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Today's guest is Edna I. Betances-Harold, CDIP, CCDS, CCS, supervisor of clinical documentation improvement at Broward Health, who was the 2025 recipient of the CDI Professional of the Year ACDIS Achievement Award. Today's show is hosted by ACDIS Editorial Manager, Products and Events, Karla Kozak, and includes a special update featuring members of the ACDIS team. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/managing-change) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, May 23, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: Get to know our 2025 ACDIS Achievement Award recipients! (https://bit.ly/3SC7M3P) Join an ACDIS local chapter or networking group to stay connected with your CDI community! (https://www.surveymonkey.com/r/chapter-membership-roster) Submit an article for the upcoming edition of the CDI Journal focused on education by June 1! (https://www.surveymonkey.com/r/CDI-journal) Apply to speak at the 2026 ACDIS conference! (https://bit.ly/3Z9zfOf) Get suggestions for session topics at the 2026 ACDIS conference! (https://bit.ly/42WIBiu)
Today's guest are Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, CDI education director for ACDIS and HCPro, and Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, director of HIM/coding at HCPro. Today's show is part of the “Talking CDI” series, hosted by ACDIS Director Rebecca Hendren. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/cdi-versus-coding-celebrating-hip-week-2025) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, April 25, 2025, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. Today's sponsor: Today's show is brought to you by the 2025 ACDIS conference, taking place May 4-7, in Orlando, Florida. Learn more and register here: https://bit.ly/47erPfl ACDIS update: It's HIP Week! Learn more about all the ways you can celebrate the health information professionals in your life today! (https://hipweek.ahima.org/) Only a couple weeks left till the ACDIS conference, so make sure to register today! (https://bit.ly/47erPfl)
Today's guest is Angelica Cage, MBA, BSN, RN, CCDS, CCS, CDIP, the CDI director at Tufts Medicine in Boston. This episode is hosted by ACDIS Associate Editorial Director Linnea Archibald and also includes a special ACDIS update with ACDIS Director Rebecca Hendren, Editorial Manager, Products and Events, Karla Kozak, and Editor Jess Fluegel. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/fostering-diversity-inclusion-and-equity-cdi) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, March 28, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: ACDIS members can read the latest edition of the CDI Journal focused on measuring success now! (https://bit.ly/4a10Aq5) Submit your articles to Jess Fluegel at jess.fluegel@hcpro.com for the May/June 2025 edition of the CDI Journal focused on innovations in expansion, technology, and workflow by the end of the day on Tuesday, April 1! Learn more about the 2025 ACDIS national conference, check out the Disney World savings, register today, and book your hotel room by April 10 to get the best rate! (https://bit.ly/47erPfl)
Today's guest are Tami McMasters-Gomez, MHL, BS, CCDS, CDIP, CCS-P, the director of coding and CDI programs at UC Davis Health in Sacramento, California, and Keisha Downes MBA-HM, BSN, RN, CCDS, CCS, the vice president middle revenue cycle for Beth Israel Lahey Health, based in Massachusetts. Today's show is part of the “Talking CDI” series, hosted by ACDIS Director Rebecca Hendren, and it is part of the occasional series featuring members of the ACDIS Advisory Board. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/advisory-board-series-patient-safety-indicators) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, March 14, 2025, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. Today's sponsor: Today's show is brought to you by the 2025 ACDIS Symposium: Outpatient CDI, taking place May 3-4, in Orlando, Florida. Learn more and register here: https://bit.ly/3BEdMUP ACDIS update: ACDIS members can read the latest edition of the CDI Journal focused on measuring success now! (https://bit.ly/4a10Aq5) Submit your articles to Jess Fluegel at jess.fluegel@hcpro.com for the May/June 2025 edition of the CDI Journal focused on innovations in expansion, technology, and workflow by the end of the day on Tuesday, April 1! Learn more about the 2025 ACDIS national conference, register today, and book your hotel room by April 10 to get the best rate! (https://bit.ly/47erPfl)
Join us for an inspiring conversation with Marianne Durling, MHA, RHIA, CPC, CCS, CDIP, CPCO, CDEI, CIC, a veteran of the healthcare industry with over 40 years of experience across nearly every aspect of the field. Currently serving as a Compliance Director at a large academic medical center, Marianne shares insights into her remarkable career journey and the lessons she's learned.
On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:31] Query opportunities and low-hanging fruit [01:53] Blood loss and the whole clinical picture in querying [02:50] Using that “magic word” can make a difference – coding to an MCC [03:43] Other query opportunities [10:36] When the documentation is wrong [12:44] Reconciliation and feedback needed Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:41] Rise in spinal surgeries [01:23] Coding challenges and parameters [01:53] Predicaments for coding and CDI specialists [07:22] Common DRGs for spinal surgeries – the need to use the “magic words” Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Today's guest is Deanne Wilk, MPS, BSN, RN, CDIP, CCDS, CCDS-O, CCS, director of CDI education for ACDIS and HCPro. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director Rebecca Hendren is joined by a special guest, such as a member of the ACDIS Advisory Board or one of our expert Boot Camp instructors to discuss a topic pertinent to today's CDI profession. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/listener-questions-mortality-reviews-liver-conditions-denials-and-more) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, November 8, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's episode is brought to you by the 2025 ACDIS Pocket Guide, available to pre-order now. Click here to learn more and reserve your copy! (https://bit.ly/3NpxFBx) ACDIS update: ACDIS members can download the November/December 2024 edition of the CDI Journal now! (https://bit.ly/3Utdo1H) Send your article submissions to ACDIS Editor Jess Fluegel (jess.fluegel@hcpro.com) and Associate Editorial Director Linnea Archibald (linnea.archibald@hcpro.com)! Check out the 2025 ACDIS conference agenda today! (https://bit.ly/3YidvhI) Apply to present a poster at the 2025 ACDIS conference by December 31, 2024! (https://www.surveymonkey.com/r/25poster) Nominate a peer for an ACDIS Achievement Award by December 31, 2024! (https://www.surveymonkey.com/r/25awards)
Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:26] Around 1.62 million procedures per year [02:22] Procedures on the increase (2.4 times the level of 15 years ago) [03:54] The most common spinal diagnoses [05:15] Often not caught by primary care [06:20 Less common reasons for spinal surgery [07:09] Reasons for planned surgeries—often a last resort [08:45] Risks for avoiding surgery Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Today's guest is Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, an experienced CDI subject matter expert, former interim ACDIS director, and former CDI education director at HCPro. Today's show is hosted by ACDIS Director Rebecca Hendren, Associate Editorial Director Linnea Archibald, Editorial Manager, Events and Products, Karla Kozak, and Editor Jess Fluegel. The show provides a glimpse behind the scenes of all things ACDIS in a more casual, conversational format than our other podcast series. While it is normally a members-only resource, the new white paper focused on pediatric respiratory failure is unlocked and free to download for everyone for the next 30 days until November 8, 2024. Click here to access it now! (https://bit.ly/3ZKOZYP) Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/developing-pediatric-respiratory-failure-guidelines) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, October 11, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: ACDIS members can download the new white paper on denial types today! (https://bit.ly/3ZPKsVi) The pediatric respiratory failure white paper is now available to ACDIS members (note that this paper is available to everyone for free for 30 days until November 8, 2024)! (https://bit.ly/3ZKOZYP) Respond to the 2024 CDI Salary Survey by October 25! (https://www.surveymonkey.com/r/2024-CDI-Salary-Survey) Read all about our 2025 CDI Journal editions! (https://bit.ly/3TWoPi7) Read all about the 2025 ACDIS CDI Scholarship program and submit your application today! (https://bit.ly/47CSKl4)
Today's guests are Keisha Downes, MBA-HM, RN, CCDS, CCS, senior director middle revenue director at Tufts Medicine in Boston, and Carrie Wise, MS, RN, CCDS, CDIP, CDI manager at Children's Hospital Colorado in Aurora. Today's interview is an excerpt from the August 2024 ACDIS CDI Leadership Council member call. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director Rebecca Hendren is joined by a special guest, such as a member of the ACDIS Advisory Board or one of our expert Boot Camp instructors to discuss a topic pertinent to today's CDI profession. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/provider-education-query-metrics-2024-cdi-week-industry-survey-sneak-peek) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, September 13, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's show is brought to you by the 2025 ACDIS conference, taking place May 4-7, in Orlando, Florida. Learn more and register here: https://bit.ly/47erPfl ACDIS update: Download the CDI Week 2024 poster and all the rest of the materials to prepare for the celebration in September! (https://bit.ly/3M5Nw7w) Register for the free CDI Week webinar scheduled for Thursday, September 19, 1-2 p.m. eastern! (https://register.gotowebinar.com/register/959992839515101014) ACDIS members can download the newest edition of the CDI Journal, focused on CDI basics, today! (https://bit.ly/4efivdc) Read about the updates to the CCDS-O exam coming October 1! (https://bit.ly/3ZctfVN)
Today's guest is Tammy Combs, RN, MSN, CDIP, CCS, CNE, CDI strategy and innovation director for HCPro and AHIMA, who is based in Ozark, Missouri. Today's show is hosted by ACDIS Director Rebecca Hendren, Associate Editorial Director Linnea Archibald, Editorial Manager, Events and Products, Karla Kozak, and Editor Jess Fluegel. The show provides a glimpse behind the scenes of all things ACDIS in a more casual, conversational format than our other podcast series. During today's show, Tammy and Rebecca discussed the ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice—2022 Update, which can be accessed here. (https://bit.ly/3ystQYp) Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/compliant-query-practice) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, August 16, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: ACDIS members can register for the August 22 Quarterly Membership Call now! (https://bit.ly/3QJsIWb) Check if you're eligible to join the ACDIS CDI Leadership Council for the 2024/2025 term! (https://bit.ly/3SikmWo) Apply to be on the ACDIS CDI Leadership Council for the 2024/2025 term by August 31! (https://www.surveymonkey.com/r/2024-2025-Leadership-Council-Application) Download the CDI Week 2024 poster and all the rest of the materials to prepare for the celebration in September! (https://bit.ly/3M5Nw7w) Download the brand-new white paper, “Transforming Healthcare Delivery: The Role and Impact of Physician Advisors in Health Systems”! (https://bit.ly/3SONQvf)
On this episode, we finish the discussion about the challenges and issues involving documenting elective surgeries in order to improve care and maximize reimbursement. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:37] Anticoagulation – often overlooked in documentation [01:30] PSI 9 [02:20] Thrombocytopenia [03:57] Antiplatelets and elective surgeries [05:56] Every PSI reported means money lost to the practice Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
This episode continues the series on challenges and issues involving correctly documenting elective surgeries. A leading expert provides practical guidance and considerations that enable you to be correct in documenting these patients in order to improve care and maximize reimbursement. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:34] Dealing with preoperative infections [01:56] Percentage of elective surgery patients who develop sepsis—with 25% mortality [03:45] Accurately coding to avoid a PSI 13 being charged to your practice/organization [05:34] Do not miss a Present on Admission case [07:30] Need for CDI specialists to collaborate with quality (the “dotted line”) [08:50] Issues around PSI 7 Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA) Click Here. Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Today's guest is Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, ACDIS' interim director and HCPro's CDI education director. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren is joined by a member of the ACDIS Advisory Board, one of our expert Boot Camp instructors, or an expert on a particular area to discuss a topic pertinent to today's CDI profession. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! Today's sponsor: Today's show is brought to you by Nuance Communications, a Microsoft Company. Nuance Communications is a technology pioneer with market leadership in conversational AI and ambient intelligence, and a full-service partner trusted by 77% of U.S. hospitals and 85% of the Fortune 100 companies worldwide. Now a Microsoft company, Nuance brings industry-leading AI and deep vertical expertise to address your biggest challenges and accelerate healthcare outcomes. Nuance meets you where you are in your CDI journey, with AI‑driven solutions that meet your needs. Recently named 2024 Best in KLAS for clinical documentation integrity, CDE One provides in‑workflow intelligence that keeps the patient at the center of the story, supporting quality outcomes and appropriate reimbursement. Optimize your CDI program and maximize resources with CDE One's AI-powered encounter prioritization, workflow, analytics, and services, delivered in your current workflows and hosted on HITRUST CSF-certified Microsoft Azure for end-to-end security, privacy, and compliance. Visit www.nuance.com for more information. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: LINK) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, March 29, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: Watch the tour of the new ACDIS website menu navigation! (https://ow.ly/coxA50QZ94R) Send your article ideas to Jess Fluegel and Linnea Archibald by April 1 for the May/June edition of the CDI Journal! (jess.fluegel@hcpro.com; linnea.archibald@hcpro.com) Respond to the 2024 ACDIS Membership Survey (whether or not your currently a member) by April 12! (https://www.surveymonkey.com/r/2024-ACDIS-membership-survey) Take a look at the 2024 conference agenda and register today! (https://ow.ly/73vw50QwrJv) The current copy of the Code of Ethics is here: https://acdis.org/membership/ethics. The updated version discussed in today's program is being finished and will be published soon. We will announce it's publication in CDI Strategies.
