Topic Outpatient CDI: Pacemaker Status, Sacroiliitis Office Visit: 76-year-old female, lives alone. Follow up re: Cardiology, Orthopedic (low back pain) follow up, refills needed. PMH:… Read More »Monthly CDI Scenario Discussion – October 2023
Clinical Documentation Improvement
November’s CDI Scenario covers neurogenic shock and spinal shock. A 58 year old male enters the ER after hitting his head.
October’s CDI scenario covers pneumonia and COVID-19. A 60 year old male patient presents with COVID and worsening hypoxia.
In today’s healthcare industry, the standard, simple coding process is a thing of the past. Coding patient records has become quite complex; it is imperative… Read More »Concurrent Coding – Exploring the Concept
For many years, coding audits have been commonly-employed to make their revenue cycles more efficient. Now, they’re becoming mission-critical. In a new, peer-reviewed article out… Read More »UASI in JAHIMA: “Auditing Across the Continuum”
10 Key considerations to evaluate remote CDI readiness “Will I ever have an opportunity to work from home?” It’s a question often asked by Clinical… Read More »Best Practices for Building a Remote CDI Model
Unspecified diagnosis coding continues to be a problem in the US healthcare industry. For many organizations, overuse of nonspecific diagnosis codes has resulted in reimbursement delays and, in some cases, preventable claim denials.
In the January 2018 edition of the peer-reviewed Journal of the American Health Information Management Association (JAHIMA), UASI corporate trainer Natalie Satori, MEd, RHIA, published an article that seeks to clear up some of the confusion surrounding clinical criteria, as they pertain to coding guidelines and clinical validation specifically for sepsis.