Posts Tagged ‘Clinical Documentation Improvement’
Neurogenic Shock and Spinal Shock CDI Scenario – November 2021
November’s CDI Scenario covers neurogenic shock and spinal shock. A 58 year old male enters the ER after hitting his head.
Read MorePneumonia and COVID CDI Scenario – October 2021
October’s CDI scenario covers pneumonia and COVID-19. A 60 year old male patient presents with COVID and worsening hypoxia.
Read MoreConcurrent Coding – Exploring the Concept
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 that coding professionals not only work to capture the correct DRG (diagnosis-related group) assignment, but also accurate illness severity and mortality risk, as these factors directly impact organizations’ quality-based initiatives….
Read MoreUASI in JAHIMA: “Auditing Across the Continuum”
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 this month in the Journal of the American Health Information Management Association (JAHIMA), UASI’s manager of HIM consulting Kathy DeVault and corporate educator Natalie Sartori showed how coding audits are…
Read MoreBest Practices for Building a Remote CDI Model
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 Documentation Specialists (CDS). As a CDI leader, you’ve likely heard it, most likely by some of your most experienced, productive employees and those most respected by physicians. Perhaps your initial…
Read MoreUASI in JAHIMA: “Improving Specificity in ICD-10 Diagnosis Coding”
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.
Read MoreUASI in JAHIMA: “Bridging the Gap Between Coding Guidelines and Sepsis Clinical Criteria”
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.
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