Elective surgeries are on the rise again following a downswing during the COVID era. Yet, with this rise in these procedures, there are challenges and issues involving correctly documenting elective surgeries that practices and organizations need to consider and address. On this episode, a leading expert on clinical documentation covers this difficult area. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [01:21] Planned surgeries [02:26] Five most common elective surgeries and who has them [04:15] Why elective surgeries are unique [05:44] What you need to document – examples [09:13] Obesity and documentation—capturing a CC Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Today's guest is Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, CDI education specialist at HCPro/ACDIS. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren is joined by a member of the ACDIS Advisory Board, one of our expert Boot Camp instructors, or an expert on a particular area to discuss a topic pertinent to today's CDI profession. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/more-job-cdi-profession) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, February 2, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's show is brought to you by the 2024 ACDIS conference, which takes place April 8-11, 2024, in Indianapolis! Find out more and register today by clicking here! (https://ow.ly/EP4L50QoRxh) ACDIS update: Make sure to complete your volunteer application to serve on the ACDIS Advisory Board, Chapter Advisory Committee, and Resource Library Committee by February 2! (https://www.surveymonkey.com/r/January-2024-Committees) Register for the 2024 ACDIS national conference by Monday, February 5, to get the Early Bird discount ($100 off)! (https://ow.ly/EP4L50QoRxh) Watch the recording or download the slides from our free informational webinar about the 2024 conference on January 25! (https://ow.ly/4Kao50QoRAH) Download the 2023 CDI Salary Survey report! (https://ow.ly/PjwX50QvyPq)
This episode of our award-winning podcast continues our examination of the complexities of cardiac surgery patients and the challenges in understanding them and in assessing and documenting their status. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:38] Cardiac complications post-op [04:04] Renal issues [06:11] Respiratory issues [08:03] Transcatheter aortic valve replacement (TAVR) and heart failure [11:15] Issues involving major comorbid conditions (MCCs) [12:35] The biggest take-away Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Today's show is hosted by ACDIS Associate Editorial Director Linnea Archibald, Editor and Product Coordinator Karla Kozak, and Associate Editor Jess Fluegel. The show provides a glimpse behind the scenes of all things ACDIS in a more casual, conversational format than our other podcast series. It also features a portion of our conversation with members of the ACDIS CDI Leadership Council—Angelica Cage, MBA, BSN, CCDS, CCS, CDIP, CDI director at Tufts Medicine, and Joe Freet, RN, CCDS, CCS, the inpatient CDI manager at M Health Fairview in Minnesota—about the 2023 CDI Salary Survey results. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/2023-cdi-salary-survey-preview) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, January 5, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: ACDIS members can read the new January/February 2024 edition of the CDI Journal now! (https://ow.ly/UosQ50Qls2S) Make sure to complete your volunteer application to serve on the ACDIS Advisory Board, Chapter Advisory Committee, and Resource Library Committee by the end of the month! (https://www.surveymonkey.com/r/January-2024-Committees)
In this episode of HIPcast, Dr. Melissa Koehler, DHA, MBA, RHIA, CHDA, CDIP, CCS, CCS-P, CCDS, CRCR, FAHIMA discusses coding today and the future of tech enabled coding. Melissa is a Health Information Management professional with an extensive career in various facility coding, auditing, and leadership roles.Show Sponsor:Enterprise Social Record - Fully automated Closed Loop SDOH Referral Solution with real-time intervention to support health equity and whole person care.https://www.enterprisesr.com/
On this episode, we continue our examination of cardiac surgery with its unique challenges and risks for patients, with a focus on accurate and thorough documentation of these procedures. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:31] Cardiac surgery patients: post-op and readmissions [01:24] “Volume overload,” i.e., heart failure [01:47] Five-day readmission stays! [03:34] Story – cardiac patient on the move [04:49] Common cardiac surgeries [08:22] Vasopressors do not always indicate shock [09:24] Encephalopathy and dementia Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Cardiac surgery poses unique challenges with its risks for patients, its potential complications and the difficulty in capturing the details in thorough documentation. On this episode, we discuss those challenges and how to approach them effectively. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:04] Uniqueness of cardiac surgery [01:30] Cardiopulmonary bypass and extracorporeal circulation [02:27] Postoperative issues [05:08] Cardiac surgeons and documentation [06:13] Intra-aortic balloon pumps and cardiogenic shock [07:50] Cardiogenic acute renal failure [08:31] Arrythmias and pacing [09:10] The end of the road in intervention [11:08] Document the reason for a patient's deterioration Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Today's show is hosted by ACDIS Director of Programming Rebecca Hendren, Associate Editorial Director Linnea Archibald, Editor and Product Coordinator Karla Kozak, and Associate Editor Jess Fluegel. The show provides a glimpse behind the scenes of all things ACDIS in a more casual, conversational format than our other podcast series. It also features a conversation with Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, a CDI education specialist for ACDIS/HCPro, about the trajectory of the industry in 2024. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/what-cdi-programs-need-pay-attention-2024) The cut-off for today's episode CEU is Friday, December 22, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: Check out the agenda and register for the 2024 ACDIS national conference! (https://ow.ly/3GEu50PQMLO) Submit a nomination for a 2024 ACDIS Achievement Award! (https://www.surveymonkey.com/r/2024acdisawards) Submit a poster proposal for the 2024 ACDIS national conference! (https://www.surveymonkey.com/r/2024posters) Send your CDI Journal article ideas and pitches to jess.fluegel@hcpro.com for the 2024 editions! Send your podcast topic and guest ideas to linnea.archibald@hcpro.com for 2024 episodes!
