By Sharme Brodie, RN, CCDS
The First Quarter 2019 issue of Coding Clinic was released in late March and is rather short—just 37 pages. Because of the length, I want to spend more time than I otherwise would discussing a few covered procedures.
Lakeyshia Moore, MBA, RHIA, is the senior director of coding and reimbursement at Texas Health Resources in Arlington, Texas. She is a member of the Texas ACDIS local chapter and a member of the 2019 ACDIS Conference Committee.
FEATURES 7 EHR’s troubled path 14 Working with CAC and NLP 22 DIY outpatient tracking tools 42 Guidelines for Achieving a Compliant Query Practice—2019...Read More »
by Melissa Varnavas
I’ve written a lot about queries and the evolution of query best practices over the past 10 years, and I’ve been around long enough to remember some of the controversies regarding those best practices.
Some thought the recommendations in AHIMA’s briefs...Read More »
by Angie Curry, RN, BSN, CCDS
Achieving documentation integrity—which results in positive outcomes for everything from quality and Patient Safety Indicators (PSI) to hospital ratings and scores—means actively involving CDI specialists in organizational documentation initiatives....Read More »
Technology changes at what can seem like light speed. ACDIS released a white paper on the topic of electronic health records (EHR) in 2013, and anyone working in CDI knows that, though some things remain constant, a lot has changed since then.
The three issues that CDI professionals most...Read More »
by Jill Dressler, RN, BSN, CCDS and Sandy Frey, RHIT, CCS
CDI has many parts: documentation analysis, provider engagement, program infrastructure, and performance monitoring. One way to monitor staff’s effectiveness is to audit their query practices. This ensures CDI staff capture...Read More »
More than half of the respondents to the 2018 CDI Week Industry Survey use computer-assisted coding (CAC) and/ or natural language processing (NLP) software, and another 6% intend to implement the technology in the next year. While many of those respondents said software has improved aspects of...Read More »
