes is not mandatory, CMS clarified in a recent release, unless...
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HIM-HIPAA Insider, Issue 24, July 1, 2013
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CDI Strategies, Issue 14, June 20, 2013
We recently updated our collection of ACDIS and CDI Week branded items for sale and now offer...
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CDI Strategies, Issue 14, June 20, 2013
In ACDIS’ 2012 CDI Salary Survey, the majority (26%) of respondents earned...
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CDI Strategies, Issue 14, June 20, 2013
Nearly 30% of respondents to a recent ACDIS poll indicated that “only God or the government...
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CDI Strategies, Issue 14, June 20, 2013
CMS proposed revisions to the Hospital Inpatient Quality Reporting (IQR) Program in its Hospital...
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CDI Strategies, Issue 14, June 20, 2013
Three out of four Recovery Auditors (RAs) list medical necessity of cardiovascular procedures as...
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CDI Strategies, Issue 14, June 20, 2013
Medicare’s quarterly PEPPER report helps to determine which discharges may be vulnerable to...
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CDI Strategies, Issue 14, June 20, 2013
Q: I am in a new CDI program and revising our physician query policy. While the ACDIS/AHIMA...
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CDI Strategies, Issue 13, June 6, 2013
CDI professionals must educate facilities and physicians about the importance of accurately...
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CDI Strategies, Issue 13, June 6, 2013
Q: We recently had a difficult case regarding a query for acute renal failure. Here is the...
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CDI Strategies, Issue 13, June 6, 2013
Many thanks to the more than 1,000 ACDIS 2013 conference participants who made Nashville such a...
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CDI Strategies, Issue 13, June 6, 2013
AHA Coding Clinic for ICD-9-CM released its second round of ICD-10 coding guidance in its First...
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CDI Strategies, Issue 13, June 6, 2013
Following are upcoming local chapter meetings of ACDIS.
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CDI Strategies, Issue 13, June 6, 2013
In the April edition of the CDI Journal, ACDIS published the joint ACDIS/AHIMA practice brief on...
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CDI Strategies, Issue 13, June 6, 2013
In its FY 2014 IPPS proposed rule, CMS not only redefines inpatient status, but it also discusses...
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CDI Strategies, Issue 12, May 23, 2013
ACDIS is seeking a CDI Education Specialist to serve as instructor for the ACDIS-sponsored CDI Boot...
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CDI Strategies, Issue 12, May 23, 2013
More than 40% of facilities without CDI programs in place expect to launch one in 2013, according...
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CDI Strategies, Issue 12, May 23, 2013
AHA Coding Clinic for ICD-9-CM released its second round of ICD-10 coding guidance in its First...
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CDI Strategies, Issue 12, May 23, 2013
The ICD-10-CM and ICD-10-PCS code sets will be implemented on Oct. 1, 2014 – and on that date...
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CDI Strategies, Issue 12, May 23, 2013
Recovery Auditor (RA) denials and good news never seem to go hand in hand. However, CMS announced...
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CDI Strategies, Issue 12, May 23, 2013
CMS got an earful during a listening session regarding electronic health records (EHRs) held...
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CDI Strategies, Issue 12, May 23, 2013
Sepsis. Ureosepsis. Severe Sepsis. Systemic inflammatory response syndrome (SIRS). Bacteremia...
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CDI Strategies, Issue 12, May 23, 2013
Q: Our lab does not calculate the Glomerular filtration rate(GFR) for patients over the age of 70...
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CDI Strategies, Issue 11, May 16, 2013
This year’s conference features 26 poster presentations on a range of pressing topics...
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CDI Strategies, Issue 11, May 16, 2013
A number of new CDI materials will be available at the HCPro booth (unless noted) throughout the...
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CDI Strategies, Issue 11, May 16, 2013
Editor’s Note: The following tips were adapted from comments by previous ACDIS attendees and...
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CDI Strategies, Issue 11, May 16, 2013
There's a lot to do in Nashville. First and foremost, when you think of Nashville you think of...
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CDI Strategies, Issue 11, May 16, 2013
Editor’s Note: Mark Dominesey, RN, BSN, MBA, CCDS, CDIP, MCP, presents “Integrating CDI...
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CDI Strategies, Issue 11, May 16, 2013
Last week’s ACDIS Quarterly Conference Call hosted 372 participants and featured special...
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CDI Strategies, Issue 11, May 16, 2013
It is hard to believe that the 6th Annual ACDIS Conference is upon us. ACDIS staff will be flying...
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CDI Strategies, Issue 11, May 16, 2013
Can’t make it to the 6th Annual ACDIS conference? Listen in to a series of broadcasts by...
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CDI Strategies, Issue 10, May 9, 2013
Houston, Texas: Harris Health System hosts the next meeting, Thursday, May 9, at 3 p.m. in the...
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CDI Strategies, Issue 10, May 9, 2013
New data released today show significant variation across the country and within communities in...
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CDI Strategies, Issue 10, May 9, 2013
If you are considering expanding your CDI program to include review of pediatric records, consider...
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CDI Strategies, Issue 10, May 9, 2013
ACDIS members are invited to participate in a Quarterly Conference Call taking place today...
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CDI Strategies, Issue 10, May 9, 2013
A number of items have recently been added to the ACDIS Forms & Tools Library. If you have...
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CDI Strategies, Issue 9, April 25, 2013
More than 1,000 CDI professionals now hold the Certified Clinical Documentation Specialist (CCDS...
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CDI Strategies, Issue 9, April 25, 2013
Our next quarterly conference call is scheduled for Thursday, May 9, 1-2 p.m. To access the call...
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CDI Strategies, Issue 9, April 25, 2013
The following ACDIS local chapters have meetings coming up in May and the beginning of June. If you...
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CDI Strategies, Issue 9, April 25, 2013
Here is a statistic that will come as no surprise to most coders and CDI professionals...
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CDI Strategies, Issue 9, April 25, 2013
OptumInsight and ACDIS host a free webinar on June 5, 1-2 p.m., ET, “Technology Innovations...
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CDI Strategies, Issue 9, April 25, 2013
Q: The physician documented mild bronchitis treated with Zithromax in the progress note on day two...
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CDI Strategies, Issue 9, April 25, 2013
Tip: Improve Physician Profiles through SOI/ROM documentation
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CDI Strategies, Issue 8, April 11, 2013
Q: Is it true that a CDI physician advisor/champion cannot be a direct patient care provider?
A...
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CDI Strategies, Issue 8, April 11, 2013
My heart is already warming to thoughts of Nashville in springtime, the site of our 6th annual...
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CDI Strategies, Issue 8, April 11, 2013
The April 2013 edition of the CDI Journal was released last week. It not only includes the latest...
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CDI Strategies, Issue 8, April 11, 2013
There are more than 40 local ACDIS chapters across the country. They range in formality but...
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CDI Strategies, Issue 8, April 11, 2013
Medical necessity for cardiovascular procedures is the top overpayment issue for three out of the...
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CDI Strategies, Issue 8, April 11, 2013
The OIG is taking a closer look at mechanical ventilation, according to its FY 2013 Work Plan. In...
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CDI Strategies, Issue 7, March 28, 2013
Q: How are staffing needs expected to change in relationship to ICD-10?
A: I’m not aware of...
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CDI Strategies, Issue 7, March 28, 2013
The Renaissance Nashville Hotel—site of the ACDIS 6th Annual Conference--has sold out...
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CDI Strategies, Issue 7, March 28, 2013
The following ACDIS local chapters have meetings coming up in April. If you are interested in...
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CDI Strategies, Issue 7, March 28, 2013
The Leapfrog Group. Healthgrades. The Joint Commission. U.S. News and World Report. Consumer...
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CDI Strategies, Issue 7, March 28, 2013
It was hardly explicit that organizations could rebill on an outpatient basis (or fully bill) for...
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CDI Strategies, Issue 7, March 28, 2013
In order to meet the ICD-10 October 1, 2014, implementation timeline, CMS began making necessary...
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CDI Strategies, Issue 7, March 28, 2013
Blue Cross Blue Shield (BCBS) of North Carolina represents the latest payer to join the bundled...
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CDI Strategies, Issue 6, March 14, 2013
The annual paper and pencil seating of the Certified Clinical Documentation Specialist (CCDS) exam...
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CDI Strategies, Issue 6, March 14, 2013
A new platinum-level ACDIS membership package includes a choice of one of two popular audio...
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CDI Strategies, Issue 6, March 14, 2013
In light of the most recent physician query practice guidance released in the February edition of...
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CDI Strategies, Issue 6, March 14, 2013
West Virginia: Meets on Wednesday, March 20, 2 p.m. at Charleston Area Medical Center to discuss...
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CDI Strategies, Issue 6, March 14, 2013
Recovery auditor recoupments increased 14% since 2012, according to the 2013 Recovery Auditor...
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CDI Strategies, Issue 6, March 14, 2013
Rulemaking regarding Stage 3 meaningful use of electronic health records will be delayed until...
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CDI Strategies, Issue 6, March 14, 2013
Q: Our CDI department is developing clarification forms and I have voiced concern with some of the...
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CDI Strategies, Issue 5, February 28, 2013
News: CMS offers ICD-10 Update session
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CDI Strategies, Issue 5, February 28, 2013
Please take a few minutes to participate in this 35-question survey. It asks for input regarding...
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CDI Strategies, Issue 5, February 28, 2013
New guidelines published in the May 2012 Journal of the Academy of Nutrition and Dietetics...
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CDI Strategies, Issue 5, February 28, 2013
Q: Our case-mix index (CMI) seems to be dropping and management is putting pressure on the CDI...
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CDI Strategies, Issue 5, February 28, 2013
The third annual CDI Week takes place on September 16-20, 2013. ACDIS is looking for several...
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CDI Strategies, Issue 5, February 28, 2013
The ACDIS quarterly conference call of Thursday, February 14, is now available for download...
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CDI Strategies, Issue 5, February 28, 2013
During the February conference call, ACDIS unveiled its new “Leadership Toolkit” which...
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CDI Strategies, Issue 4, February 14, 2013
The next quarterly conference call is scheduled for today, Thursday, February 14, 1-2 p.m. ET. To...
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CDI Strategies, Issue 4, February 14, 2013
Recovery Auditors (previously called Recovery Audit Contractors [RAC]) saved Medicare nearly $500...
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CDI Strategies, Issue 4, February 14, 2013
More than 500 organizations have signed on to participate in CMS’ “Bundled Payments for...
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CDI Strategies, Issue 4, February 14, 2013
Q: We recently had a case where the patient was admitted from the ED with pneumonia but the...
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CDI Strategies, Issue 4, February 14, 2013
ACDIS members recently elected four new board members in a popular vote of 10 finalists . (Read...
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CDI Strategies, Issue 4, February 14, 2013
After several months of effort, AHIMA released "Guidelines for Achieving a Compliant Query...
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CDI Strategies, Issue 3, January 31, 2013
When preparing your ICD-10 training schedule, use these questions to develop a baseline:
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CDI Strategies, Issue 3, January 31, 2013
Q: I was under the impression that headings on a query form are leading. Can you help me with...
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CDI Strategies, Issue 3, January 31, 2013
We know many of you rely on ACDIS national benchmarking survey data to compare yourself against...
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CDI Strategies, Issue 3, January 31, 2013
ACDIS will award the CDI Professional of the Year and two winners of Recognition of CDI...
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CDI Strategies, Issue 3, January 31, 2013
On January 15, UnitedHealth Group Inc. and Mayo Clinic announced a new joint venture dubbed Optum...
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CDI Strategies, Issue 2, January 17, 2013
Across the country, 106 new Medicare Shared Savings Program Accountable Care Organizations (ACOs...
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CDI Strategies, Issue 2, January 17, 2013
New York City’s Health and Hospitals Corporation represents the nation’s largest public...
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CDI Strategies, Issue 2, January 17, 2013
This year’s ACDIS Conference takes place May 21–23, 2013 at the Renaissance Nashville...
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CDI Strategies, Issue 2, January 17, 2013
ACDIS Membership update: CDI Journal released
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CDI Strategies, Issue 2, January 17, 2013
Q: Our CDI program is three years old and our administration still questions our productivity...
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CDI Strategies, Issue 2, January 17, 2013
To obtain data regarding CDI program involvement in ICD-10 preparations, ACDIS composed a...
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CDI Strategies, Issue 2, January 17, 2013
New York could become the first state to draft comprehensive measures regarding the identification...
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CDI Strategies, Issue 2, January 17, 2013
New York could become the first state to draft comprehensive measures regarding the identification...
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CDI Strategies, Issue 2, January 17, 2013
Improving patient experience and satisfaction topped the list of healthcare leadership priorities...