Today's guest is Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, ACDIS' interim director and HCPro's CDI education director. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren is joined by a guest, such as a member of the ACDIS Advisory Board, or one of our expert Boot Camp instructors, or an expert on a particular area to discuss a topic pertinent to today's CDI profession. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Today's sponsor: Today's show is brought to you by the 2024 ACDIS Outpatient Pocket Guide, which is now available for pre-order! Find out more and order your copy today! (https://ow.ly/y7fx50Qf8RP) CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/cdi-hot-topics-2024) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, December 8, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: Here are the links link referenced in the show: Submit a poster proposal for the 2024 ACDIS national conference! (https://www.surveymonkey.com/r/2024posters) Submit a nomination for a 2024 ACDIS Achievement Award! (https://www.surveymonkey.com/r/2024acdisawards) Indianapolis is in the path of total solar eclipse on April 8, 2024, which means hotel rooms are expected to sell out quickly for the ACDIS national conference! Book your room today! (https://ow.ly/4xC150Qf8VR)
On this episode, Tomas continues examining an area often overlooked in documentation – chronic fatigue and debilities. Joining him is a leading expert on clinical documentation improvement. She will demonstrate how crucial this area is to reimbursement and patient care, affecting as it does mortality, length of stay and other indicators. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:37] Additional conditions in the Vizient variable [04:57] Impact on direct costs [05:46] SDOH Coding guidelines and subsequent reluctance to document [04:50] Under-documented medical conditions and their ramifications [09:08] Barriers to capturing this Vizient variable and use of queries [11:10] How correct documentation can benefit patient care down the line Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
An area often overlooked in documentation can be crucial to reimbursement and efficacious care, and that is the realm of chronic fatigue and debilities. Joining Tomas is a leading expert that will explain the importance of accurate coding for these patients.. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:07] Defining chronic fatigue and debilities [02:27] G, R and Z codes [03:19] Codes that capture Vizient variable for chronic fatigue and debilities [04:50] Under-documented medical conditions and their ramifications Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Today's guest is Anne Espinoza, RN, MBA, CCDS, CDIP, the executive director of clinical documentation, denials management, utilization review and patient education at Froedtert & MCW in Milwaukee, Wisconsin. Today's show is part of the “Leadership with Linnea” series. In every episode of this series, ACDIS Associate Editorial Director Linnea Archibald is joined by one guest from the ACDIS Leadership Council ranks or a contributor from one of our ACDIS publications to discuss a topic relevant to leaders in the industry, whether or not they currently hold a traditional management title. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/cdi-coordinators-quality-and-mortality-reviews) The cut-off for today's episode CEU is Friday, November 10, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's show is brought to you by the 2024 ACDIS Pocket Guide, which is now available for pre-order! Find out more and order your copy today! (https://ow.ly/IIL050OS9UM) ACDIS update: Apply for one of the four ACDIS CDI Scholarships by November 14! (https://ow.ly/ysr250PPnHp) Submit a poster proposal for the 2024 ACDIS national conference! (https://www.surveymonkey.com/r/2024posters) Submit a nomination for a 2024 ACDIS Achievement Award! (https://www.surveymonkey.com/r/2024acdisawards) Read the November/December 2023 edition of the CDI Journal! (https://ow.ly/sRst50Q59mB) Send your article ideas and drafts to the ACDIS team at info@acdis.org!
On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:31] Query opportunities and low-hanging fruit [01:53] Blood loss and the whole clinical picture in querying [02:50] Using that “magic word” can make a difference – coding to an MCC [03:43] Other query opportunities [10:36] When the documentation is wrong [12:44] Reconciliation and feedback needed Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spinal surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:41] Rise in spinal surgeries [01:23] Coding challenges and parameters [01:53] Predicaments for coding and CDI specialists [07:22] Common DRGs for spinal surgeries – the need to use the “magic words” Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:26] Around 1.62 million procedures per year [02:22] Procedures on the increase (2.4 times the level of 15 years ago) [03:54] The most common spinal diagnoses [05:15] Often not caught by primary care [06:20 Less common reasons for spinal surgery [07:09] Reasons for planned surgeries—often a last resort [08:45] Risks for avoiding surgery Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
Today's guest is Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, CDI education specialist for ACDIS and HCPro, where she teaches ACDIS boot camps and serves as a subject matter expert for the association. Today's show is part of the “Conversations with Karla” series. In every episode of this series, Product Coordinator and Editor Karla Kozak is joined by a guest who's behind one of ACDIS' most popular and exciting educational offerings to share their expertise. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/clinical-deep-dive-sepsis) The cut-off for today's episode CEU is Friday, August 18, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Were you or your team unable to attend the 2023 ACDIS conference in Chicago? Well, here's your chance to catch up on what you missed! Join us next week, Tuesday, August 22, through Thursday, August 24, for ACDIS Encore: Clinical & Coding Online, a special virtual event featuring audio recorded live from Clinical & Coding track at the 2023 ACDIS conference. Learn more and register today by clicking here! (https://ow.ly/3KiC50PyI80) ACDIS update: Apply to join the ACDIS CDI Leadership Council (it's free!) by Thursday, August 31! (https://www.surveymonkey.com/r/2023-2024-Council-application) The August ACDIS Quarterly Conference Call has been rescheduled to Thursday, August 31! (https://ow.ly/3K5U50PyIjZ) Have a topic or guest suggestion for a future ACDIS Podcast episode? Email the ACDIS team at info@acdis.org!
