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Thursday, February 16, 2017

Note from the Instructor

Are you a critically thinking CDI?

by Laurie L. Prescott, MSN, RN, CCDS, CDIP

I spend much of my time communicating with CDI managers and directors. They work tirelessly to develop and nurture CDI departments, focusing much of their time on training new CDI staff and evaluating the experienced CDI professionals in their care in order to identify areas of education need.

Often CDI directors fight for funding to buy the newest software with the latest and greatest bells and whistles. I remember how excited I was to use the new encoder when I was a young CDI specialist. Now there’s computer assisted coding software, software that prioritizes and develops work lists, tracking software, query opportunity software, etc., etc.

This all sounds great, but I think such technology may also be a hindrance when training new staff.

 

ACDIS Picks

News: CMS extends deadlines for select inpatient clinical, HAI measure data

The submission deadline for the Hospital Inpatient Quality Reporting (IQR) Chart-Abstracted Clinical and Web-Based Perinatal Care (PC-01) Measures, as well as the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Cancer-Specific Treatment (CST) Measures, has been extended to Friday, February 24, according to CMS. This extension includes the following 2016 clinical measures:

News: CMS releases projections of national health expenditure date

The national health expenditure growth is expected to average 5.6% annually over 2016-2025, according to a report published by Health Affairs and authored by CMS’ Office of the Actuary, CMS reported. It is projected to outpace the projected growth in Gross Domestic Product (GDP) percentage points, resulting in the health share of GDP to rise from 17.8% in 2015 to 19.9% by 2025, largely due to the projected growth in medical prices.

News: Sepsis accounts for many of the 30-day unplanned readmissions

Sepsis accounts for a higher rate of unplanned readmissions than acute myocardial infarction (AMI), heart failure, pneumonia, and chronic obstructive pulmonary disease (COPD), according to a recent JAMA study which analyzed the proportion and cost of 30-day readmissions, Revenue Cycle Advisor reported. CMS uses 30-day readmission rates as a measure of quality of care and pays particular attention to AMI, heart failure, pneumonia, and COPD readmissions because they are frequent and costly.

 

Membership Update

Local Chapter Updates: Upcoming events across the country
ACDIS achievement awards deadline February 17
February Conference Call recording posted
ACDIS 2017 physician query benchmarking survey
Q&A: Coding highest level of specificity for kidney disease
 

Career Center

Post your open positions or find your next career move with the ACDIS Career Center.

 

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Product Spotlight

CDI Field Guide to Denials Prevention and Audit Defense
The world of denials prevention and audit defense is filled with a host of watchdog agencies—an alphabet soup of acronyms—to audit claims and take back funds for inappropriate submissions. Your hospital must work to protect its reimbursement, and your CDI program can help. With more than a dozen years’ experience working with CDI staff to defend claims and tighten procedures around documentation for auditor targets, author Trey La Charité, MD, FACP, SFHM, CCDS, provides step-by-step tools to help your program improve its denials prevention efforts.

Click here to learn more.

 
 

Contact Us

Linnea Archibald
Editor
ACDIS
larchibald@acdis.org

Carrie Dry
National Sales Manager
ACDIS
cdry@hcpro.com

Association for Clinical Documentation Improvement Specialists
35 Village Road, Suite 200
Middleton, MA, 01949
800-650-6787
www.acdis.org

 

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