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APCs Insider, Issue 1, January 4, 2013
Avoid taking too broad an approach when discussing ICD-10 documentation requirements with...
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CDI Strategies, Issue 1, January 3, 2013
Q: A few times I have seen physicians document Schatzki’s Ring. I understand that if the...
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CDI Strategies, Issue 1, January 3, 2013
“For last year’s words belong to last year’s language. Next year’s words...
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CDI Strategies, Issue 1, January 3, 2013
In the fall, ACDIS Associate Director Melissa Varnavas walked members through a free webinar...
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CDI Strategies, Issue 1, January 3, 2013
A November report from the Government Accountability Office (GAO) calls on CMS to provide better...
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CDI Strategies, Issue 1, January 3, 2013
Depending on how they are sequenced, CC and MCC conditions can have a direct effect on MS-DRG...
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CDI Strategies, Issue 27, December 20, 2012
ICD-10-CM/PCS incorporates laterality, acuity, anatomical specificity, and a slew of additional...
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CDI Strategies, Issue 27, December 20, 2012
Q: Can you clarify the requirements surrounding the use of E codes? We have been working on...
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CDI Strategies, Issue 27, December 20, 2012
When the first ACDIS ICD-10 implementation benchmarking survey published in October of 2010, there...
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CDI Strategies, Issue 27, December 20, 2012
For more than six months, a number of dedicated volunteers have pored over the the ACDIS Forms...
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CDI Strategies, Issue 27, December 20, 2012
The fight over medical necessity continued last week as the American Hospital Association and its...
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CDI Strategies, Issue 26, December 6, 2012
By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
In a recent CDI Talk conversation the...
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CDI Strategies, Issue 25, December 6, 2012
Q: A patient with a long history of Type I diabetes is admitted after a syncope episode...
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CDI Strategies, Issue 26, December 6, 2012
The nomination period for the ACDIS advisory board recently closed, and a nomination committee has...
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CDI Strategies, Issue 26, December 6, 2012
ICD-10 Survey: Please take a moment to participate in the 2012 CDI Specialist’s ICD-10...
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CDI Strategies, Issue 26, December 6, 2012
During its November House of Delegates meeting in Honolulu, members of the American Medical...
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CDI Strategies, Issue 26, December 6, 2012
When CMS stopped paying for healthcare-associated infections such as catheter-associated blood...
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CDI Strategies, Issue 26, December 6, 2012
More than $10 million: That’s what Florida-based BayCare Health System agreed to pay the...
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CDI Strategies, Issue 24, November 21, 2012
Earlier this month, CMS released a quick tip sheet “Communicating with your Payers about...
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CDI Strategies, Issue 24, November 21, 2012
ACDIS is pleased to provide one CEU towards recertification of the Certified Clinical Documentation...
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CDI Strategies, Issue 24, November 21, 2012
By Don Butler, RN, BSN
During a recent CDI Talk conversation, I alluded to data available in the...
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CDI Strategies, Issue 23, November 8, 2012
Q: What are the ramifications of leading queries? Who is monitoring whether a query is leading?
A...
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CDI Strategies, Issue 23, November 8, 2012
ACDIS Members Services Specialist Penny Richards is soliciting tips and advice from the ACDIS...
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CDI Strategies, Issue 23, November 8, 2012
The next ACDIS Quarterly Conference Call is scheduled for Thursday, November 15, from 1-2 p.m., ET...
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CDI Strategies, Issue 23, November 8, 2012
ACDIS currently seeks four new members to join its advisory board in 2013. ACDIS advisors are...
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CDI Strategies, Issue 23, November 8, 2012
CDI networking efforts have grown since ACDIS’ inception to nearly 40 local chapters across...
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CDI Strategies, Issue 23, November 8, 2012
On October 16, Representative Sam Graves (R-MO) introduced legislation to reform Recovery...
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CDI Strategies, Issue 23, November 8, 2012
ICD-9 guidelines indicate that coders should not report routine or expected postoperative pain that...
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CDI Strategies, Issue 22, October 25, 2012
Q: I have heard that there is an AHA Coding Clinic for ICD-9-CM, which states that the exacerbation...
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CDI Strategies, Issue 22, October 25, 2012
ACDIS currently seeks four new members to join its advisory board in 2013. ACDIS advisors are...
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CDI Strategies, Issue 22, October 25, 2012
Join ACDIS Associate Director Melissa Varnavas, CPC, on Wednesday, November 7, 1 p.m., ET, for a...
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CDI Strategies, Issue 22, October 25, 2012
A bill, introduced October 16, aims to curtail the proliferation of healthcare audits and medical...
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CDI Strategies, Issue 22, October 25, 2012
Hospitals stand to lose about $1.2 million in annual reimbursement revenue for each 1% drop in its...
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CDI Strategies, Issue 22, October 25, 2012
Getting physicians on board with the transition to ICD-10 won’t be easy, but CMS is trying to...
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CDI Strategies, Issue 22, October 25, 2012
A clear understanding of the definition of principal diagnosis and the factors that play into...
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CDI Strategies, Issue 21, October 11, 2012
CMS recently released the following ICD-10 planning tips in an ICD-10 Industry Email...
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CDI Strategies, Issue 21, October 11, 2012
ACDIS has received several queries regarding networking opportunities for CDI professionals working...
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CDI Strategies, Issue 21, October 11, 2012
Conference Speaker Application Period Closed: More than 130 applications were received. The 2013...
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CDI Strategies, Issue 21, October 11, 2012
Following the close of each fiscal year (FY) quarter, CMS releases statistics for the amount of...
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CDI Strategies, Issue 21, October 11, 2012
Every October, the Office of Inspector General (OIG) releases its Work Plan for the upcoming fiscal...
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CDI Strategies, Issue 21, October 11, 2012
In the recently released 2013 OPPS proposed rule, CMS issued a request for comments that suggests...
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CDI Strategies, Issue 21, October 11, 2012
Although Accountable Care Organizations (ACO) showed an improvement in the quality and performance...
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CDI Strategies, Issue 21, October 11, 2012
During its 84th national convention, AHIMA called for improved governance for health information to...
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JustCoding News: Inpatient, Issue 41, October 10, 2012
The HIM profession is constantly changing, but HIM professionals are still responsible for...
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CDI Strategies, Issue 20, September 27, 2012
When the term ‘sepsis syndrome’ is documented coders and CDI specialists have to query...
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CDI Strategies, Issue 20, September 27, 2012
Since the release of the new ICD-10-CM/PCS implementation date, CMS has been busy publishing a slew...
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CDI Strategies, Issue 20, September 27, 2012
Q: I need further clarification regarding documentation of toxic metabolic encephalopathy...
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CDI Strategies, Issue 20, September 27, 2012
ACDIS is currently seeking speakers to present at the 2013 ACDIS sixth Annual Conference, to be...
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CDI Strategies, Issue 20, September 27, 2012
During the 2nd Annual CDI Week held September 17-21, facilities all over the country celebrated the...
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CDI Strategies, Issue 20, September 27, 2012
In a terse exchange of communication and reports this week, the HHS and American Hospital...
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CDI Strategies, Issue 19, September 13, 2012
The terms “admitting” diagnosis and “principal” diagnosis are not...
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CDI Strategies, Issue 19, September 13, 2012
By Karen Newhouser, RN, BSN, CCM, CCDS
In thinking about all the initiatives swirling around the...
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CDI Strategies, Issue 19, September 13, 2012
Can you provide a novice CDI professional with some tips on where to start with a record...
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CDI Strategies, Issue 19, September 13, 2012
Increasing the adoption of health information technology could help make healthcare delivery more...
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CDI Strategies, Issue 19, September 13, 2012
ACDIS seeks speakers to present at the 2013 ACDIS sixth Annual Conference, to be held May 21-23...
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CDI Strategies, Issue 18, August 30, 2012
National CDI Week celebrations will soon be here. This year’s event takes place September...
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CDI Strategies, Issue 18, August 30, 2012
After months of dedicated effort, The Clinical Documentation Improvement (CDI) Roadmap has been...
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CDI Strategies, Issue 18, August 30, 2012
The ACDIS quarterly conference call of August 16, 2012 is now available for download on the ACDIS...
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CDI Strategies, Issue 18, August 30, 2012
Florida: Reservations for the upcoming Florida ACDIS Chapter meeting slated for Saturday, September...
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CDI Strategies, Issue 18, August 30, 2012
In the recently released 2013 OPPS proposed rule, CMS issued a request for comments that suggests...
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CDI Strategies, Issue 18, August 30, 2012
RAC denials rose by 24% over the previous quarter, according to the August 22 RACTrac survey...
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CDI Strategies, Issue 18, August 30, 2012
Q: I was interested in further discussion about cystic fibrosis coding. I am conducting an audit on...
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CDI Strategies, Issue 18, August 30, 2012
HHS will delay implementation of ICD-10 by one year, from October 1, 2013 to October 1, 2014. HHS...
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HIM-HIPAA Insider, Issue 7, August 20, 2012
Clear and consistent documentation makes a coder’s job much easier, and it improves data...
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CDI Strategies, Issue 17, August 16, 2012
The following ACDIS chapters are just getting off the ground. If you are interested in...
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CDI Strategies, Issue 17, August 16, 2012
A date for the potential ICD-10 implementation deadline may be released soon. The Office of...
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CDI Strategies, Issue 17, August 16, 2012
CMS chose not to include code 428.0 (congestive heart failure, unspecified) as a CC in the IPPS...
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CDI Strategies, Issue 17, August 16, 2012
Q: If a hospital CEO were to tell a new CDI department manager to pull together some...
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CDI Strategies, Issue 17, August 16, 2012
There are now nearly 1,000 professionals who possess the Certified Clinical Documentation...
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CDI Strategies, Issue 16, August 2, 2012
Q: A physician admitted a patient with pneumonia, which was the first listed diagnosis. The...
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CDI Strategies, Issue 16, August 2, 2012
On August 27, CMS launches its Recovery Audit Prepayment Review demonstration project. Over the...
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CDI Strategies, Issue 16, August 2, 2012
The next ACDIS Quarterly Conference Call is scheduled for this Thursday, August 16, from 1-2 p.m...
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CDI Strategies, Issue 16, August 2, 2012
ACDIS local chapters have several meetings scheduled in the coming months. As a reminder if you are...
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CDI Strategies, Issue 16, August 2, 2012
CMS is expected to soon release its final timeline for ICD-10-CM/PCS implementation. Although it...
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CDI Strategies, Issue 16, August 2, 2012
CMS recently redesigned its Hospital Compare website to enhance navigation capabilities for users...
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CDI Strategies, Issue 16, August 2, 2012
A recent Office of the Inspector General report found PacifiCare of Texas received $115 million in...
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CDI Strategies, Issue 16, August 2, 2012
Unplanned readmissions may by overestimated by as much as 25%, according to a study by physicians...
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HIM-HIPAA Insider, Issue 3, July 23, 2012
After hosting the first Clinical Documentation Improvement Week last year, the Association for...
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CDI Strategies, Issue 15, July 19, 2012
Q: We recently had a case where a patient with severe chronic obstructive pulmonary disease...
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CDI Strategies, Issue 15, July 19, 2012
The 2013 ACDIS Annual Conference Committee will help plan and shape next year's conference in...
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JustCoding News: Inpatient, Issue 29, July 18, 2012
New clinical guidelines for malnutrition could help alleviate compliance challenges associated with...
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JustCoding News: Inpatient, Issue 29, July 18, 2012
QUESTION: A patient is admitted with pneumonia and atrial fibrillation and both are present on...
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HIM-HIPAA Insider, Issue 2, July 16, 2012
Q: Our pulmonologists are not comfortable documenting acute respiratory failure unless a patient is...
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HIM-HIPAA Insider, Issue 1, July 9, 2012
Q: Which code should I report for atypical small acinar proliferation of the prostate? Is ICD-9-CM...
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CDI Strategies, Issue 14, July 5, 2012
Q: Our hospital serves a higher than usual population with COPD. Most of these cases are chronic...
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CDI Strategies, Issue 14, July 5, 2012
ACDIS currently has more than 40 local chapters in most states. The following groups are holding...
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CDI Strategies, Issue 14, July 5, 2012
By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDI, CCDS
Broaden the scope of your CDI...
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CDI Strategies, Issue 14, July 5, 2012
Determining when to code a post-surgical complication as opposed to simply considering it to be an...
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CDI Strategies, Issue 14, July 5, 2012
After hosting the first Clinical Documentation Improvement Week last year, ACDIS and the CDI...
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HIM-HIPAA Insider, Issue 27, July 3, 2012
Q: A patient is admitted January 3 and undergoes spinal surgery that day. No laboratory specimens...