Today's guest is Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, interim ACDIS director and director of CDI education for HCPro. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren is joined by a special guest, such as a member of the ACDIS Advisory Board or one of our expert Boot Camp instructors to discuss a topic pertinent to today's CDI professional. Today's topic is CDI leadership development. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. The cut-off for today's episode CEU is Friday, June 9, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. ACDIS update: Apply to serve on one of ACDIS' committees by June 30! (http://ow.ly/Vk1g50OGM5s) Apply to speak at the 2024 ACDIS national conference, ACDIS Symposium: Outpatient CDI, or physician advisor pre-conference event by July 24! (https://app.keysurvey.com/f/41638681/52dc/)
Today's guest is Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, CDI education specialist with ACDIS/HCPro. Today's show is part of the “Leadership with Linnea” series. In every episode of this series, ACDIS Associate Editorial Director Linnea Archibald is joined by one guest from the ACDIS Leadership Council ranks or a contributor from one of our ACDIS publications to discuss a topic relevant to leaders in the industry, whether or not they currently hold a traditional management title. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. The cut-off for today's episode CEU is Friday, May 26, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: The Physician Documentation Integrity Pocket Card, which was recently reviewed and updated, helps you improve patient acuity and severity by focusing on common areas of vague and nonspecific physician documentation. The pocket card is sold in packs of 25 so that you can easily distribute it to physicians at your organization. You can learn more by clicking here. (http://ow.ly/yIz450NGpTY) ACDIS update: ACDIS members can access all the presentation materials from the 2023 national conference in the Resource Library! (http://ow.ly/T0r450OtCql) Apply to speak at the 2024 ACDIS national conference, ACDIS Symposium: Outpatient CDI, or physician advisor pre-conference event by July 24! (https://app.keysurvey.com/f/41638681/52dc/) Fill out the ACDIS Local Chapter Online Roster form to indicate your willingness to speak at chapter events! (https://www.surveymonkey.com/r/chapter-membership-roster) Find your local chapter or volunteer to start one in your area! (http://ow.ly/5Azt50OtCsC)
Today's guest is Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, interim ACDIS director and director of CDI education for HCPro. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren is joined by a special guest, such as a member of the ACDIS Advisory Board or one of our expert Boot Camp instructors to discuss a topic pertinent to today's CDI professional. During today's show, Prescott and Hendren discuss the upcoming CMS-HCC risk adjustment model changes for payment year 2024. You can read the full announcement from CMS here. (https://www.cms.gov/files/document/2024-announcement-pdf.pdf) Prescott also covered these changes in a recent edition of CDI Strategies. You can read her written assessment here. (http://ow.ly/vjZB50NRRwa) Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. The cut-off for today's episode CEU is Friday, April 28, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's show is brought to you by the 2023 ACDIS National Conference, which takes place May 8-11, 2023, at the Hyatt Regency in Chicago. Learn more and register by clicking here. (http://ow.ly/JfqB50MCaBs) ACDIS update: ACDIS members can vote in the Advisory Board elections until Monday, May 1! Cast your vote today! (http://ow.ly/UzZL50NRQIi) Register for the 2023 ACDIS national conference, the 2023 ACDIS Symposium: Outpatient CDI, or the Physician Advisor Pre-Conference! (http://ow.ly/oExG50NgQ6g, http://ow.ly/g5wg50NgQaR, http://ow.ly/Tu5g50NgQej)
This episode of our award-winning podcast continues an examination of the CMS Star mortality rating, its significance and what clinical practices and organizations can do to improve their mortality scores. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Linda Wiseman, BSN, RN, CCDS Senior Consulting Director Clinical Documentation Improvement Vizient Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:37] How to improve on mortality scores [02:07] Risk adjusting and variable condition categories [04:18] NIHSS scores (stroke) [06:13] “Sludge” and the need to copy, paste and edit Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Linda's email: linda.wiseman@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Fact sheet on CMS Stars Ratings: 10.6.22 FACT SHEET - 2023 Medicare Star Ratings.pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
This episode of our award-winning podcast begins a two-part series on the CMS Star Rating. The Centers for Medicare and Medicaid Services (CMS) provide the star rating system to evaluate health and drug services for the benefit of patients, enabling them to make informed care decisions. The next two episodes will examine the star mortality rating specifically, its significance and what clinical practices and organizations can do to improve their mortality ratings. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Linda Wiseman, BSN, RN, CCDS Senior Consulting Director Clinical Documentation Improvement Vizient Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:30] CMS Star Ratings defined [01:58] CMS Star mortality rating explained [03:27] Mortality condition categories [03:59] Exclusion criteria [06:58] Non-compliance example with heart failure – how to code correctly [07:55] Coding to the correct principal diagnosis Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Linda's email: linda.wiseman@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Fact sheet on CMS Stars Ratings: 10.6.22 FACT SHEET - 2023 Medicare Star Ratings.pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
On this episode of our award-winning podcast, we continue to examine the importance of social determinants of health (SDOH), the conditions in which patients are born and live. This discussion will provide ways organizations and practices can address SDOH and improve crucial patient outcomes. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Connie Ryan, MBA, RN, CDIP Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:41] Barriers in capturing SDOH [01:15] ICD-10 codes now include SDOH codes [02:45] Z codes and payment [03:35] Powerlessness [04:25] Need to educate non-physicians on ICD-10 codes and SDOH [05:35] At least 50 percent of inpatient clinical documentation may contain errors [08:45] Clinical documentation in outpatient setting and assessment tools to use [09:23] Role of Vizient in addressing SDOH [12:10] Capturing SDOH in the future: how this can happen Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Connie's email: connie.ryan@vizientinc.com Advancing Health Equity website (Vizient): https://www.vizientinc.com/what-we-do/health-equity Vizient SDOH programs/podcasts: https://knowledgeonthego.podbean.com/e/social-determinants-of-health/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
