RSSAuthor Archive for Linnea Archibald

Linnea Archibald

Linnea Archibald is the CDI editor for the Association of Clinical Documentation Improvement Specialists (ACDIS). In this role, she helps out with the website, blog, social media, newsletter, and the CDI Journal. If you have any questions, feel free to email her.

Website Tips: How to register for ACDIS Radio and never miss an episode again

According to the 2017 ACDIS Membership Survey, 73.68% of members find ACDIS Radio a beneficial piece of their membership experience. The bi-weekly talk show hosted by ACDIS Director Brian Murphy covers a wide-range of CDI-related news and topics through conversations with industry leaders, ACDIS Advisory Board members, physicians, CDI specialists, and managers. The show airs every other Wednesday at 11:30 a.m. eastern.

But, how do you access this free resource? While you can head over to the ACDIS website and listen to all the past episodes as soon as a day after they originally air, registering for the program makes things even easier. Plus, when you listen live, you can weigh in on the weekly poll and participate in the Q&A segment.

Simply follow the two step process below and you’ll get a weekly reminder when the show will air and instructions on how to tune in.

1. First, go to the ACDIS main page and select “ACDIS Radio” under the “Network & Events” tab (it’s the third option).

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2. Then, click the “register” button underneath the ACDIS Radio logo. The registration page will automatically open in a new window.

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3. Fill in the necessary information on the registration page and click “register” at the bottom of the page.

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4. Once you’ve clicked “register,” you’ll see a confirmation page with an option to add the program directly to your Outlook email calendar. All the instructions for listening to the call will be in the reminder emails for each episode.

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Editor’s note: To listen back to previous episodes of ACDIS Radio, click here. To read a recent Radio Recap about a session at the ACDIS Symposium: Outpatient CDI, click here.

Website Tips: How to find out whether your activity qualifies for CCDS CEUs

A few weeks back, CDI Strategies included a column about earning CCDS continuing education credits (CEUs) through your ACDIS membership. But, how can you tell what activity outside of ACDIS qualifies for CEUs?

Outside of ACDIS and HCPro activities covered in last week’s column, here are a few ways to earn CEUs:

  • Complete college courses relevant to healthcare/healthcare management, CDI, or clinical coursework for credit or degrees
  • Present CDI-related topics at seminars/speaking engagements outside of regular work activities (please note that the program must be accredited through the appropriate professional organizations, include a timed agenda, and documentation of program objectives)
  • Submit activities from other organizations that provide education or training in CDI, ICD-10, clinical, coding, documentation improvement activities, or diagnosis/pathophysiology

For any single event from other agencies or organizations, ACDIS will accept up to 10 of the CEUs offered. If the program and certificate of completion specifying that the CEUs are specifically for the CCDS, then ACDIS will accept all the CEUs, even if there are more than 10 offered.

Editor’s note: To see a complete list of places to receive CEUs, click here. To read more about certification, click here.

 

Website Tips: How to favorite an article on the ACDIS website

Re-finding your favorite article can be a difficult task. It doesn’t have to feel like banging your head against a wall, though. If you’re logged into the ACDIS website, you can actually “favorite” articles and access them all from one spot when you want to return to them.

Simply follow the steps and you’ll never lose your favorite article again.

  1. After you find an article you love, locate the star to the left of the article title. Click on the star (it will turn blue when you’ve added it).

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  1. To access your favorited articles, click on the star next to your account icon (on the far left side of the menu bar) and select “My Content” from the dropdown menu.

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  1. Once you’ve followed through step two, you’ll see all your favorited articles in one place. To remove something from your favorites, you simply click on the star icon (the same way you added the article). A small box will pop up saying, “This page has been removed from your favorites.”

Website Tips: Join in on the discussion on ACDIS articles

ACDIS members can join in on the discussion with any articles on the website they find intriguing by using the Discus feature. Just like the ACDIS Forum, this feature allows members to connect, discuss interesting articles, and weigh in on the issues presented.

But, how do members do this? Simply follow the following step-by-step guide for joining the conversation below.

  1. Scroll to the end of the article you want to comment on, past the “More Like This” section, to the section titled “Discussion”

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  1. Write your comment in the chat pod where it says “start the discussion”

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  1. Enter in your name and email address, ensuring your comment is signed and you receive notifications when someone responds to the comment

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  1. Either create a Disqus account using the prompts, log in with Facebook, Twitter, or Google, or simply check the box that says “I’d rather post as a guest”

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  1. Click the gray arrow below the sign-in information to post your comment

After posting a comment, the commenter will receive an email when someone responds or posts a comment of their own on the same article.

