CDI Committee – Member ArticlesBuilding a Culture of Documentation: CDI Education in Pediatric Training Programs Admit Types Demystified: Understanding Definitions, Governance, and Their Impact On Healthcare Metrics Pneumonia Documentation Information for the Physician Advisor Risk Adjustment: A Review Expanding CDI Beyond the Inpatient Setting: Navigating Outpatient CDI Challenges and Opportunities Clarifying Confusion Around Type 2 NSTEMI Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Finalized Rule Issues for Fiscal Year (FY) 2025: CDI Highlights Outpatient Documentation Problems Addressed and Time Embracing the 2023 Hospital or Observation E/M Guidelines: A Gift to Physicians General Observations on Documentation Plus New “Encounter for Sepsis Aftercare” Code Don’t Let Denials Get to You Did the Patient Suffer an “Adverse Effect” or a “Poisoning,” and Why Does it Matter? Warding Off Clinical Validation Denials with Improved Documentation Why Pneumonia is a Common DRG Downgrade Condition If You Aspire to Be a Five-Star Organization, Focus on COLLABORATION AND ENGAGEMENT Adapting Education to the Inpatient Setting Can Physician Advisors Document Diagnoses in the Medical Record? Artificial Intelligence Documentation Prompts Must be Compliant, Too A Tool to Help Level Set Evaluation and Management (E/M) Levels of Service “Ask Dr. Remer:” Bridging the Gap Between Coders and Clinicians Lessons to Learn from OIG HCC Reviews Solutions for Long-Distance and End-of-Life Dementia Care A Tool to Help Set Evaluation and Management (E&M) Levels of Service Utilizing a Collaborative Approach to Address the Complexities of Patient Safety Indicators How Do We Code Outpatient Surgeries-Turned-Hospitalizations? Inpatient or Outpatient Surgery: Exclusive Two-Part Series Coding Clinic Raises Questions About Uncertain Behavior The Role of Clinical Documentation Integrity in the Hospital Readmissions Reduction Program as it Relates to Same-Day Acute Care Readmissions and the 3-Day Payment Window Must We Wait for the Pathology to Code a Malignancy? The Hospital Sepsis Program Core Elements 2023: A Blueprint for Sepsis Management Fixing Procedures Unrelated to Principal Diagnosis Grouping Logic in the 2024 IPPS Final Rule Why Words Really Do Matter in Medicine Revisiting COVID-19 Screening after PHE Ends Making Trauma Documentation a Little Less Traumatic Updates from ACDIS Conference Worth Sharing Using ICD-10-CM R Codes When Indicated Fighting Back Against Medicare Advantage SNF Denials Diabetes, Hyperlipidemia and Hypertension…Metabolic Syndrome check! : Diagnosing Metabolic Syndrome Fighting Back Against Medicare Advantage SNF Denials: Part II Fighting Back Against Medicare Advantage SNF Denials: Part I Training the Trainees in the Art of Clinical Documentation - Making the Case for “Catching Them Young” Why is the Capture and Clinical Documentation of Malnutrition So Important? Using an Acute ICD-10-CM Code Instead of “History of” Can Lead to OIG Peril Is it the PAs Role to Teach the Experts? Getting Your Surgeons to Document Complications Appropriately Six Steps to Prevent Readmission Denials SDoH: At the Intersection of Lifestyle and Patient Care How to Make the EHR More Effective Breaking the Silos: Role of CDI in Reporting Patient Safety Indicators (PSIs) Transcatheter Aortic Valve Replacement Reimbursement and Documentation Challenge An Introduction to Physician Advisors to the Industry Standard for Compliant Query Composition You’ll Catch Your Death of Cold? Coding Update for Acidosis Introduced ACDIS/AHIMA Practice Brief: A Gold Mine for Best Practices Are Leading Queries Prohibited by Law or Lore? Hand Me That (Occam’s) Razor, Would You? One Application of the Scientific Law of Parsimony Can Help Assure That Your Revenue Accounts for the Actual Health of Your Population Surgery Documentation Specificity Key to Proper Coding Clinical Validation: The Physician Advisor’s Role Hospital Acquired Condition 14 (HAC 14) Lessons from the Case Management Society of America (CMSA) Annual Conference Introducing Functional Quadriplegia Physician Advisors Guide to the 2023 Physician Fee Schedule Proposed Rule Understanding Why Clinical Validation Is a Process Hospital Acquired Condition 14 (HAC 14) Patient Safety Indicator 15 (PSI 15): Abdominopelvic Accidental Puncture or Laceration Rate Is Encephalopathy Making Your Head Hurt? Documentation Tips for the Physician Advisor Surgery Documentation Specificity Key to Proper Coding Can a Patient with Sepsis Be Discharged from the ED? What to do in 2022? Putting the Physician into Physician Advisor Using CDI Returning to In-Person Conferences Surviving Sepsis Campaign 2021: Updates Are In Use of Stigmatizing Language in Patient Medical Records by Healthcare Providers Clinical Documentation and Coding of Skin Injury Reviewing the 2022 Physician Fee Schedule Proposed Rule Ten Points to Improve Clinical Documentation with the ED as a Model COVID-19 and Pneumonia: Help Get the Documentation Right CDI PA Pointers June 2021 Training the Trainees in the Art of Clinical Documentation - Making the Case for “Catching Them Young” Improving Efficiency Using the EHR One Code Alone is Inadequate to Tell the COVID-19 Sequela Story We Are All One Exposure Away from Contracting COVID-19 SEP-1 and Sepsis-3 Are Not Incompatible It’s No Accident That the OIG is Going After Acute CVA New COVID-19 Codes Coming More COVID-19 Questions Answered A Novel Approach to Advance Practice Provider Documentation Engagement ICD-10 Codes for Lactic Acidosis The OIG is Coming for your Malnutrition MCCs Functional Quadriplegia: A Code for a Real Condition Racial and Ethnic Inequalities During COVID-19 Can’t Be Ignored A Question a Day will Keep the Queries Away: Acute Blood Loss Anemia Querying when a Pending COVID-19 Test Returns Results 10 Tips And Pointers for Physician Advisors About Documentation of Covid-19 COVID-19 and Long-Term Care: A Troubling Combination COVID-19 Coding Dilemma: Z20.828 and Z03.818 I’m in a New York State of Sepsis Caution: “Consensus” HCCs for the Holidays New CC and MCC Designation Technology Explained by CMS Does using SIRS to diagnose sepsis improve mortality? Complete Diagnosis Set and Patient as a Whole Expand the Role of the Physician Advisor to Break Down Silos Challenges of Educating Doctors on Documentation |