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CDI Strategies, Issue 13, June 21, 2012
On June 11, the ACDIS Advisory Board submitted comments to CMS regarding proposed changes to the...
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CDI Strategies, Issue 13, June 21, 2012
The list of approved activities for continuing education units (CEU) applicable for the...
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CDI Strategies, Issue 13, June 21, 2012
CMS recently posted two separate sets of data that provide nationwide statistics on its Recovery...
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CDI Strategies, Issue 13, June 21, 2012
Does your facility mandate physician participation in CDI orientation?
That’s the question...
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CDI Strategies, Issue 13, June 21, 2012
Current SIRS criteria are insufficient, confusing, and don't indicate whether a patient is truly...
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JustCoding News: Inpatient, Issue 25, June 20, 2012
Why do coders need to know about Value Based Purchasing, the Readmissions Reduction Program...
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HIM-HIPAA Insider, Issue 24, June 12, 2012
Q: Our question pertains to the following scenario: The studies section of a history and physical...
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CDI Strategies, Issue 12, June 7, 2012
ACDIS invites you to join a work group to research industry needs and develop best practices for...
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CDI Strategies, Issue 12, June 7, 2012
ACDIS members have access to the Forms & Tools Library which includes:
Query forms...
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CDI Strategies, Issue 12, June 7, 2012
Over a nine-year period, from 2001 to 2010, physicians increased billing of higher level evaluation...
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CDI Strategies, Issue 12, June 7, 2012
Patients of physicians using dictated electronic health records appear to be receiving lower...
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CDI Strategies, Issue 12, June 7, 2012
The latest Program for Evaluating Payment Patterns Electronic Report (PEPPER) was released May 24...
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CDI Strategies, Issue 12, June 7, 2012
US Senator Tom Coburn, MD, (R-OK) suggests Congress hold committee hearings regarding ICD-10...
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CDI Strategies, Issue 12, June 7, 2012
The Office of the Inspector General (OIG) pointed to deficiencies in CMS’ oversight of Zone...
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CDI Strategies, Issue 11, May 24, 2012
Q: Are clinical staff held to the same standard as coders and CDI staff regarding leading questions...
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CDI Strategies, Issue 11, May 24, 2012
By Donald A. Butler, RN
New “variations” on reasons to query physicians was one topic...
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CDI Strategies, Issue 11, May 24, 2012
The next ACDIS Quarterly Conference Call is scheduled for this Thursday, May 24, from 1-2 p.m., ET...
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CDI Strategies, Issue 11, May 24, 2012
The Medicaid RAC program kicked off January 1. Although the program got off to a slow start...
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CDI Strategies, Issue 11, May 24, 2012
After HHS proposed a year-long delay of ICD-10-CM/PCS, questions emerged regarding the current...
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CDI Strategies, Issue 11, May 24, 2012
The May 14 American Hospital Association (AHA) edition of its Audit Education Series: Reducing...
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JustCoding News: Inpatient, Issue 21, May 23, 2012
Many physicians say that systemic inflammatory response syndrome (SIRS) criteria are insufficient...
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HIM-HIPAA Insider, Issue 21, May 22, 2012
Q: Our pulmonologists are not comfortable documenting acute respiratory failure unless the patient...
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CDI Strategies, Issue 10, May 10, 2012
“This claim was denied after review and it was determined that the documentation did not...
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CDI Strategies, Issue 10, May 10, 2012
CMS’ three-day rule defines certain preadmission services as inpatient operating costs...
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CDI Strategies, Issue 10, May 10, 2012
Today marks the official start of the 2012 5th Annual ACDIS Conference. We are so happy to see so...
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CDI Strategies, Issue 10, May 10, 2012
The next Quarterly Conference Call is scheduled for Thursday, May 24, 1-2 p.m., ET. ACDIS members...
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CDI Strategies, Issue 10, May 10, 2012
The American Nurses Association (ANA) and nurses across the country are celebrating National Nurses...
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CDI Strategies, Issue 10, May 10, 2012
The April edition of CMS’ Medicare Quarterly Provider Compliance Newsletterincludes...
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JustCoding News: Inpatient, Issue 19, May 9, 2012
HHS has announced a proposed rule that would postpone ICD-10-CM/PCS implementation from October 1...
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CDI Strategies, Issue 9, April 26, 2012
CMS’ Hospital Compare website now also illustrates how much facilities spend per Medicare...
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CDI Strategies, Issue 9, April 26, 2012
Q: A patient has low rectal cancer. The surgeon performed a robotic lap colon resection. The tissue...
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CDI Strategies, Issue 9, April 26, 2012
CMS projects that payment rates to general acute care hospitals will increase by 2.3% in fiscal...
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CDI Strategies, Issue 9, April 26, 2012
As I’m sure most of you are aware, The Department of Health and Human Services (HHS) has...
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CDI Strategies, Issue 9, April 26, 2012
We have some of the fun events planned for San Diego! If you have any questions, don’t...
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CDI Strategies, Issue 9, April 26, 2012
In the coming year ACDIS plans to complete a revision of its website. Please help us meet your...
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CDI Strategies, Issue 8, April 12, 2012
The HHS proposed delay in ICD-10 implementation may be welcome news for many facilities since...
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CDI Strategies, Issue 8, April 12, 2012
A Maryland hospital allegedly added malnutrition as a secondary diagnosis, employing tactics that...
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CDI Strategies, Issue 3, April 12, 2012
The next two ACDIS Quarterly Conference Calls will be held on Thursday, May 24, from 1-2 p.m., and...
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CDI Strategies, Issue 8, April 12, 2012
The cutoff date for the reduced $199 per night rate at the Manchester Grand Hyatt is Friday, April...
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CDI Strategies, Issue 8, April 12, 2012
Q: If a physician documents “septic shock” should the CDI specialist query for...
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CDI Strategies, Issue 8, April 12, 2012
HHS released a proposed rule Monday, April 9, regarding a potential one-year delay of the...
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CDI Strategies, Issue 8, April 12, 2012
ACDIS is proud to welcome its new CDI Education Director, Cheryl Ericson, MS, RN. In this role...
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CDI Strategies, Issue 8, April 12, 2012
Just because hospitalizations and inpatient admissions due to pneumonia declined from 2003 to 2009...
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CDI Strategies, Issue 7, March 29, 2012
This week marks the 23rd annual AHIMA sponsored Health Information Professionals Week (HIP), themed...
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CDI Strategies, Issue 7, March 29, 2012
ACDIS members have access to a collection of sample Forms & Tools donated by their peers...
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CDI Strategies, Issue 7, March 29, 2012
As of this week, more than 600 CDI-related professionals had registered for the 2012 ACDIS...
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CDI Strategies, Issue 7, March 29, 2012
During a March 7 conference call with payers, CMS indicated that it expects to release information...
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CDI Strategies, Issue 7, March 29, 2012
CMS delayed the HIPAA Version 5010 compliance deadline again last week, giving providers until June...
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CDI Strategies, Issue 7, March 29, 2012
The ICD-9-CM Coordination and Maintenance (C&M) Committee discussed a few changes to the...
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CDI Strategies, Issue 7, March 29, 2012
The Office of the Inspector General (OIG) says CMS incorrectly estimates payment errors in its...
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CDI Strategies, Issue 7, March 29, 2012
CMS posted v29 of the ICD-10 MS-DRGs and an updated version of the v27 Medicare Code Editor (MCE...
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CDI Strategies, Issue 7, March 29, 2012
Q: Can you please help me locate information regarding etiologies of transient ischemic attack...
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JustCoding News: Inpatient, Issue 13, March 28, 2012
These days, documentation improvement and compliance are at the forefront of coders' minds. In some...
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JustCoding News: Inpatient, Issue 13, March 28, 2012
How does medical necessity get “overlooked” on the physician side as well as the...
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HIM-HIPAA Insider, Issue 12, March 20, 2012
Q: A physician admitted a patient with pneumonia, which was the first diagnosis. The second...
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CDI Strategies, Issue 6, March 15, 2012
The Department of Health and Human Services (HHS) recovered nearly $4.1 billion in taxpayer dollars...
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CDI Strategies, Issue 6, March 15, 2012
The Medicare Administrative Contractor (MAC) for J12, which covers Delaware, New Jersey...
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CDI Strategies, Issue 6, March 15, 2012
March is “National Nutrition Month,” according to a recent release from CMS. CDI...
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CDI Strategies, Issue 6, March 15, 2012
Q: We are having a discussion about how to code when the history and physical (H&P), under...
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CDI Strategies, Issue 6, March 15, 2012
The following materials have been posted to the Forms & Tools Library on the ACDIS website...
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CDI Strategies, Issue 6, March 15, 2012
ACDIS formed the CDI Roadmap Committee in September 2011 to help define some of the core...
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CDI Strategies, Issue 6, March 15, 2012
ACDIS welcomes Adelaide M. La Rosa, RN, BSN, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer and...
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CDI Strategies, Issue 6, March 15, 2012
ACDIS thanks the volunteers who have stepped forward to gather CDI professionals in their regions...
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CDI Strategies, Issue 6, March 15, 2012
HHS proposed electronic health record (EHR) systems’ Stage 2 meaningful use requirements in a...
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CDI Strategies, Issue 6, March 15, 2012
After serving as the president of the National Quality Forum (NQF) for more than six years, Janet...
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CDI Strategies, Issue 5, March 1, 2012
What’s in a name? That which we call a rose by any other name would smell as sweet. At least...
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CDI Strategies, Issue 5, March 1, 2012
The 5th Annual ACDIS Conference early registration cutoff date is next Friday, March 9. This year's...
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CDI Strategies, Issue 5, March 1, 2012
The February 16 ACDIS Quarterly Conference Call is now available for download on the ACDIS website...
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CDI Strategies, Issue 5, March 1, 2012
As of Wednesday, February 29, hospitals can access their Value-Based Purchasing Simulated Hospital...
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CDI Strategies, Issue 5, March 1, 2012
The fourth quarter 2011 Short-Term Acute Care Program for Evaluating Payment Patterns Electronic...
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CDI Strategies, Issue 5, March 1, 2012
More than 400 individuals responded to the “2011 Recovery Auditor Benchmarking Survey&rdquo...
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CDI Strategies, Issue 5, March 1, 2012
Review Medicaid Integrity Contractors (MICs) completed 81% of their CMS assignments resulting in...
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JustCoding News: Inpatient, Issue 9, February 29, 2012
Even if you didn’t make a personal New Year's resolution, you should make a professional one...
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JustCoding News: Outpatient, Issue 8, February 22, 2012
Payers are now looking to ensure that physician and facility billing match, which could mean new...
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CDI Strategies, Issue 4, February 16, 2012
Fifty-eight percent of claims billed with MS-DRG 246, percutaneous cardiovascular procedure with...
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CDI Strategies, Issue 4, February 16, 2012
Q: I had a followup question about the Jan. 5, 2012 CDI Strategies article (“Important change...
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CDI Strategies, Issue 4, February 16, 2012
ACDIS recently closed its Facebook “Group” and invited participants in that forum to...
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CDI Strategies, Issue 4, February 16, 2012
CMS’ Recovery Auditors (previously called Recovery Audit Contractors, now associated with the...
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CDI Strategies, Issue 4, February 16, 2012
UnitedHealthcare became the latest private insurer to announce plans to tie its reimbursement to...
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CDI Strategies, Issue 4, February 16, 2012
Central line-associated bloodstream infections (CLABSIs) result in an estimated $700 million in...
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CDI Strategies, Issue 4, February 16, 2012
CMS acting administrator Marilyn Tavenner indicated that the agency could be considering a revision...
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CDI Strategies, Issue 4, February 16, 2012
The ACDIS quarterly conference call is scheduled for today, Thursday, February 16, from 1-2 p.m...
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CDI Strategies, Issue 3, February 2, 2012
ACDIS would like to welcome four new members to the advisory board. These new board members are the...
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CDI Strategies, Issue 3, February 2, 2012
Professional of the year nominee deadline
Click here to download the 2012 award nomination form...
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CDI Strategies, Issue 3, February 2, 2012
Of 165 respondents who took part in a recent website poll, 50 (30%) indicated they earn more than...
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CDI Strategies, Issue 3, February 2, 2012
More than 65% of respondents listed improving physician documentation as “the most important...
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CDI Strategies, Issue 3, February 2, 2012
Transitioning to electronic health records (EHR) is no longer a question of “if” but...
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CDI Strategies, Issue 3, February 2, 2012
Three hours a day. That’s how much time, out of a 12-hour shift, nurses say they spend on...
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CDI Strategies, Issue 3, February 2, 2012
Q: I am fairly new to CDI and I have a nursing background. I’m trying to understand how...
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CDI Strategies, Issue 2, January 19, 2012
Look for special e-mail instructions in the coming week directing ACDIS members to an online voting...
