Once a CDI professional’s clinical skills are at an expert level, their coding expertise must follow suit.
Category: Coding Tip
As its importance was realized, CDI expanded from a single setting reimbursement focus to a quality based, multiple setting focus…
Clinical Documentation Specialists (CDSs) practice great communication skills by using their extensive experience, expertise, and share their knowledge, which by the way, includes the Two Midnight Rule.
By Dianne M. Cleveland, RHIA, CTR The United States spends almost twice the money on cancer care costs than countries in Europe.
Hierarchical Condition Categories and Risk Adjustment by David Reece, BSN, RN, CCDS, Consulting Director, Outpatient CDI Solutions, MedPartners University If you’ve been following the trends of healthcare, it seems that hierarchical condition categories (HCCs) are the buzzword in outpatient.
Standardizing Audit Feedback to Enhance the Outpatient Educational Process Lynn Thornton, RHIA, CCS MedPartners Education and Compliance Manager There is no doubt the auditing process is a valuable endeavor that helps drive correct coding, optimize reimbursement and satisfy coding compliance efforts.
How to Validate a Diagnosis of Acute Respiratory Failure The Power of the P/F Ratio One of the most important pieces of clinical evidence that assists in validating a diagnosis of acute respiratory failure is the P/F ratio.
NCCI Edit Resolution In Three Easy Steps Lynn Thornton, RHIA, CCS HIM IMEducation & Compliance Manager Are you stymied by NCCI Edits? Do you really understand the meaning of modifier indicator (1) on the NCCI Procedure to Procedure (PTP) Edit Tables? What about the edit rationales? Are you able to navigate the tables and …
How Do You Know? Tips on Medical Record Abstraction I learned early in my career there really is an answer to virtually every question for abstracting in an approved resource manual.