ACDIS Answers: Clinical Documentation Improvement FAQs

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ACDIS Answers: Clinical Documentation Improvement FAQs

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ACDIS Answers: Clinical Documentation Improvement FAQs

ACDIS Answers: Clinical Documentation Improvement FAQs is a quick reference guide for the most common questions faced by CDI specialists.

Organized by Major Diagnostic Categories and broken down into specific topics of concern, ACDIS Answers provides information not only on documentation needs but also on issues related to the CDI profession.

This compendium of commonly asked CDI questions is an essential reference book and office companion, valuable for new CDI specialists as well as those experienced in concurrent medical record review. Whether you’re wondering about sequencing guidelines, staff productivity, escalation policies, diabetes coding, or documentation requirements for acute kidney injury, ACDIS Answers provides quick, easily understandable information from respected experts in CDI, including ACDIS’ own Boot Camp instructors and Advisory Board members.

Published: December 2016

Page Count: 150
Dimensions: 7 X 9
ISBN: 
978-1-68308-207-1

 

Table of Contents

Introduction
Section 1: Clinical Concepts

Diseases and Disorders of the Nervous System
Diseases and Disorders of the Respiratory System
Diseases and Disorders of the Circulatory System
Diseases and Disorders of the Digestive System
Diseases and Disorders of the Skin, Subcutaneous Tissue, and Breast
Endocrine, Nutritional, and Metabolic Diseases and Disorders
Diseases and Disorders of the Kidney and Urinary Tract
Diseases and Disorders of the Blood and Blood-Forming Organs and Immunological Disorders
Infectious and Parasitic Diseases
Mental Diseases and Disorders
Injury, Poisoning, and Toxic Effects of Drugs
HIV Infections and AIDS
Neonatal and Pediatric Concerns

Section 2: Administrative Concerns

a.  Query Process
b.  Staff Proficiency
c.  Coding Concerns
d.  Escalation Policies and Clinical Validation
e.  Supportive Documentation Use
f.   Education Opportunities
g.  Electronic Health Record Concerns
h.  Quality Measures
i.   Areas of Expansion