“In the long run, housing may be more important to health than hospitals.” This surprising quote points out the fact that only 20 percent of the nation's health is the result of clinical care. Social determinants of health (SDOH), the conditions in which individuals are born and live, drive over 50 percent of a patient's health. SDOH include circumstances such as socioeconomic status and physical environment. Addressing these factors improves crucial patient outcomes, and on this episode, we'll discuss how documenting and reporting SDOH can help a clinical practice or organization address these factors. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Connie Ryan, MBA, RN, CDIP Consulting Director Clinical Documentation Improvement Vizient Show Notes: [02:04] Inequities existing in health care [02:55] Example of care inequity – a lack of specialized care due to location [04:18] “In the long run, housing may be more important to health than hospitals.” [04:35] Over 50 percent of the nation's health due to SDOH [05:23] A formal definition and how coding can make an impact [07:00] Not a new concept [08:05] Social inequities affect care inequities [08:50] Need for clinical documentation integrity in addressing SDOH [09:53] Mandates are coming Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Connie's email: connie.ryan@vizientinc.com Advancing Health Equity website (Vizient): https://www.vizientinc.com/what-we-do/health-equity Vizient SDOH programs/podcasts: https://knowledgeonthego.podbean.com/e/social-determinants-of-health/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
Today's guest is Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, the interim director for ACDIS and director of CDI education for HCPro, based in Middleton, Massachusetts. Today's show is part of the “Conversations with Karla” series. In every episode of this series, ACDIS Editor and Product Coordinator Karla Accorto will be joined by a guest who's behind one of our most popular and exciting ACDIS educational offerings to share their expertise. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, located under the “Resources” tab. To take the evaluation, view the podcast recording at the bottom of the show page on acdis.org and click the live link at the end. Your certificate will be automatically emailed to you upon submitting the brief evaluation. The cut-off for today's episode CEU is Friday, January 6, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's show is brought to you by the 2023 ACDIS Outpatient Pocket Guide. The 2023 ACDIS Outpatient Pocket Guide is the essential resource for outpatient coding guidance, HCC updates, compliant query best practices and standards, E/M requirements, and diagnostic definitions. Co-written by ACDIS' interim director and CDI education director Laurie Prescott; James Manz, a practicing physician at the Mayo Clinic who is steeped in the latest physician documentation terminology; and Autumn Reiter, vice president of CDI services and tech enablement for CorroHealth, the 2023 ACDIS Outpatient Pocket Guide is a winning combination of practical, tailored CDI tips and resources and clinical, regulatory, and coding guidance adapted from the official sources. The 2023 ACDIS Outpatient Pocket Guide offers the latest information outpatient CDI professionals need to know, including: Fiscal Year (FY) 2023 guidelines AHA 2022 Coding Clinic guidance 80+ conditions including new entries for thalassemia and cachexia The 2023 ACDIS Pocket Guide introduces two new icons designed to assist you in easily identifying conditions with specific considerations: A toad icon indicates that that a TOAD status code may need to be reported with this HCC. TOAD is a quick mnemonic that can be used to remind providers to capture Z codes related to conditions such as *T*ransplants, *O*stomies, *A*mputations/*A*IDS and *D*ialysis Status. A caution icon indicates that this HCC infrequently occurs in the outpatient setting; therefore, if it is listed as a diagnosis, it may have been inadvertently carried over from a recent/past hospitalization and used on a postadmission visit. You can learn more about the 2023 ACDIS Outpatient Pocket Guide by clicking here (http://ow.ly/vTbp50Min2L). ACDIS update: Download the latest edition of the CDI Journal! (http://ow.ly/fYJC50MhmET) Register for the free 2023 ACDIS Pocket Guide launch party, happening on January 10! (http://ow.ly/HnEB50Mhmvt) Apply to present a poster at the 2023 ACDIS national conference and nominate a colleague for an ACDIS Achievement Award! (http://ow.ly/8rkz50LT0qP)
Today's guests are Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, the interim director for ACDIS and director of CDI education for HCPro, based in Middleton, Massachusetts, and Karla Accorto, ACDIS' product coordinator and editor. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren discusses CDI topics with guests including members of the ACDIS Advisory Board or other experienced CDI leaders from around the country to discuss strategic topics related to the state of the industry, where CDI is going, or opportunities for advancement. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. Today's show is brought to you by Iodine. Iodine is an enterprise AI company that is championing a radical rethink of how to create value for healthcare professionals, leaders, and their organizations: automating complex clinical tasks, generating insights, and empowering intelligent care. Powered by the largest set of clinical data and use cases available, Iodine's groundbreaking clinical machine-learning engine, Cognitive ML, constantly ingests the patient record to generate real-time, highly focused, predictive insights that clinicians and hospital administrators can leverage to dramatically augment the management of care delivery. ACDIS update: Apply to present a poster at the 2023 ACDIS national conference and nominate a colleague for an ACDIS Achievement Award! (http://ow.ly/8rkz50LT0qP) Learn more about the upcoming changes to the ACDIS Podcast! (http://ow.ly/7WxU50M56Rb) Information about ACDIS office holiday closures! (http://ow.ly/10bu50M56Ta)
Today's guests are Tammy Combs, RN, MSN, CDIP, CCS, CCDS, director of HIM practice excellence, CDI nurse planner at AHIMA, and Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, interim ACDIS director and director of CDI education for HCPro. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren discusses CDI topics with guests including members of the ACDIS Advisory Board or other experienced CDI leaders from around the country to discuss strategic topics related to the state of the industry, where CDI is going, or opportunities for advancement. During today's show, Combs and Prescott discuss the ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice brief, which was released on Monday, October 10. You can read the practice brief by clicking here. (http://ow.ly/rZSu50L3ABa) Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. ACDIS update: Respond to the 2022 CDI Salary Survey by October 31! (http://ow.ly/RTsh50L3APV) Apply for the ACDIS CDI Scholarship program by November 30! (http://ow.ly/pwtG50L3ARZ)
Today's guest is Tami McMasters Gomez, MHL, BS-HIM, CCDS, CDIP, the director of coding and CDI services at the University of California Medical Center at Davis in Sacramento. Today's show is a part of the “Leadership with Linnea” series. In every episode of this series, Associate Editorial Director Linnea Archibald be joined by one guest from the ACDIS Leadership Council ranks or a contributor from one of our ACDIS publications to discuss a topic relevant to leaders in the industry, whether or not they currently hold a traditional management title. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. Today's show is brought to you by Nuance Communications. Nuance Communications is a technology pioneer with market leadership in conversational AI and ambient intelligence. A full-service partner trusted by 77 percent of U.S. hospitals and 85 percent of the Fortune 100 companies worldwide, Nuance creates intuitive solutions that amplify people's ability to help others. ACDIS update: Celebrate ACDIS' 15th anniversary by sharing your memories and taking 15% off select ACDIS products all month! (http://ow.ly/kzaz50L3AH6 and http://ow.ly/jkov50L3AK1) Read the newly released 2022 update of the ACDIS/AHIMA Guidelines for Achieving a Complaint Query Practice brief and send in your comments! (http://ow.ly/rZSu50L3ABa) Respond to the 2022 CDI Salary Survey by October 31! (http://ow.ly/RTsh50L3APV) Apply for the ACDIS CDI Scholarship program by November 30! (http://ow.ly/pwtG50L3ARZ)