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CDI Strategies, Issue 2, January 19, 2012
Mark your calendars: The first ACDIS quarterly conference call of 2012 has been scheduled for...
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CDI Strategies, Issue 2, January 19, 2012
ACDIS recently updated its website Local Chapter networking page. To connect with Local Chapter...
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CDI Strategies, Issue 2, January 19, 2012
Professional of the Year nominations
It’s time to submit your nominations for the 2012 CDI...
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CDI Strategies, Issue 2, January 19, 2012
CMS recently published a draft ICD-10 MS-DRG definitions. According to the website, the definitions...
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CDI Strategies, Issue 2, January 19, 2012
MLN Matters article SE1121 emphasizes that coders must consider all documentation from licensed...
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CDI Strategies, Issue 2, January 19, 2012
Q:I have a question regarding sequencing. I would usually have sequenced 428.21 (heart failure) as...
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CDI Strategies, Issue 1, January 5, 2012
CMS recently released ICD-10 CC and MCC lists on its web site. It lists the diagnosis by ICD-10...
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CDI Strategies, Issue 1, January 5, 2012
CDI specialists that incorporate quality measures review in their duties take note: The Joint...
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CDI Strategies, Issue 1, January 5, 2012
The 5th annual ACDIS conference, to be held May 10-11, 2012 at the Manchester Grand Hyatt in San...
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CDI Strategies, Issue 1, January 5, 2012
Q:A physician admitted a patient with pneumonia, which was the first diagnosis. The second...
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CDI Strategies, Issue 1, January 5, 2012
If you are a physician advisor, or a CDI department manager looking to add or get the most out of a...
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CDI Strategies, Issue 1, January 5, 2012
The January 2012 CDI Journal has been posted on the ACDIS web site. This edition includes two...
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CDI Strategies, Issue 1, January 5, 2012
There have been a number of additions to the Forms & Tools Library thanks to the donations and...
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CDI Strategies, Issue 27, December 22, 2011
Most of the cases that HIM professionals code are straightforward; some are more difficult, and a...
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CDI Strategies, Issue 27, December 22, 2011
The American Hospital Association (AHA) has not made any formal decisions regarding when it will...
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CDI Strategies, Issue 27, December 22, 2011
The 5th annual ACDIS conference, to be held May 10-11, 2012 at the Manchester Grand Hyatt in San...
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CDI Strategies, Issue 27, December 22, 2011
Effective December 15, Trailblazer Health Enterprises, LLC, began prepay service-specific medical...
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CDI Strategies, Issue 27, December 22, 2011
On December 7, CMS published a final rule in the Federal Register that will give qualified...
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CDI Strategies, Issue 27, December 22, 2011
Q:Does documentation such as “suggestive of” or “suspicious of” qualify as...
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CDI Strategies, Issue 26, December 8, 2011
Hospitals reported syncope and collapse (MS-DRG 312) as the top MS-DRG with respect to financial...
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CDI Strategies, Issue 26, December 8, 2011
Are you planning to take the CCDS exam? If so, please note that we have made some revisions to the...
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CDI Strategies, Issue 26, December 8, 2011
Uninsured patients spend less time in the hospital than insured patients, while Medicare patients...
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CDI Strategies, Issue 26, December 8, 2011
By Jennifer Avery, CCS, CPC, CPC-H, CPC-I
Late effects are considered to be the residual effects...
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CDI Strategies, Issue 26, December 8, 2011
Minnesota
The next meeting of the Minnesota group will be a 3M sponsored event Friday, Dec. 16, 8...
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JustCoding News: Inpatient, Issue 49, December 7, 2011
Clinical documentation plays a vital role in all coding. It is especially important, however, when...
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JustCoding News: Inpatient, Issue 49, December 7, 2011
As the weather cools, the heat is on coders to properly report the high number of pneumonia cases...
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JustCoding News: Inpatient, Issue 49, December 7, 2011
Coders should not underestimate the vital role they play in their organization’s efforts to...
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HIM-HIPAA Insider, Issue 49, December 6, 2011
Q: How should we code arthroscopic patellofemoral resurfacing? Some physicians want to code this as...
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CDI Strategies, Issue 25, December 1, 2011
Invest in computer-assisted coding (CAC) now because of its potential positive impact on...
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CDI Strategies, Issue 25, December 1, 2011
Q:Should present-on-admission (POA) queries stay in the record and become a part of the permanent...
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CDI Strategies, Issue 25, December 1, 2011
The ACDIS Blog offers CDI specialists yet another forum to learn about CDI-related news and...
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CDI Strategies, Issue 25, December 1, 2011
Starting in January 2012, facilities could see pre-payment reviews from auditors involved in a new...
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CDI Strategies, Issue 24, November 10, 2011
A final reminder to our ACDIS membership that our next quarterly conference will take place next...
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CDI Strategies, Issue 24, November 10, 2011
The auditing arm of the Department of Health and Human Services (HHS) plans to crack down on...
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CDI Strategies, Issue 24, November 10, 2011
CMS will host a National Provider Call on Thursday, November 17, 1:30-3 p.m. (ET) regarding ICD-10...
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CDI Strategies, Issue 24, November 10, 2011
On November 1, CMS issued its Medicare Physician Fee Schedule (MPFS) for calendar year 2012. In it...
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CDI Strategies, Issue 24, November 10, 2011
On October 20, CMS released its long-awaited final rule governing accountable care organizations...
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CDI Strategies, Issue 24, November 10, 2011
Coders and CDI specialists need to understand the implications coding and sequencing may have on...
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CDI Strategies, Issue 24, November 10, 2011
Q:Can a patient have encephalopathy after a surgery? For example, a patient post surgery...
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CDI Strategies, Issue 24, November 10, 2011
Thanks to the hard work of a volunteer conference committee, the 2012 ACDIS annual conference...
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CDI Strategies, Issue 24, November 10, 2011
The nomination period for the ACDIS Advisory Board is open through November 25, 2011. ACDIS is...
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HIM-HIPAA Insider, Issue 45, November 8, 2011
Q: One of our podiatrists documents “surgical debridement of devitalized tissue with...
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CDI Strategies, Issue 23, October 27, 2011
Since Emory Healthcare Inc., is a teaching hospital, Bonnie I. Epps, MN, RN, manager of its CDI...
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CDI Strategies, Issue 23, October 27, 2011
Q: I am unsure how “ribs” are categorized in ICD-10. I don’t understand if taking...
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CDI Strategies, Issue 23, October 27, 2011
We are currently seeking four new ACDIS members to join our advisory board in 2012. ACDIS advisors...
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CDI Strategies, Issue 23, October 27, 2011
The next ACDIS membership quarterly conference call is scheduled for Thursday, November 17, from...
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CDI Strategies, Issue 23, October 27, 2011
Patients cared for in facilities which HealthGrades deems as five-star have 73% less risk of dying...
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CDI Strategies, Issue 23, October 27, 2011
CMS recently updated its Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1...
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CDI Strategies, Issue 23, October 27, 2011
The Department of Health and Human Services and the Department of Defense accused Baltimore-based...
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HIM-HIPAA Insider, Issue 42, October 18, 2011
In the November issue of MRB, you’ll find articles on the following topics!
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CDI Strategies, Issue 22, October 13, 2011
We’re in the final stages of choosing speakers and sessions for the 5th Annual ACDIS National...
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CDI Strategies, Issue 22, October 13, 2011
The October edition of the CDI Journal has been posted. This issue includes:
ACDIS Director...
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CDI Strategies, Issue 22, October 13, 2011
By Jennifer Avery, CCS, CPC, CPC-H, CPC-I
As an AHIMA ICD-10 certified trainer, I have been doing...
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CDI Strategies, Issue 22, October 13, 2011
Based on overall satisfaction, CMS contractors received a mean score of 3.77 out of a maximum...
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CDI Strategies, Issue 20, September 29, 2011
The 83rd AHIMA Convention and Exhibit takes place in a few days and ACDIS is proud to support the...
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CDI Strategies, Issue 20, September 29, 2011
Thanks to all the CDI and related healthcare professionals who helped make the first annual CDI...
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CDI Strategies, Issue 20, September 29, 2011
On September 14, CMS released its Medicaid recovery audit contractor (RAC) final rule, which sets...
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CDI Strategies, Issue 20, September 29, 2011
Documentation improvement staff often struggle with principal diagnosis selection. A clear...
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CDI Strategies, Issue 20, September 29, 2011
The quarterly reports issued by the Program for Evaluating Payment Patterns Electronic Report...
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CDI Strategies, Issue 20, September 29, 2011
Q: How should I query for systemic inflammatory response syndrome (SIRS) if SIRS codes...
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HIM-HIPAA Insider, Issue 38, September 20, 2011
The first ever Clinical Documentation Improvement Week is being held this week, Sept. 18–24...
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CDI Strategies, Issue 18, September 15, 2011
Well, we’re almost here at Clinical Documentation Improvement Week, which begins this Sunday...
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CDI Strategies, Issue 18, September 15, 2011
ACDIS members can read about the highlights from this year’s conference, learn about the CDI...
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CDI Strategies, Issue 18, September 15, 2011
The deadline to submit speaker applications for the 5th annual ACDIS conference (May 10-11, 2012...
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CDI Strategies, Issue 18, September 15, 2011
CMS updated its Recovery Audit Contractor Statement of Work (SOW), according to an article in AHA...
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CDI Strategies, Issue 18, September 15, 2011
Being described as "worse" in a CMS HospitalCompare data file is a dubious...
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CDI Strategies, Issue 18, September 15, 2011
If you’re looking for an easy, inexpensive way to celebrate the first annual Clinical...
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CDI Strategies, Issue 18, September 15, 2011
Q: Some of our physicians are uncomfortable making addendums to the discharge summary to include...
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CDI Strategies, Issue 18, September 2, 2011
To make up a gap in expected overpayment collections Recovery Audit Contractors may escalate audit...
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CDI Strategies, Issue 18, September 2, 2011
“CMS faces challenges incorporating resource use and quality measures for physician feedback...
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CDI Strategies, Issue 18, September 2, 2011
AHIMA secured a “prestigious” role in the ongoing development of electronic healthcare...
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CDI Strategies, Issue 18, September 2, 2011
In less than a month ACDIS kicks off the first ever Clinical Documentation Improvement Week...
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CDI Strategies, Issue 18, September 2, 2011
Trying to convince physicians that good documentation has “something in it for them” is...
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CDI Strategies, Issue 18, September 2, 2011
$8.9 million. That is the amount Kentucky-based Baptist Healthcare Systems, Inc., had to pay as of...
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CDI Strategies, Issue 18, September 2, 2011
Out of 88 claims for MS-DRG 246 (percutaneous cardiovascular procedure with drug-eluting stent with...
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HIM-HIPAA Insider, Issue 35, August 30, 2011
As coders sharpen their knowledge of anatomy and physiology and hone their ICD-10-CM/PCS skills...
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CDI Strategies, Issue 17, August 18, 2011
Conference call
The next quarterly conference call for ACDIS members is scheduled for Thursday...
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CDI Strategies, Issue 17, August 18, 2011
The ACDIS e-learning library allows members the ability to keep up to date on the latest issues and...
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CDI Strategies, Issue 17, August 18, 2011
In January facilities should expect to receive Recovery Audit Contractors (RAC) demand letters not...
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CDI Strategies, Issue 17, August 18, 2011
CMS recently updated Hospital Compare web site data for 30-day mortality rates and 30-day...
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CDI Strategies, Issue 17, August 18, 2011
It started with two courageous coders who knew the query process where they worked at Johns Hopkins...
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CDI Strategies, Issue 17, August 18, 2011
By Linda Renee Brown, RN, CCRN, CCDS, MA
One of the most confusing diagnoses to code and sequence...
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CDI Strategies, Issue 17, August 18, 2011
Q: Should queries from different departments be treated and stored differently? Should they be...
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HIM-HIPAA Insider, Issue 33, August 16, 2011
It started with two courageous coders who knew the query process at Johns Hopkins Bayview Medical...
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CDI Strategies, Issue 16, August 4, 2011
Much discussion has been held of late regarding the creation of Accountable Care Organizations...
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CDI Strategies, Issue 16, August 4, 2011
Healthcare providers in the A/B MAC jurisdiction 1 have a problem—a paid claims error rate...
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CDI Strategies, Issue 16, August 4, 2011
Q: I am having trouble grasping the concept of “marrying” DRGs. Can you explain what...
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CDI Strategies, Issue 16, August 4, 2011
The next quarterly conference call for ACDIS members is scheduled for Thursday, August 18, from 1-2...
