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Thursday, January 11, 2018

Note from the ACDIS Director

Outpatient query guidance released

By Brian Murphy

Outpatient CDI is a different beast than CDI performed in the inpatient hospital setting. The volume of encounters is significantly higher, as is the speed of the visit and the turnover of patients. Trying use the same processes for clarifying documentation with physicians is doomed to failure.

So, how should CDI specialists clarify documentation in this new frontier? We now have an answer.

After many months of work, ACDIS is pleased to announce the publication of “Queries in outpatient CDI: Developing a compliant, effective process.”

 

ACDIS Picks

News: Hundreds of hospitals hit annually with Medicare’s safety penalties

This year, 751 hospitals will be hit with a payment reduction from Medicare due to high rates of patient injuries.

ACDIS update: Advisory Board application period open now

The 2018 ACDIS Advisory Board application period is now open and will remain so through Monday, January 29.

Local chapter update: Gather more friends for your chapter meetings

Whether your local chapter has been around for five years or five minutes, finding new members to participate in networking events can be difficult.

Tip: Use the OIG Work Plan to focus your CDI efforts

Those who’ve worked in CDI or healthcare compliance for any length of time typically prepare themselves for the annual October release of the OIG's Work Plan.

Q&A: Coding diagnoses left out of the discharge summary

Q: According to Official Guidelines for Coding and Reporting, uncertain diagnoses should be documented at the time of discharge. If a consultant documents an uncertain diagnosis in the final or last progress note and no discharge summary or final progress note has been completed by the attending provider, can we code that uncertain diagnosis? Or should we query the attending physician or wait for the discharge summary?

ACDIS update: Peer into the future of CDI with the newest CDI Journal

The beginning of the new year is a time to lookback, but it’s also a time for looking forward—resolutions, goals, predictions. In this spirit, ACDIS has devoted the January/February edition of the CDI Journal to the future of CDI.

News: CMS announces new data submission system for the Quality Payment Program

CMS recently unveiled an updated data submission system for physicians participating in the Quality Payment Program (QPP).

 

Career Center

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Product Spotlight

We’ve compiled a panel of contributors representing some of the most advanced thought leadership in the pediatric CDI realm today to provide an in-depth look at a wide variety of documentation concerns related to childhood conditions.

Pediatric CDI: Building Blocks for Success is a must-read resource for both new and experienced CDI specialists who have pediatric chart review added to their responsibilities.

Click here to learn more.

 
 

Blog Highlight

Here's what's been published on the ACDIS Blog in the last week:

 

Contact Us

Linnea Archibald
Editor
ACDIS
larchibald@acdis.org

Carrie Dry
National Sales Manager
ACDIS
cdry@hcpro.com

Association for Clinical Documentation Improvement Specialists
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800-650-6787
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