Tami McMasters-Gomez, BS, CCS-P, CDIP, CCDS, (MHL), is the Director of CDI and Coding Operations at UC-Davis Health in California. She has ultimate oversight of 80 employees, a team that is busy querying, coding, and abstracting data for a huge organization that includes its flagship 646-bed multispecialty academic medical center. Tami is a bright light in the field in all respects, and the accolades have been rolling in. This past May she was given the Recognition of Professional Achievement Award from ACDIS at its national conference in Orlando, and the year prior her organization won ACDIS' first-ever award for Diversity in CDI award, as well as similar recognition for its efforts in diversity from Forbes Magazine. It's hard to believe she ended up in this position after initially studying to be an event planner at Sacramento State University, majoring in marketing and communications and ultimately earning an event planning certification. But the world works in mysterious ways, and a part time job as a file clerk at a small rural hospital ultimately led her to health information management. UC Davis Health is the real beneficiary of that decision. According to a 2010 study, UC Davis Health generates more than $3.4 billion in annual economic output and more than 20,000 jobs. The organization is ranked in 9 specialties in the U.S. News and World Report Best Hospitals—data that of course is derived, in part, from Tami's work. We cover Tami's stops over 30 years in healthcare, including 17 (wow) in CDI. Along the way we discuss its outpatient CDI program roll out and current progress, UC Davis' decision to discontinue DRG reconciliation (and why you might want to follow its lead), and also its strong commitment to diversity, both in the CDI/coding departments and organization-wide. Get inspired by an HIM professional who is doing cutting-edge work and building a CDI department that is committed to diversity of race, gender, ethnicity, and professional backgrounds (RN, HIM, MD, and more). We cover a lot more too, including the reality of CDI technology and how smart it actually is (UC Davis is a big adopter in this space, and is currently piloting provider-facing tech), tips and suggestions for progressing from coding into leadership, the importance of CDI-coding collaboration, and the usual fun asides. Despite her considerable responsibilities Tami hasn't given up on her event planning dreams, and is actively looking to buy a wedding venue in California. I can neither confirm nor deny if the weddings will be CDI themed. Stay tuned. Take a trip with me to the west coast for episode 3 of Off the Record. I hope you enjoy it.
Today's guests are Tamara Hicks, RN, CCS, CCDS, ACM-RN, CCDS-O, the director of clinical documentation excellence at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina, and Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, the interim director of ACDIS as well as the director of CDI education for HCPro. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren discusses CDI topics with guests including members of the ACDIS Advisory Board or other experienced CDI leaders from around the country to discuss strategic topics related to the state of the industry, where CDI is going, or opportunities for advancement. During today's show, Prescott discusses the fiscal year (FY) 2023 Inpatient Prospective Payment System (IPPS) final rule which goes into effect on October 1, 2022. To accompany the conversation, Prescott has provided a PowerPoint covering the notable changes, which can be accessed for free here. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. ACDIS update: Access the FY 2023 IPPS final rule PowerPoint (http://ow.ly/ASMa50KQst2) Register for the ACDIS Online: CDI Symposium for Outpatient Efforts, a virtual event happening December 6-8, 2022 (http://ow.ly/zauc50KQszc) Register for the 15th annual ACDIS national conference, happening May 8-11, 2023, in Chicago, Illinois (http://ow.ly/MtBV50KQsJl)
Today's guests are Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, interim ACDIS director and CDI education director for HCPro, based in Middleton, Massachusetts, and Kim Conner, BSN, CCDS, CCDS-O, CDI education specialist for ACDIS/HCPro. Today's show is part of the “Talking CDI” series. In every episode of this series, ACDIS Director of Programming Rebecca Hendren discusses CDI topics with guests including members of the ACDIS Advisory Board or other experienced CDI leaders from around the country to discuss strategic topics related to the state of the industry, where CDI is going, or opportunities for advancement. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. Today's show is brought to you by the 2023 ACDIS Pocket Guide, now available for pre-order! CDI professionals need a day-to-day reference when conducting their medical record reviews—one that can provide trusted clinical indicators for compliant and effective physician queries and at-a-glance, easy-to-use comorbidity and MS-DRG lists. The ACDIS Pocket Guide is the essential resource for regulatory and coding guidance, IPPS reimbursement updates, compliant query best practices and standards, clinical validation, and diagnostic definitions. Co-written by Laurie Prescott, ACDIS's interim director and CDI education director, and Dr. James Manz, a practicing physician steeped in the latest physician documentation terminology, the ACDIS Pocket Guide is a winning combination of practical, tailored CDI tips and resources and clinical, regulatory, and coding guidance adapted from the official sources. The 2023 ACDIS Pocket Guide offers the latest information CDI professionals need to know including: Fiscal Year (FY) 2023 guidelines AHA 2022 Coding Clinic guidance COVID-19-related updates New provider tips from James Manz, MD, CCDS-O of Mayo Clinic Updated MS-DRG table & severity of illness values for comorbid conditions offering impact 75+ conditions Learn more or pre-order by clicking here. (http://ow.ly/AM1M30snShX) ACDIS update: Download the brand-new ACDIS white paper focused on case mix index! (http://ow.ly/nQq150KqgmS) Mark your calendars: CDI Week 2022 is coming September 12-16, 2022! (http://ow.ly/xf3U50Kqgq3) The application period for the ACDIS CDI Leadership Council 2022/2023 term has been extended till Monday, September 12!! It's free to join and you do not need to be a member of ACDIS to join. You simply must meet certain eligibility requirements and participate in several surveys during the term. (https://www.surveymonkey.com/r/2022-2023-Council-application) Submit your articles to ACDIS Associate Editorial Director Linnea Archibald and Associate Editor Jess Fluegel for the next edition of the CDI Journal by Monday, October 3! (http://ow.ly/NmVe50KqgzW)
Susan Fantin, MSA, BSN, RN, CCDS, CDIP, is the Vice President of Integrated Care Management for McLaren Health in Grand Blanc, Michigan. A one sentence description that is a woefully inadequate descriptor of what she does. All of CDI, case management, utilization management, and denials run through Susan's capable hands. Think, massive responsibilities. A staff of more than 300. Every new initiative, including a recent system-wide reorganization that aligned case management and CDI under one roof, despite the obstacle of multiple EHRs. Impressive stuff. We don't know how she finds the time to sleep. She admits she's working on that. We talk about McLaren's program and metrics for success before turning to her career and an early hair-raising nursing experience, her rapid ascent up the ladder at St. Joseph Mercy Health System, a detour into consulting and what it taught her, then present day challenges and the importance of mentorship. Oh, and MTV, back when it used to play music.