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CDI Strategies, Issue 16, August 4, 2011
JA Thomas expanded its CDI offerings to include the ED and other points of entry roughly two years...
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CDI Strategies, Issue 16, August 4, 2011
We are currently seeking speakers to present at the 2012 ACDIS fifth Annual Conference, to be held...
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CDI Strategies, Issue 16, August 4, 2011
CMS released the Inpatient Prospective Payment System (IPPS) Final Rule, Monday, Aug. 1, reducing a...
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CDI Strategies, Issue 16, August 4, 2011
CMS recently released its July edition of the Medicare Quarterly Provider Compliance Newsletter but...
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CDI Strategies, Issue 15, July 21, 2011
Q: Recently I have discussed the BMI and malnutrition status on patients with our Registered...
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CDI Strategies, Issue 15, July 21, 2011
The latest group of recipients of the CCDS credential met the requirements for the CCDS...
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CDI Strategies, Issue 15, July 21, 2011
ACDIS is sponsoring the industry’s first Clinical Documentation Improvement Week on Sept...
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CDI Strategies, Issue 15, July 21, 2011
RACs can easily data-mine for noncompliance related to coding for ventilator support, says Glenn...
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CDI Strategies, Issue 15, July 21, 2011
ICD-10-PCS codes include one digit for the root operation that the provider performs. The root...
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CDI Strategies, Issue 15, July 21, 2011
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. This...
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CDI Strategies, Issue 14, July 7, 2011
CDI Journal is a quarterly publication featuring in-depth articles regarding current...
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CDI Strategies, Issue 14, July 7, 2011
Inpatient hospital claims submitted to Medicare contain “a significant amount” of...
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CDI Strategies, Issue 14, July 7, 2011
Evaluation and Management (E/M) services accounted for $28 billion in Part B payments nationally...
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CDI Strategies, Issue 14, July 7, 2011
Many cases exist in which CDI specialists need to query physicians to clarify the use of the term...
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CDI Strategies, Issue 14, July 7, 2011
I previously started a conversation on CDI Talk entitled “Failed Programs,” hoping...
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CDI Strategies, Issue 14, July 7, 2011
Q: I have been trying to determine whether a skin graft includes debridement. Based on what I...
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CDI Strategies, Issue 0, June 24, 2011
Date of Request: June 24, 2011
Job Title: SR. SPECIALIST, CLINICAL DOCUMENTATION IMPROVEMENT
Name...
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CDI Strategies, Issue 13, June 23, 2011
ACDIS is pleased to announce the availability of continuing education (CE) credits linked to its...
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CDI Strategies, Issue 13, June 23, 2011
ACDIS submitted comments to CMS regarding recent updates to the ICD-9-CM codes not included in the...
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CDI Strategies, Issue 13, June 23, 2011
In 2002 the National Quality Forum (NQF) created its report Serious Reportable Events in...
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CDI Strategies, Issue 13, June 23, 2011
J.A. Thomas and Associates (JATA) says nearly a quarter of healthcare facilities are not...
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CDI Strategies, Issue 13, June 23, 2011
While the bulk of discussion regarding how to ethically and responsibly submit queries to...
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CDI Strategies, Issue 13, June 23, 2011
Q: Is there are industry standard for physician query response rate expectations? Our...
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HIM-HIPAA Insider, Issue 24, June 14, 2011
CMS has released its fiscal year (FY) 2012 IPPS proposed rule, and coders need to note various...
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CDI Strategies, Issue 12, June 9, 2011
Note: Due to a large volume of applications received, the application period is now closed.
Our...
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CDI Strategies, Issue 12, June 9, 2011
CMS released a new proposed rule on June 3 which aims to “give consumers and employers better...
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CDI Strategies, Issue 12, June 9, 2011
More than 300 ACDIS members dialed into the Quarterly Conference Call on Thursday, May 26 to learn...
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CDI Strategies, Issue 12, June 9, 2011
Provider-preventable conditions (PPC), including health care-acquired conditions (HCAC), are now...
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CDI Strategies, Issue 12, June 9, 2011
CMS published the 2012 Inpatient Prospective Payment System (IPPS) proposed rule May 5 in the...
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CDI Strategies, Issue 12, June 9, 2011
On Thursday, May 26, the Department of Health and Human Services (HHS) announced its plans to...
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CDI Strategies, Issue 12, June 9, 2011
Q: With all the auditing going on I would like to find out how effects CDI programs in other...
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HIM-HIPAA Insider, Issue 23, June 7, 2011
Coders should be mindful of the words they choose when drafting physician queries. Certain...
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CDI Strategies, Issue 11, May 26, 2011
New job postings http://www.hcpro.com/acdis/jobs.cfm
New forms and tools (see Physician...
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CDI Strategies, Issue 11, May 26, 2011
2024. Thirteen years. That’s how long Medicare’s trust fund is expected to last...
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CDI Strategies, Issue 11, May 26, 2011
“Publicly marketed hospital rating systems of surgical quality such as the US News &...
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CDI Strategies, Issue 11, May 26, 2011
Recovery Audit Contractors (RAC) reported doubled its recovery amounts since last...
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CDI Strategies, Issue 11, May 26, 2011
Legible. Complete. Dated, timed, signed, and authenticated. That's what section 482.24 of the...
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CDI Strategies, Issue 11, May 26, 2011
Q:: What does ‘pre-bill retrospective physician query process’ mean?
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CDI Strategies, Issue 10, May 12, 2011
It seems to be hard to believe, but we’re approaching the two-year anniversary of the launch...
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CDI Strategies, Issue 10, May 12, 2011
What kind of return can your CDI program guarantee in terms of RAC preparedness? That’s the...
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CDI Strategies, Issue 10, May 12, 2011
A mandate of the Affordable Care Act, CMS’ value-based purchasing (VBP) program will begin in...
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CDI Strategies, Issue 10, May 12, 2011
Nearly 500 healthcare quality professionals indicated that staffing shortages could be the biggest...
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CDI Strategies, Issue 10, May 12, 2011
Improper coding of MS-DRG 813 (coagulation disorders), reporting an extensive operating room...
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CDI Strategies, Issue 10, May 12, 2011
Hospitals can start experimenting with how new ICD-10-CM/PCS codes will translate to MS-DRGs since...
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CDI Strategies, Issue 10, May 12, 2011
Q:I’ve heard different opinions between the coders and some of our CDI consultants regarding...
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CDI Strategies, Issue 9, April 28, 2011
The 2010 CDI Specialist’s Salary Survey and the 2010 Physician Queries Benchmarking Report...
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CDI Strategies, Issue 9, April 28, 2011
CMS expects a year-over-year reduction of 0.5% in payments to acute care hospitals under the...
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CDI Strategies, Issue 9, April 28, 2011
In response to President Barack Obama’s January 18 executive order aimed at reducing federal...
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CDI Strategies, Issue 9, April 28, 2011
By Donald A. Butler, RN, BSN
The more I learn about ICD-10, the more worried I get. At this...
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CDI Strategies, Issue 9, April 28, 2011
Q: What is the recommended ratio for CDI professionals regarding the number of patients and...
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HIM-HIPAA Insider, Issue 16, April 19, 2011
The Association of Clinical Documentation Improvement Specialists (ACDIS) submitted comments March...
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CDI Strategies, Issue 8, April 14, 2011
Last week more than 700 CDI professionals attended the 4th Annual ACDIS Conference at the Hilton...
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CDI Strategies, Issue 8, April 14, 2011
The April edition of the CDI Journal was posted last week, and is available to ACDIS members for...
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CDI Strategies, Issue 8, April 14, 2011
Hospital acquired conditions (HAC): The phrase seems simple enough to understand. These are...
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CDI Strategies, Issue 8, April 14, 2011
The Centers for Disease Control (CDC) in March posted new 2011 guidelines for ICD-10-CM. There are...
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CDI Strategies, Issue 8, April 14, 2011
Legible. Complete. Dated, timed, signed, and authenticated. That's what section 482.24 of the...
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CDI Strategies, Issue 8, April 14, 2011
Q: What does ‘pre-bill retrospective physician query process’ mean?
A:A pre-bill...
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HIM-HIPAA Insider, Issue 14, April 5, 2011
Physician queries are a predictable part of any coder's job. Coders may pose hundreds—even...
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CDI Strategies, Issue 7, March 31, 2011
Members of the Association of Clinical Documentation Improvement Specialists (ACDIS) advisory board...
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CDI Strategies, Issue 7, March 31, 2011
We are very excited about the Fourth Annual ACDIS Conference next week (April 7-8, Orlando FL) and...
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CDI Strategies, Issue 7, March 31, 2011
By Vickie Balistreri, BA, RHIA, CCS, CCS-P, CCDS, CPC, CPC-H
“Tell me and I’ll...
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CDI Strategies, Issue 6, March 17, 2011
A patient’s medical record could include a laundry list of diagnoses, but not all of these...
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CDI Strategies, Issue 6, March 17, 2011
Q:I know that in an inpatient setting coders are allowed to use suspected diagnosis when a...
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CDI Strategies, Issue 6, March 17, 2011
by Steven Robinson, MS, PA-O, RN, CPUR
What are the most important factors that measure success...
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CDI Strategies, Issue 5, March 3, 2011
Nearly 550 CDI professionals have registered to attend the 4th Annual ACDIS Conference in Orlando...
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CDI Strategies, Issue 5, March 3, 2011
A number of ACDIS members will be eligible for Certified Clinical Documentation Specialist...
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CDI Strategies, Issue 5, March 3, 2011
By Glenn Krauss, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI
The Fourth Quarter PEPPER reports...
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CDI Strategies, Issue 5, March 3, 2011
The Department of Health and Human Services (HHS) called it the largest healthcare fraud sting in...
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CDI Strategies, Issue 5, March 3, 2011
If the data is true, the population of a couple of concentrated areas in California suffer from...
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CDI Strategies, Issue 5, March 3, 2011
Q: AHIMA’s 2008 practice brief, “Managing an Effective Query Process,” appears to...
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CDI Strategies, Issue 5, March 3, 2011
by Steven Robinson, MS, PA-O, RN, CPUR
What are the most important factors that measure success...
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CDI Strategies, Issue 4, February 17, 2011
ACDIS conducts a new poll of its members nearly every week. Members can submit their responses and...
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CDI Strategies, Issue 4, February 17, 2011
by Steven Robinson, MS, PA-O, RN, CPUR
What are the most important factors that measure success...
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CDI Strategies, Issue 4, February 17, 2011
Q:
Since Acute Renal Failure (ARF) is no longer a MCC (as of October 1, 2010). I would like...
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CDI Strategies, Issue 4, February 17, 2011
The RACs have ramped up medical necessity reviews. Determining the medical necessity of an...
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CDI Strategies, Issue 4, February 17, 2011
CMS released a number of helpful ICD-10 items recently including:
The written transcript and...
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CDI Strategies, Issue 4, February 17, 2011
A recent special edition MedLearn Matters article SE1028 outlines four risk areas targeted by the...
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CDI Strategies, Issue 4, February 17, 2011
The next quarterly conference call for ACDIS members will be held on Thursday, February 24, 1-2...
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CDI Strategies, Issue 3, February 3, 2011
ACDIS is pleased to announce the election of four new advisory board members, terms of service...
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CDI Strategies, Issue 3, February 3, 2011
A number of new tools and presentations have been posted to the ACDIS Forms & Tools Library...
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CDI Strategies, Issue 3, February 3, 2011
Despite the guidance CMS offers about proper inpatient admission decisions, hospitals still...
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CDI Strategies, Issue 3, February 3, 2011
As announced in the January 20 issue of CDI Strategies, CMS issued a proposed rule to establish a...
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CDI Strategies, Issue 3, February 3, 2011
In a recent National Health Expenditure Accounts (NHEA) report, the group indicated that U.S...
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CDI Strategies, Issue 3, February 3, 2011
Q: Our small hospital has decided at this time that they no longer need the services of a Physician...
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CDI Strategies, Issue 3, February 3, 2011
by Steven Robinson, MS, PA-O, RN, CPUR
What are the most important factors that measure success...
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Briefings on Coding Compliance Strategies, Issue 2, February 1, 2011
Learn about reporting secondary diagnoses, assigning the POA indicator, ICD-10 procedure...
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CDI Strategies, Issue 2, January 20, 2011
The January 2011 edition of the CDI Journal is available for ACDIS members on the association...
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CDI Strategies, Issue 2, January 20, 2011
At the start of the New Year, CMS released an enhanced Physician Compare site which “begins...
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CDI Strategies, Issue 2, January 20, 2011
by Steven Robinson, MS, PA-O, RN, CPUR
What are the most important factors that measure success...
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CDI Strategies, Issue 1, January 6, 2011
Hurry; early bird discount expires on Feb. 4
Although we’re all getting back from the...