If you have any questions regarding commenting on ACDIS articles or anything else, please contact ACDIS Editor Linnea Archibald at larchibald@acdis.org.

Website Tips: How to participate actively in the ACDIS Forum

One of the things ACDIS members appreciate most about membership is connecting with other CDI specialists. One of the best ways to do so is through the ACDIS Forum.

ACDIS members can follow all their favorite Forum threads by updating their subscription preferences. Simply follow the following steps:

  1. Log on to the ACDIS website
  2. Go to the Forums page (under the “Network & Events” tab)
  3. Click on “My Profile” under the person icon on the right

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  1. Click the blue “preferences” link at the top of the profile page

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  1. Select “notification preferences” on the right

 

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  1. Check off the categories you want to receive notifications from for both discussions and comments and then click “save preferences”

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To become a member of the ACDIS Forum, click here. Only ACDIS members can actively participate in Forum discussions.

Editor’s note: If you have any questions regarding joining the forum, email ACDIS Editor Linnea Archibald at larchibald@acdis.org.

 

Q&A: Electronic query formatting

Have CDI questions?

Have CDI questions?

Q: We use an electronic system at our hospital, and find it is difficult to query a physician since we all have our own processes. Would you recommend having a set format for a query that is used electronically?

A: This is going to be contingent on the system your facility uses.

Some EHRs have pretty complex platforms that will allow you to build templates and write a narrative. Here you would write your question, provide all of the appropriate details, and there would be a more formatted, outlined section below where the individual leaving the query can populate the form within that template.

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Guest Post: Expanding the CDI focus to the outpatient arena, part 2

Editor’s note: Crystal Stalter, CPC, CCS-P, CDIP, is the CDI manager for M*Modal in Pittsburgh. She has over 30 years of experience in the healthcare industry, with most of her focus on coding, compliance, and physician documentation. She has spent many of those years as a consultant, working with physicians and hospital HIM departments to improve their workflow processes and revenue cycles. Contact her at crystal.stalter@mmodal.com. Opinions expressed are that of the author and do not represent HCPro or ACDIS. This article was previously published in Briefings on APCs and JustCoding. This is the second part of a two-part series. To read the first part of this article, click here.

There are multiple outpatient places of service the CDI specialist can have an impact. One such place is the ED, where capture of ancillary services, start and stop times (as well as medications and dosages for injection/infusion coding), and evaluation and management (E/M) code (the codes assigned for physician reimbursement) levels often get missed or are incomplete, causing subsequent coding issues.

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Q&A: Documenting excisions in dermatologic settings

ask ACDIS

Have CDI questions?

Q: I work in dermatology and need to know what documentation is required for excisions. We are struggling with getting paid.

A: In dermatology, you often find vague documentation like “lesion” and “mass.” So the physician needs to be much more graphic as far as whether the lesion is red, itchy, scratchy, burning, and/or abnormally sized. If you can get the actual size of a lesion or a mass that they are going to excise, they also need to document the size of the excision.

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Note from the ACDIS Editor: CDI Journal provides training tactics

LA-new headshot

ACDIS Editor Linnea Archibald

By Linnea Archibald

New hire training. Ongoing education. Physician education. Each area holds unique difficulties for the CDI professional in all stages of their careers. Keeping all the CDI staff and physicians on the same page can be a daunting and headache-inducing task. For that reason, the July/August edition of the CDI Journal seeks to outline a few strategies, tips, and tricks from seasoned veterans in the field for keeping your whole team engaged and up-to-date in their CDI education.

Within the pages of the newest edition of the CDI Journal, you’ll find valuable information from a variety of perspectives—from CDI specialists conducting daily reviews, to CDI educators, to the ACDIS Advisory Board members, to the ACDIS leadership team and staff. [more]

Guest Post: Expanding the CDI focus to the outpatient arena, part 1

Editor’s note: Crystal Stalter, CPC, CCS-P, CDIP, is the CDI manager for M*Modal in Pittsburgh. She has more than 30 years of experience in healthcare focused on coding, compliance, and physician documentation concerns. Contact her at crystal.stalter@mmodal.com. Opinions expressed are that of the author and do not represent HCPro or ACDIS. This article was previously published in Briefings on APCs and JustCoding. This is the first part of a two-part series. Please return to the blog next week to read the second part!

The focus for CDI specialists has historically been on the inpatient hospital stay. Reviews of the chart for conditions not fully documented and/or evidence of conditions not documented at all, has been standard practice.

However, with so many changes in the industry facing providers in their outpatient practices, the importance of CDI in places of service such as physician offices, ambulatory clinics, and urgent care clinics is even more vital.

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