Today's guest is Dawn Valdez, RN, LNC, CDIP, CCDS, a CDI education specialist for ACDIS/HCPro, a Simplify Compliance brand, in Middleton, Massachusetts. Today's show is a part of the “Conversations with Karla” series. In every episode of this series, ACDIS Editor and Product Coordinator Karla Accorto will be joined by a guest who's behind one of our most popular and exciting ACDIS educational offerings to share their expertise. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. Today's show is brought to you by the 2023 ACDIS Pocket Guide, now available for pre-order! CDI professionals need a day-to-day reference when conducting their medical record reviews—one that can provide trusted clinical indicators for compliant and effective physician queries and at-a-glance, easy-to-use comorbidity and MS-DRG lists. The ACDIS Pocket Guide is the essential resource for regulatory and coding guidance, IPPS reimbursement updates, compliant query best practices and standards, clinical validation, and diagnostic definitions. Co-written by Laurie Prescott, ACDIS's interim director and CDI education director, and Dr. James Manz, a practicing physician steeped in the latest physician documentation terminology, the ACDIS Pocket Guide is a winning combination of practical, tailored CDI tips and resources and clinical, regulatory, and coding guidance adapted from the official sources. The 2023 ACDIS Pocket Guide offers the latest information CDI professionals need to know including: Fiscal Year (FY) 2023 guidelines AHA 2022 Coding Clinic guidance COVID-19-related updates New provider tips from James Manz, MD, CCDS-O of Mayo Clinic Updated MS-DRG table & severity of illness values for comorbid conditions offering impact 75+ conditions Learn more or pre-order by clicking here. (http://ow.ly/AM1M30snShX) ACDIS update: 2023 ACDIS national conference speaker application open till August 19! (http://ow.ly/wC4E30snuK7)
Today's guests are ACDIS Regulatory Committee co-chairs Sharme Brodie, RN, CCDS, CCDS-O, CDI education specialist for ACDIS/HCPro, based in Middleton, Massachusetts, and Kay Piper, RHIA, CDIP, CCS, inpatient coding educator at SSM Health System in St. Louis, Missouri. The show is hosted by ACDIS Associate Editorial Director Linnea Archibald, Editor and Product Coordinator Karla Accorto, and Associate Editor Jess Fluegel. Today's show is part of our “ACDIS Happy Hour” series, which provides a glimpse behind the scenes of all things ACDIS in a more casual, conversational format than our other podcast series. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Today's show is brought to you by ACDIS PRO. ACDIS PRO is an interactive, customizable online tool that allows CDI professionals to easily access CDI information anywhere at any time. The tool contains all the great content you're accustomed to getting in the ACDIS Pocket Guide books, but with the added benefits of an online tool. You can access the tool on any device. This tool can be used on your phone, tablet, or desktop, and it will conform to the size of your device. Search by clinical condition, ICD-10 code, or MDC to locate the guidance you need. Updated in real time, get the latest expert guidance you need to ensure accuracy and compliance. Once you look up your clinical condition, you'll receive all the guidance related to that condition, including detailed definitions, diagnostic and treatment protocols, ICD-10-CM chapter-specific documentation requirements, CDI critical thinking tips, and more. There are currently four versions of the product: inpatient, outpatient, coder, and physician. Learn more by clicking here (http://ow.ly/A37c30sjW0s). Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. ACDIS update: 2022 CDI Week theme (http://ow.ly/vigQ30slyS1) Read about ACDIS' upcoming books (http://ow.ly/12bI30slySp) Apply to serve on an ACDIS committee (http://ow.ly/Vzu730slySg) Read about the Regulatory Committee's current work (http://ow.ly/JvKS30slyW0)
Today's guest is Anne Espinoza, RN, BSN, CCDS, CDIP, the enterprise director for the clinical documentation and denials management team at Froedtert & Medical College of Wisconsin. Today's show is a part of the “Leadership with Linnea” series. In every episode of this series, Associate Editorial Director Linnea Archibald be joined by one guest from the ACDIS Leadership Council ranks or a contributor from one of our ACDIS publications to discuss a topic relevant to leaders in the industry, whether or not they currently hold a traditional management title. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Today's show is sponsored by 3M Health Information Systems. 3M Health Information Systems is committed to eliminating revenue cycle waste, creating time to care and leading the shift from volume to value-based care through innovative software and services across the continuum of care. Get started today and improve your CDI team's impact on financial and quality metrics. Learn more at www.3m.com/cdi. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at acdis-inquiries@simplifycompliance.com. ACDIS update: Read the May/June edition of the CDI Journal focused on diversity and inclusion in CDI (http://ow.ly/wMAa30sjmCY)
Today's guest is Okemena Ewoterai, BSN, MA, CCS, CDIP, CCDS, associate director of clinical documentation at Montefiore Medical Center in New York City. Today's show is a part of the “Leadership with Linnea” series. In every episode of this series, Associate Editorial Director Linnea Archibald be joined by one guest from the ACDIS Leadership Council ranks or a contributor from one of our ACDIS publications to discuss a topic relevant to leaders in the industry, whether or not they currently hold a traditional management title. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Featured solution: Today's show is brought to you by the 2022 ACDIS Conference. Imagine the possibilities and join your CDI peers in Orlando, Florida, May 2–5, 2022, at the Gaylord Palms Resort & Convention Center! As we reconnect after the COVID-19 pandemic, we all need a little magic in our lives, and we all need to Imagine what might be in store for us professionally. The ACDIS national conference provides countless opportunities to engage personally and professionally with like-minded individuals across the healthcare spectrum. The educational offerings are unparalleled. The networking opportunities are extensive. Our exhibitors are waiting to share their national knowledge. The only necessary ingredient remaining is you. This year we are offering dedicated outpatient CDI content, a masterclass track to improve your interpersonal skills so critical to CDI success, a location with shuttle busses running to the major Disney theme parks, and more! Learn more or register by clicking here. (http://ow.ly/rG5Y30s7Pzt) ACDIS update: May/June CDI Journal to be published May 1! (http://ow.ly/Azmz30sipq6) Updates and reminders related to the ACDIS National Conference (http://ow.ly/mCo930sipqf)