Posts about

CDS

Reflecting on ACDIS Inspire 2025: Lessons for the Evolving CDI Landscape in ICD-10-AM Countries

Mike Kertes May 21, 2025
As the curtain closes on ACDIS Inspire 2025, held in Orlando, Florida, it’s an opportune moment to reflect - not only on the impressive scale and..

An Opportunity to Increase Awareness

Sophie De'Ambrosis May 15, 2025
Doctor Engagement with CDI: An Opportunity to Increase Awareness Despite the critical role that clinical documentation plays in healthcare delivery..

Beyond Nursing Checklists

Nour Alatari April 3, 2025
Beyond Nursing Checklists: Why Comprehensive Nursing Documentation Matters In modern healthcare, nursing documentation is a fundamental aspect of..

Remote CDI- Is It Really Effective?

Glenn Krauss March 7, 2025
Onsite Clinical Documentation Improvement (CDI) programs are designed to enhance the accuracy, completeness, and specificity of medical..

CDI: It's Not About Who

Mike Kertes January 28, 2025
At a recent conference, I was exposed to several thought-provoking conversations about who should ‘own’ clinical documentation improvement (CDI). Who..

Celebrating CDI Week: The Importance of Certification and Career Progression

Nour Alatari October 25, 2024
Clinical Documentation Improvement (CDI) Week is a time to reflect on and celebrate the incredible contributions of Clinical Documentation..

Securing the Future: The Imperative of CDI in Healthcare

Mike Kertes June 14, 2024
Australia's private and public health systems are currently facing immense pressures that threaten their sustainability. These pressures, driven by..

I have a clinical background and want to become a CDS; do I need a coding qualification?

Nour Alatari May 20, 2024
In the intricate world of healthcare, Clinical Documentation Specialists (CDSs) play a vital role in ensuring patient records are accurate and..

CDI Strength: Beat Risks, Boost Sustainability

Mike Kertes March 27, 2024
In the ever-evolving landscape of healthcare, Clinical Documentation Improvement (CDI) stands out as a critical pillar, ensuring the accuracy,..

CDI Queries Work Best if the Recipient is Kept in Mind

Dr Erica Remer March 13, 2024
I had an epiphany the other day while discussing compliant query composition with a very knowledgeable clinical documentation integrity specialist..

A CDI Year-In-Review

Mike Kertes December 7, 2023
Reflecting on the past year in the realm of Clinical Documentation Improvement (CDI), particularly in countries using ICD-10-AM and AR-DRGs, it's..

Reflecting on CDI 2023 - Harnessing Momentum: A Turning Point for Clinical Documentation Improvement (CDI)

Mike Kertes September 19, 2023
As I sat on the plane on my return flight home from the Gold Coast, I couldn't help but feel a sense of pride and elation to be a part of something..

Clinical Documentation Improvement- a nursing role?

Joanna Forteath July 31, 2023
This article was first published in the Australian Nursing & Midwifery Journal (ANMJ) Jul-Sep Volume 28, No. 1 and has reproduced with consent. If I..

'What the Heck is This?' Written Documentation Queries: A Clinician's Perspective

Dr Felicity Sinclair-Ford May 26, 2023
What do we want? Clinicians who document efficiently and thoroughly, specifying diagnoses, linking them to interventions, and including pertinent..

A Week Back on the Wards

Dr Felicity Sinclair-Ford January 19, 2023
Dr Felicity Sinclair-Ford reflects on her recent time working clinically and how it illustrates potential challenges with clinician engagement.