The history of CDI practice in healthcare systems goes back to 1983 when CMS implemented the MS-DRG system. It gained popularity around 2007 with expansion of risk-adjusted value-based payment and quality measures, as well as increased...Read More »
Ideally, the various members of a team each fulfill specialized roles, ones that, when operating in conjunction with everybody else, contribute to the overall end goal as defined by the group.
For most CDI departments, that end goal tends to be twofold:...Read More »
CDI and coding professionals are usually familiar with inpatient claims-based quality measures like those associated with hospital value-based purchasing, the Hospital Readmissions Reduction Program, or the Hospital-Acquired Condition (HAC)...Read More »
by Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP
Encephalopathy, a broad term used to describe any diffuse disease of the brain that alters its function or structure, presents significant challenges in CDI and coding practices. The complexity arises due...Read More »
FEATURES 5 Quality nirvana: Cosmic tips on how to achieve a five-star quality rating 10 Case study: Readmissions 15 Inpatient risk adjustment: A natural next step...Read More »
During my first year at ACDIS (almost eight years ago now—time flies!), we included a section on the CDI Week Industry Survey focused on CDI expansion into quality reviews. It wasn...Read More »
In many ways, the yogi is the perfect symbol for quality in CDI. The yogi is patient. He is slow. He focuses on the important things. He asks questions about life and death. He emphasizes—in short—quality over quantity. And, it turns out, he’s not too...Read More »
It’s no industry secret: There is a growing trend of clinical denials. In the dynamic landscape of healthcare and CDI, the physician advisor’s role has become increasingly critical in order to ensure quality care, effective utilization of...Read More »