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CDI Strategies, Issue 1, January 6, 2011
In 2008, a total of 132 individuals completed ACDIS’ CDI specialists’ salary survey. In...
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CDI Strategies, Issue 1, January 6, 2011
The transition from ICD-9-CM Volume 3 procedure codes to ICD-10-PCS will be by all accounts a...
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CDI Strategies, Issue 1, January 6, 2011
CMS detailed seven shortcomings, including old and inadequate policies and procedures, in its 2009...
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CDI Strategies, Issue 1, January 6, 2011
According to the 2010 Physician Query Benchmarking Report (to be released later this month) 54% of...
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CDI Strategies, Issue 1, January 6, 2011
Q: How should providers prepare for Medicaid RACs?
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CDI Strategies, Issue 1, January 6, 2011
by Steven Robinson, MS, PA-O, RN, CPUR
The DRG system, implemented nationally in 1983, was...
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HIM-HIPAA Insider, Issue 51, December 28, 2010
As the Patient Protection and Affordable Care Act implementation progresses, the quality and...
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CDI Strategies, Issue 26, December 23, 2010
The nomination period for the 2011 CDI Professional of the Year award is open through January...
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CDI Strategies, Issue 26, December 23, 2010
In 2008, a total of 132 individuals completed ACDIS’ CDI specialists’ salary survey. In...
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CDI Strategies, Issue 26, December 23, 2010
The Medicare Learning Network released three fact sheets of interest to CDI staff:
The...
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CDI Strategies, Issue 26, December 23, 2010
The RAC program was fully under way in 2010, and providers continue to struggle with it as the year...
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CDI Strategies, Issue 26, December 23, 2010
The Hospital Compare website, updated on Dec. 11, contains three new inpatient measures. These...
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CDI Strategies, Issue 26, December 23, 2010
by Donald A. Butler, RN, CCDS
One analysis I particularly like is a metric I refer to as chart...
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CDI Strategies, Issue 26, December 23, 2010
by Steven Robinson, MS, PA-O, RN, CPUR
The DRG system, implemented nationally in...
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CDI Strategies, Issue 25, December 9, 2010
The National Quality Forum (NQF) published a draft report updating the NQF-endorsed Serious...
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CDI Strategies, Issue 25, December 9, 2010
The Medicare Payment Advisory Commission (MedPAC) considered a draft recommendation from its chair...
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CDI Strategies, Issue 25, December 9, 2010
The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal...
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CDI Strategies, Issue 25, December 9, 2010
CMS sought comments from healthcare providers regarding proposed implementation of accountable care...
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CDI Strategies, Issue 25, December 9, 2010
The Commission on Certification for Health Informatics and Information Management (CCHIIM) recently...
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CDI Strategies, Issue 25, December 9, 2010
Editor’s note: ACDIS recently published Coding Clinic update, a review of the most recent...
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CDI Strategies, Issue 25, December 9, 2010
by Steven Robinson, MS, PA-O, RN, CPUR
The DRG system, implemented nationally in 1983, was...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2010
Learn about the OIG work plan, acute kidney injursy, acute kidney failure, documentation and DNFB...
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CDI Strategies, Issue 24, November 24, 2010
CMS has modified the additional documentation request (ADR) limits (i.e., medical record request...
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CDI Strategies, Issue 24, November 24, 2010
A recent ACDIS poll asked “which type of professional comprises the majority of your CDI...
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CDI Strategies, Issue 23, November 11, 2010
ACDIS Work Group members spent considerable energy creating the 2010 Physician Query Benchmarking...
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CDI Strategies, Issue 23, November 11, 2010
CMS released the long-anticipated proposed rule for Medicaid recovery audit contractors (RACs...
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CDI Strategies, Issue 23, November 11, 2010
On October 14, we reported that CMS issued a controversial MLN Matters special edition (SE) article...
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CDI Strategies, Issue 23, November 11, 2010
In the spring, AHIMA released its “Guidance for Clinical Documentation Improvement...
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CDI Strategies, Issue 23, November 11, 2010
CDI specialists need to use all the tools available in their documentation training box to...
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CDI Strategies, Issue 23, November 11, 2010
The following items have been updated on the ACDIS website:
2011 ICD-9-CM codes...
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CDI Strategies, Issue 23, November 11, 2010
by Steven Robinson, MS, PA-O, RN, CPUR
The DRG system, implemented nationally in 1983, was...
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HIM-HIPAA Insider, Issue 43, November 2, 2010
Three years. That’s how long you have to prepare for the implementation of the International...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2010
Learn about medical necessity audits, linking signs and symptoms with definitive conditions...
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CDI Strategies, Issue 22, October 28, 2010
At the September 15, 2010 ICD-9-CM Coordination & Maintenance Committee Meeting, the committee...
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CDI Strategies, Issue 22, October 28, 2010
Patients who survive sepsis infections face a long battle with cognitive and physical decline...
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CDI Strategies, Issue 22, October 28, 2010
MS-DRG 432 (cirrhosis and alcoholic hepatitis with MCC) is one of many MS-DRGs slated for RAC...
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CDI Strategies, Issue 22, October 28, 2010
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
The release of CMS Medlearn Matters articles...
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CDI Strategies, Issue 22, October 28, 2010
Q: Recently, a consultant suggested that if we asked the physician to clarify systolic/diastolic on...
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CDI Strategies, Issue 22, October 28, 2010
by Steven Robinson, MS, PA-O, RN, CPUR
The DRG system, implemented nationally in 1983, was...
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CDI Strategies, Issue 21, October 14, 2010
The latest edition of the CDI Journal published October 1 and is now posted to the ACDIS website...
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CDI Strategies, Issue 21, October 14, 2010
A recent MLN Matters article has changed the official coding guidelines to define what...
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CDI Strategies, Issue 21, October 14, 2010
Kaiser Permanente recently donated its electronic database of medical terminology to the National...
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CDI Strategies, Issue 21, October 14, 2010
When it comes to tracking CDI program data, many facilities fall back on the information provided...
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CDI Strategies, Issue 21, October 14, 2010
by Shannon McCall, RHIA, CCS, CCS-P, CPC-I, CCDS
I often wondered how the ICD-9-CM code set would...
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CDI Strategies, Issue 21, October 14, 2010
by Steven Robinson, MS, PA-O, RN, CPUR
The DRG system, implemented nationally in 1983, was the...
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CDI Strategies, Issue 20, September 30, 2010
Just because physicians may document the term excisional debridement it doesn’t mean that...
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CDI Strategies, Issue 20, September 30, 2010
Realizing that the go-live date won’t change, some facilities already have organization-wide...
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CDI Strategies, Issue 20, September 30, 2010
By Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
I recently received a fortune cookie from a...
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CDI Strategies, Issue 20, September 30, 2010
Q: Whenever we get a trauma patient, it’s either very easy to get to the multiple significant...
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CDI Strategies, Issue 20, September 30, 2010
by Steven Robinson, RN
Most physicians want to provide an accurate written picture of their...
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HIM-HIPAA Insider, Issue 38, September 28, 2010
Did you know that HCPro Revenue Cycle Institute offers free white papers on a variety of coding and...
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CDI Strategies, Issue 19, September 16, 2010
Recent approval of a RAC issue for inpatient hospital claims review has initiated uncertainty...
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CDI Strategies, Issue 19, September 16, 2010
Retaining written, templated, and verbal queries in document form is necessary to ensure CDI...
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CDI Strategies, Issue 19, September 16, 2010
Q: Our CDI specialists call the physicians when queries have not been answered. Sometimes the...
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CDI Strategies, Issue 19, September 16, 2010
by Steven Robinson, RN
Most physicians want to provide an accurate written picture of their...
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CDI Strategies, Issue 18, September 2, 2010
Nearly 300 people have already responded to the ICD-10 for Clinical Documentation Improvement...
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CDI Strategies, Issue 18, September 2, 2010
As facilities vie for government incentives to implement electronic health record systems they may...
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CDI Strategies, Issue 18, September 2, 2010
Confusing coding guidelines and insufficient documentation have made neoplasms a target area as...
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CDI Strategies, Issue 18, September 2, 2010
CMS requires that orders for healthcare services be authenticated using either a handwritten or...
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CDI Strategies, Issue 18, September 2, 2010
Q: If a CDI specialist or coder queries a physician and the response is written on the query letter...
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CDI Strategies, Issue 18, September 2, 2010
by Steven Robinson, RN
Most physicians want to provide an accurate written picture of their...
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Briefings on Coding Compliance Strategies, Issue 9, September 1, 2010
Learn about the FY 2011 IPPS final rule, the three-day payment rule, documentaiton and coding...
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CDI Strategies, Issue 17, August 19, 2010
We are currently seeking speakers to present at the 2011 ACDIS Fourth Annual Conference, to be held...
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CDI Strategies, Issue 17, August 19, 2010
The Centers for Medicare & Medicaid Services (CMS) recently approved the first “medical...
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CDI Strategies, Issue 17, August 19, 2010
When the University of Medicine and Dentistry of New Jersey (UMDNJ) hired Melanie Halpern, RN-BC...
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CDI Strategies, Issue 17, August 19, 2010
It may be too early to start intensive ICD-10-CM training for your coding and CDI team, but now is...
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CDI Strategies, Issue 17, August 19, 2010
Q: Should coders wait for the discharge summary before coding?
A: The answer is complicated...
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HIM-HIPAA Insider, Issue 32, August 17, 2010
Calculating a hospital’s case-mix index (CMI) is one way to gauge a CDI program’s...
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CDI Strategies, Issue 16, August 5, 2010
Three types of mistakes—insufficient documentation, miscoded claims, and medically...
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CDI Strategies, Issue 16, August 5, 2010
In response to a 30-question survey, 482 CDI professionals provided data about the number of staff...
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CDI Strategies, Issue 16, August 5, 2010
It’s not enough to know whether heart failure is systolic or diastolic. Congestive heart...
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CDI Strategies, Issue 16, August 5, 2010
Q: What should physicians know now about the level of specificity they’ll be required to...
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CDI Strategies, Issue 16, August 5, 2010
by Steven Robinson, RN
Most physicians want to provide an accurate written picture of their...
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CDI Strategies, Issue 16, August 5, 2010
On July 30, CMS issued the inpatient prospective payment system (IPPS) final rule to update...
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Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010
You’ve started a clinical documentation improvement (CDI) program and collected data...
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Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010
Learn about avoidable V code traps, why you shouldn't bypass coding rules for more money, why...
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CDI Strategies, Issue 15, July 22, 2010
There may be hope for hospitals carefully watching the proposed IPPS rule, praying for some...
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CDI Strategies, Issue 15, July 22, 2010
A special edition MLN Matters article released last week points to two common reasons for RAC...
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CDI Strategies, Issue 15, July 22, 2010
Assessment of clinical measures associated with end-of-life treatment could actually improve care...
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CDI Strategies, Issue 14, July 8, 2010
All told there were more than 500 CDI professionals in attendance at the 2010 ACDIS National...
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CDI Strategies, Issue 14, July 8, 2010
CMS released MLN Matters Special Edition Article #SE1019 to provide updated information about the...
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CDI Strategies, Issue 14, July 8, 2010
Congestive heart failure (CHF) is one example of a condition for which coders and CDI specialists...
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CDI Strategies, Issue 14, July 8, 2010
by Steven Robinson, RN
Most physicians want to provide an accurate written picture of...
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HIM-HIPAA Insider, Issue 26, July 6, 2010
Congestive heart failure (CHF) is one example of a condition for which coders and clinical...
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Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010
Learn whether coders should delay sending a claim because of a missing discharge summary.
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CDI Strategies, Issue 13, June 24, 2010
The new, revised, and deleted ICD-9-CM codes, effective October 1, 2010, are now out. You can find...
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CDI Strategies, Issue 13, June 24, 2010
Q:I have a question about the discharge summary. When a physician documents a firm diagnosis (not...
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CDI Strategies, Issue 13, June 24, 2010
Despite some misconceptions to the contrary, a coder may report angina, unstable (411.1) if a...
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CDI Strategies, Issue 13, June 24, 2010
Q: Do you know of any recommended benchmarks or targets we should be hitting? For example...
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CDI Strategies, Issue 13, June 24, 2010
Current estimates indicate that more than 60% of all acute care hospitals have a CDI program in...
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CDI Strategies, Issue 12, June 10, 2010
Dear ACDIS members,
I want to remind you that comments to CMS on the FY 2011 IPPS proposed rule...
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CDI Strategies, Issue 12, June 10, 2010
by Steven Robinson, RN
Current estimates indicate that more than 60% of all acute care hospitals...
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CDI Strategies, Issue 12, June 10, 2010
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) includes a wealth of...
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CDI Strategies, Issue 12, June 10, 2010
Nine hospitals in seven states will pay the United States more than $9.4 million combined to...
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CDI Strategies, Issue 12, June 10, 2010
by Melissa Varnavas, CPC, ACDIS associate director
In the fall of 2009 Leah Taylor, RN, CCDS, and...
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CDI Strategies, Issue 12, June 10, 2010
Many CDI professionals diligently perform the day-to-day tasks of documentation improvement. And...
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CDI Strategies, Issue 11, May 27, 2010
Next week more than 500 CDI specialists from around the country will meet at the Hyatt Regency in...
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CDI Strategies, Issue 11, May 27, 2010
The ACDIS CDI Work Group is pleased to present the results of its first CDI staffing survey. The...
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CDI Strategies, Issue 11, May 27, 2010
In April, CMS held an ICD-10 conference for software vendors, billing services, and clearinghouses...
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CDI Strategies, Issue 11, May 27, 2010
Q: Payers have been pushing back when a diagnosis appears in the discharge summary and not in the...
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CDI Strategies, Issue 11, May 27, 2010
by Steven Robinson, RN
Current estimates indicate that more than 60% of all acute care hospitals...
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CDI Strategies, Issue 10, May 13, 2010
Shortly after releasing its Clinical Documentation Improvement Toolkit in April, the American...
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CDI Strategies, Issue 10, May 13, 2010
CMS has been holding a number of open forum calls regarding its Recovery Audit Contractor (RAC...
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CDI Strategies, Issue 10, May 13, 2010
Effective January 1, 2011, CMS will start to accept up to 25 codes for secondary diagnoses. The...
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CDI Strategies, Issue 10, May 13, 2010
CDI specialists are getting too tied up with the minutiae of ICD-9-CM coding and DRG optimization...
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HIM-HIPAA Insider, Issue 18, May 11, 2010
On April 29, AHIMA issued a practice brief, “Guidance for Clinical Documentation Improvement...
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HIM-HIPAA Insider, Issue 17, May 4, 2010
Q. What should HIM staff members communicate to physicians now about the level of specificity...
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CDI Strategies, Issue 9, April 29, 2010
CMS released its fiscal year (FY) 2011 Inpatient Prospective Payment System (IPPS) proposed rule on...
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CDI Strategies, Issue 9, April 29, 2010
The American Health Information Management Association (AHIMA) published its Clinical Documentation...
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CDI Strategies, Issue 9, April 29, 2010
Despite the inclination of many hospital administrators to mechanize documentation and abstraction...
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CDI Strategies, Issue 9, April 29, 2010
Q: Our CDI specialists tend to ask questions that provide the physician with multiple options to...
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HIM-HIPAA Insider, Issue 15, April 20, 2010
Divisions between HIM and clinical documentation improvement (CDI) staff members are common. But in...
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CDI Strategies, Issue 8, April 15, 2010
News: Studies, anecdotal evidence cite burden of documentation as detriment to patient care
Recent...
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CDI Strategies, Issue 8, April 15, 2010
The Government Accountability Office (GAO) offered mixed reviews of CMS’ handling of the...
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CDI Strategies, Issue 8, April 15, 2010
Effective January 1, 2011, CMS is expanding the number of ICD-9 diagnosis and procedure codes...
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CDI Strategies, Issue 8, April 15, 2010
So you’ve made it through the rigors of the initial CDI implementation stage. Now it’s...
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CDI Strategies, Issue 8, April 15, 2010
by Steven Robinson, RN
Current estimates indicate that more than 60% of all acute care hospitals...
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HIM Briefings, Issue 4, April 1, 2010
Divisions between HIM and clinical documentation improvement (CDI) staff members are common. But in...
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HIM Briefings, Issue 4, April 1, 2010
This month's issue includes an article on HIMs role in surviving recovery audit contractor (RAC...
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CDI Strategies, Issue 7, April 1, 2010
A CDI Work Group run by the American Health Information Management Association (AHIMA) has been...
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CDI Strategies, Issue 7, April 1, 2010
by Robert S. Gold, MD
Too many organizations measure the effectiveness of their CDI program solely...
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CDI Strategies, Issue 7, April 1, 2010
Q: As manager of data integrity I oversee my facility’s CDI program. Can you recommend...
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CDI Strategies, Issue 6, March 18, 2010
The good news is that ACDIS has secured additional rooms at the Chicago Hyatt Regency for just $185...
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CDI Strategies, Issue 6, March 18, 2010
In 2008, the Office of Inspector General (OIG) reviewed a sample of nearly 300 Medicare...
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CDI Strategies, Issue 6, March 18, 2010
CMS will provide a a basic introduction to ICD-10-CM during its National Provider Conference Call...
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CDI Strategies, Issue 6, March 18, 2010
Although AHIMA’s October 2008 practice brief “Managing an Effective Query...
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CDI Strategies, Issue 6, March 18, 2010
For CDI specialists, the physician signature is one more critical piece of documentation to keep an...
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CDI Strategies, Issue 6, March 18, 2010
Like many CDI specialists, Janice Davis, RN, clinical documentation analyst at High Point (NC...
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HIM-HIPAA Insider, Issue 10, March 16, 2010
Divisions between HIM and clinical documentation improvement (CDI) staff members are common. But in...
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HIM-HIPAA Insider, Issue 10, March 16, 2010
In the April issue of MRB, you’ll find the following articles, and more!
EHR beat...
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CDI Strategies, Issue 5, March 4, 2010
The concept of standard operating procedures (SOP) might easily call to mind assembly lines or...
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CDI Strategies, Issue 5, March 4, 2010
Q: Do you code the procedure for tissue plasminogen activator (tPA) administration when it is done...
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CDI Strategies, Issue 5, March 4, 2010
Those who lived through the RAC demonstration project learned valuable lessons along the way...
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CDI Strategies, Issue 4, February 18, 2010
The next quarterly conference call is scheduled for Thursday, February 18, 2-3 p.m. E.S.T. ACDIS...
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CDI Strategies, Issue 4, February 18, 2010
Known primarily as a medical transcription and documentation firm, Tennessee-based Spheris was...
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CDI Strategies, Issue 4, February 18, 2010
Within the Alphabetic Index of ICD-9-CM is a Neoplasm table that assists coders in assigning...
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CDI Strategies, Issue 4, February 18, 2010
by Robert S. Gold, MD
Every so often, I come across some coding issues that recall other...
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CDI Strategies, Issue 4, February 18, 2010
ACDIS members who frequently use the CDI Talk message board already appreciate the hard work and...
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HIM-HIPAA Insider, Issue 5, February 9, 2010
As RACs begin to roll out complex reviews and request medical record documentation, compliant...
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CDI Strategies, Issue 3, February 4, 2010
In January, the Texas Health and Human Services Commission released its fiscal year 2009 annual...
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CDI Strategies, Issue 3, February 4, 2010
The nomination period for the 2010 CDI Professional of the Year award is open through March 15...
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CDI Strategies, Issue 3, February 4, 2010
The problem
According to a recent poll on the ACDIS Web site, 85% of members cope with physicians...
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CDI Strategies, Issue 3, February 4, 2010
The next quarterly conference call is scheduled for Thursday, February 18, 2-3 p.m. E.S.T. ACDIS...
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CDI Strategies, Issue 3, February 4, 2010
With approximately 30 applications up for consideration, ACDIS had a difficult time voting in four...
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CDI Strategies, Issue 2, January 21, 2010
In its January release, The Medicare Payment Advisory Commission (MedPAC) recommended Congress...
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CDI Strategies, Issue 2, January 21, 2010
Come October 2013, healthcare facilities will switch from reporting ICD-9-CM codes to the...
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CDI Strategies, Issue 2, January 21, 2010
Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first...
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CDI Strategies, Issue 2, January 21, 2010
Most organizations evaluate performance by looking at calendar year data, so set aside some time in...
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CDI Strategies, Issue 1, January 7, 2010
Dear ACDIS members,
Let me begin by saying that I want to thank you all for your...
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CDI Strategies, Issue 1, January 7, 2010
Some hospitals will start to receive Program for Evaluating Payment Patterns Electronic Reports...
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CDI Strategies, Issue 1, January 7, 2010
Effective January 1, CMS stopped paying for the CPT codes physicians use to bill consultations...
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CDI Strategies, Issue 1, January 7, 2010
Susan Borrego, MSN, RN, CCDS, and Michelle Limo, MSMIT, RN, CCDS represent the two-person team that...
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CDI Strategies, Issue 26, December 24, 2009
$3.75 million. That’s the amount California HMO Kaiser Permanente plans to pay the government...
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CDI Strategies, Issue 26, December 24, 2009
There are many schools of thought regarding which department should be in charge of a CDI...
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CDI Strategies, Issue 26, December 24, 2009
CDI administrators are constantly seeking simple solutions to educate fellow healthcare providers...
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CDI Strategies, Issue 26, December 24, 2009
Q: What are the differences between the MS-DRG and the APR-DRG systems?
A:Garri L...
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CDI Strategies, Issue 25, December 10, 2009
Facilities in 10 states could soon see medical record documentation requests for complex audits...
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CDI Strategies, Issue 25, December 10, 2009
A recently-released Comprehensive Error Rate Testing (CERT) report detailing coding/billing errors...
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CDI Strategies, Issue 25, December 10, 2009
Since physicians don’t always document pressure ulcers, carefully conduct investigations of...
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CDI Strategies, Issue 25, December 10, 2009
In an informal ACDIS poll earlier this year CDI specialists answered the question: How well do your...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2009
Inside:
New E codes require detailed documentation
OIG focuses on hot-button issues in 2010 Work...
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CDI Strategies, Issue 24, November 26, 2009
The Senate Healthcare Reform Bill includes a proposal for expanding the RAC program. Specifically...
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CDI Strategies, Issue 24, November 26, 2009
At St. Mary’s Hospital in Passaic, NJ, Melanie Halpern, RN-BC, MBA, CCDS, clinical...
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CDI Strategies, Issue 24, November 26, 2009
Q: How I should query a physician when he documents: “Acute on chronic renal insufficiency...
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CDI Strategies, Issue 24, November 26, 2009
The American Hospital Association’s Coding Clinic for ICD-9-CM contains official advice from...
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CDI Strategies, Issue 23, November 12, 2009
Health Integrity LLC, the zone four (Colorado, New Mexico, Oklahoma, and Texas) Zone Program...
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CDI Strategies, Issue 23, November 12, 2009
Implementation of ICD-10-CM/PCS remains three years away. But it is not too soon to find out more...
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CDI Strategies, Issue 23, November 12, 2009
With so much attention on healthcare reform and CMS’ shift toward paying for quality, CDI...
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CDI Strategies, Issue 23, November 12, 2009
CDI professionals across the country understand the benefit of informal, informational networking...
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CDI Strategies, Issue 23, November 12, 2009
Q: We recently heard from our process management company that after several clients have had the...
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CDI Strategies, Issue 23, November 12, 2009
Editor’s note:The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 23, November 12, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009
Inside:
Prepare for ICD-10 with anatomy/physiology education
Determine your coders’ need...
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CDI Strategies, Issue 22, October 29, 2009
CDI specialists often underestimate the importance of the dictated history and physical (H&P...
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CDI Strategies, Issue 22, October 29, 2009
Sometimes documentation mistakes caught by CDI professionals are the simple ones. Like an incorrect...
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CDI Strategies, Issue 22, October 29, 2009
Q: How has switching to a severity of illness (SOI)/ risk of mortality (ROM) system affected your...
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CDI Strategies, Issue 22, October 29, 2009
Sepsis. Severe sepsis. SIRS. Septicemia. Unfortunately, this isn’t a case of “tomato...
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CDI Strategies, Issue 22, October 29, 2009
Editor’s note:The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 22, October 29, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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CDI Strategies, Issue 21, October 15, 2009
With all the attention these days squarely on Recovery Audit Contractors (RAC), CDI specialists...
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CDI Strategies, Issue 21, October 15, 2009
Many hospitals feared a 1.9% reduction in payment for 2010, but they’ll actually see a 2.1...
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CDI Strategies, Issue 21, October 15, 2009
An HCPro Inc. poll survey posted this week asked healthcare compliance professionals if their CDI...
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Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009
Inside:
Use productivity benchmarks to set coding standards
Roller-coaster fall results in...
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CDI Strategies, Issue 20, October 1, 2009
Many CDI programs use Excel-spreadsheets to track and organize their query processes. More and...
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CDI Strategies, Issue 20, October 1, 2009
CDI specialists appreciate this issue well. Understanding some of the reasons for inappropriate...
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CDI Strategies, Issue 20, October 1, 2009
The most recent Coding Clinic, third quarter 2009, contains an entry on glioblastoma with vasogenic...
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HIM-HIPAA Insider, Issue 39, September 29, 2009
Question: A patient came into the ER with complaints of a headache and facial pain. The ER...
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HIM-HIPAA Insider, Issue 39, September 29, 2009
The present-on-admission (POA) indicator refers to conditions that are present at the time an order...
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CDI Strategies, Issue 19, September 17, 2009
While it may be familiar information for those working in the hospital payment world for years, CDI...
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CDI Strategies, Issue 19, September 17, 2009
For a program that spends $400 billion annually saving one or two million dollars seems like a...
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CDI Strategies, Issue 19, September 17, 2009
As a reminder, several new codes have been designated as complications/comorbidities (CCs) and...
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CDI Strategies, Issue 19, September 17, 2009
The sequencing of respiratory failure depends on the reason for admission. When respiratory failure...
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CDI Strategies, Issue 19, September 17, 2009
Editor’s note: The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 19, September 17, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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CDI Strategies, Issue 18, September 3, 2009
Following a targeted review of 250 claims with DRG 247, TrailBlazer, the Medicare Administrative...
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CDI Strategies, Issue 18, September 3, 2009
Editor’s Note: The following tip was excerpted from the article “Tips for problematic...
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CDI Strategies, Issue 18, September 3, 2009
Editor’s note: The following Q&A first appeared in the August 20, 2009, edition of CDI...
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CDI Strategies, Issue 18, September 3, 2009
Editor’s note: The following items have been updated on the ACDIS Web site...
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HIM-HIPAA Insider, Issue 32, August 11, 2009
By now, most coders are aware that ICD-10 will usher in expanded codes that will require additional...
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CDI Strategies, Issue 16, August 6, 2009
Concern regarding CMS’ 2010 Inpatient Prospective Payment System (IPPS) proposed rule...
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CDI Strategies, Issue 16, August 6, 2009
When creating a CDI program, you first have to determine its organizational structure. Will it live...
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CDI Strategies, Issue 16, August 6, 2009
It's important to develop a structured process of performing quality audits of your CDI staff, says...
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Briefings on Coding Compliance Strategies, Issue 8, August 1, 2009
More hospitals will likely develop clinical documentation improvement (CDI) programs as ICD-10...
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Briefings on Coding Compliance Strategies, Issue 8, August 1, 2009
Inside:
What would you do? Know your ethical obligations
Improve documentation with strong CDI...
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CDI Strategies, Issue 15, July 23, 2009
One in five Medicare beneficiaries who leave the hospital today will re-enter the hospital within a...
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CDI Strategies, Issue 15, July 23, 2009
(Editor’s note: CDI specialists may wish to provide the following tip to their physicians in...
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CDI Strategies, Issue 15, July 23, 2009
Q: When coded, will the five ICD-9 diagnosis codes which turn off if the patient expires for use in...
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CDI Strategies, Issue 15, July 23, 2009
Editor’s note: The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 15, July 23, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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CDI Strategies, Issue 14, July 9, 2009
In April the American Health Information Management Association (AHIMA) asked for volunteers to...
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CDI Strategies, Issue 14, July 9, 2009
Our facility is wondering how long to keep queries. In a previous institution in which I...
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CDI Strategies, Issue 14, July 9, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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HIM Briefings, Issue 7, July 1, 2009
This month’s expanded issue includes our 4-page quarterly insert about electronic health...
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CDI Strategies, Issue 13, June 25, 2009
Those who took the Certified Clinical Documentation Specialist (CCDS) examination in Las Vegas can...
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CDI Strategies, Issue 13, June 25, 2009
Do established CDI programs typically track mortality rates concurrently or by trending historical...
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CDI Strategies, Issue 13, June 25, 2009
Along with their daily duties of chart review, CDI specialists should consider themselves as...
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CDI Strategies, Issue 13, June 25, 2009
On the ACDIS Web site
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CDI Strategies, Issue 13, June 25, 2009
On the ACDIS Blog
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HIM-HIPAA Insider, Issue 25, June 23, 2009
On June 15, the American Hospital Association (AHA) provided comments to CMS about changes outlined...
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CDI Strategies, Issue 12, June 11, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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CDI Strategies, Issue 12, June 11, 2009
Editor’s note: The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 12, June 11, 2009
Will a Hospital Acquired Condition (HAC), when coded, still affect severity of illness (SOI)/risk...
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CDI Strategies, Issue 12, June 11, 2009
Government payers previously believed that physician queries opened opportunities for the...
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CDI Strategies, Issue 12, June 11, 2009
When dealing with difficult documentation issues such congestive heart failure (CHF) consider...
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CDI Strategies, Issue 12, June 10, 2009
Need to get your physicians onboard with your clinical documentation improvement program? Show them...
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CDI Strategies, Issue 11, May 28, 2009
Sample query note: How to construct appropriate queries for bowel disease
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CDI Strategies, Issue 11, May 28, 2009
CDI specialists who seek to alter code sequences in order to optimize CC/MCC capture and case mix...
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CDI Strategies, Issue 11, May 28, 2009
Q: Last year a cardiologist provided an educational session for our coding auditor and the...
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CDI Strategies, Issue 10, May 14, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips...
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CDI Strategies, Issue 10, May 14, 2009
Editor’s note: The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 10, May 14, 2009
Verbal queries remain a source of contention for hospitals simply because these queries are...
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CDI Strategies, Issue 10, May 14, 2009
Many reported post-operative complications may not really be complications of care at all, says...
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HIM-HIPAA Insider, Issue 18, May 4, 2009
The long-awaited fiscal year (FY) 2010 Inpatient Prospective Payment System (IPPS) proposed rule is...
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CDI Strategies, Issue 9, April 30, 2009
Editor’s note: The ACDIS Blog contains important association information as well as tips and...
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CDI Strategies, Issue 9, April 30, 2009
Editor’s note: The following items have been updated on the ACDIS Web site...
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CDI Strategies, Issue 9, April 30, 2009
CDI specialists should seek to promote the three “Rs” to improve their...
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APCs Insider, Issue 16, April 17, 2009
Everyone knows that an immense amount of teamwork is necessary for a CDI program to truly be...
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CDI Strategies, Issue 8, April 16, 2009
On the ACDIS Blog
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CDI Strategies, Issue 8, April 16, 2009
On the ACDIS Web site
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CDI Strategies, Issue 8, April 16, 2009
My facility’s policy requires us to address all queries to the attending physician...
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CDI Strategies, Issue 8, April 16, 2009
Successful CDI programs begin with the selection of competent and cohesive teams. As CDI programs...
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CDI Strategies, Issue 7, April 2, 2009
Editor’s Note: The ACDIS Blog allows us to post important association information as well as...
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CDI Strategies, Issue 7, April 2, 2009
Many physicians fail to document conditions associated with acute kidney injury (AKI) and chronic...
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CDI Strategies, Issue 7, April 2, 2009
Many CDI programs use nurses as their primary concurrent reviewers, the argument being that a...
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CDI Strategies, Issue 7, April 1, 2009
Other than explaining to the physician that we code chronic respiratory failure separately from the...
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CDI Strategies, Issue 7, April 1, 2009
It used to take up to three months to review medical records of expired patients in order to track...
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CDI Strategies, Issue 5, March 5, 2009
Consider 10 reasons for adopting an electronic query process in your CDI program
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CDI Strategies, Issue 5, March 5, 2009
ACDIS Blog: Keep up-to-date on what's going on in the association
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CDI Strategies, Issue 5, March 5, 2009
Stress synergy and collaboration to make your CDI program work
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CDI Strategies, Issue 3, February 5, 2009
Editor’s note: ACDIS members have access to tools and forms and a number of educational...
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CDI Strategies, Issue 3, February 5, 2009
Note: ACDIS appreciates receiving questions from our readers. We cannot promise to answer every...
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CDI Strategies, Issue 3, February 5, 2009
This excerpt highlights information from the white paper, “Master physician queries...
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CDI Strategies, Issue 2, January 22, 2009
From veteran programs to new CDI initiatives, CDI department managers should seek their...
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CDI Strategies, Issue 1, January 8, 2009
What’s the basic role and purpose of a physician champion/advisor in a CDI program? Do you...
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CDI Strategies, Issue 1, January 8, 2009
Consider the following techniques to improve physician education and awareness of your CDI program.
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CDI Strategies, Issue 1, January 8, 2009
Question: Part of our clinical support for determining the presence of congestive heart failure...
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CDI Strategies, Issue 1, January 8, 2009
As a reminder, ACDIS has now added Susan Calabro as a full-time member relations specialist. If you...
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HIM Briefings, Issue 1, January 1, 2009
We all do a great job in documenting our patients’ history and physical exams. We all...
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Briefings on Coding Compliance Strategies, Issue 1, January 1, 2009
Editor’s note: Last month in BCCS, we offered an overview of AHIMA’s new query brief...
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Briefings on Coding Compliance Strategies, Issue 1, January 1, 2009
Get to know your bleeds to ensure proper coding by Robert S. Gold, MD Consider the following...
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CDI Strategies, Issue 25, December 11, 2008
Where can I find documentation that says that suspected or probable diagnoses have to be in the...
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CDI Strategies, Issue 25, December 11, 2008
Since CDI professionals are on the front lines of reviewing physician documentation, they should be...
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CDI Strategies, Issue 25, December 11, 2008
Note: Bonus issue of CDI Strategies this week
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CDI Strategies, Issue 24, December 4, 2008
When a clinical condition suggests a more specific diagnosis, and a physician from a different...
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CDI Strategies, Issue 24, December 4, 2008
CMS on November 25 posted an Issues Paper on its Web site relating to its plan to transition...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
Officials answer questions during special ODF By now, one point remains clear: CMS has halted the...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
Coders and CDI specialists now have concrete guidance regarding when, how, and to whom they should...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
Since October 1, 2007, providers have been adapting to a revised hospital inpatient reimbursement...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
CMS discusses RAC expansion, ICD-10, and never events CMS hosted a Hospital & Hospital Quality...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
by Robert S. Gold, MD Applying the present-on-admission (POA) indicator to pressure ulcers is no...
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HIM-HIPAA Insider, Issue 45, November 18, 2008
Q: What present on admission (POA) indicator should we assign when a patient presents to the...
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CDI Strategies, Issue 0, November 17, 2008
The Association of Clinical Documentation Improvement Specialists (ACDIS) is currently seeking four...
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CDI Strategies, Issue 23, November 13, 2008
What present on admission (POA) indicator should we assign when a patient presents to the hospital...
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CDI Strategies, Issue 23, November 13, 2008
On October 20, the AMIA and AHIMA released Proposed Health Information Management and Informatics...
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CDI Strategies, Issue 23, November 13, 2008
CMS has delayed the Medicare Recovery Audit Contractor (RAC) permanent program and put a moratorium...
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CDI Strategies, Issue 23, November 13, 2008
A recently released white paper by the Institute for Healthcare Improvement contains some sound...
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CDI Strategies, Issue 23, November 13, 2008
ACDIS seeking new advisory board members
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008
Gastrointestinal (GI) bleed and its manifestations can be confusing without some insight into...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008
The ICD-9-CM Manual provides many helpful tools you can use to your advantage. For example, despite...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008
Most surgeons find carcinoid tumors incidentally, either during the postmortem exam when a patient...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008
Just because a physician documents a condition during the postoperative period doesn’t mean...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008
Forty percent of Medicare admission denials relate to improper one-day stays. If this statistic...
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CDI Strategies, Issue 22, October 30, 2008
The third quarter, 2008 AHA Coding Clinic for ICD-9-CM contains valuable new guidance for CDI...
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CDI Strategies, Issue 22, October 30, 2008
Are there any standards about how many records to review per day? How about staffing size?
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CDI Strategies, Issue 22, October 29, 2008
Since October 1, 2007, Medicare providers have been adapting to a revised hospital inpatient...
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CDI Strategies, Issue 21, October 16, 2008
CMS announced the new Medicare Recovery Audit Contractors (RACs) for its permanent nationwide...
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CDI Strategies, Issue 21, October 16, 2008
The CDI team at South Shore Hospital (SSH) in Weymouth, MA, has been tracking results of its...
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CDI Strategies, Issue 21, October 16, 2008
Too many CDI specialists focus strictly on DRG assignment when reviewing medical records when they...
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CDI Strategies, Issue 20, October 2, 2008
ACDIS members are looking for professional recognition, further definition of their competencies...
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CDI Strategies, Issue 20, October 2, 2008
CMS recently updated all sections of the Hospital-Acquired Conditions (HAC) and Present on...
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CDI Strategies, Issue 20, October 2, 2008
The American Health Information Management Association (AHIMA) on Sept. 29 released its...
