Documentation Tips?

ssalinasssalinas
edited April 2016 in CDI Talk Archive
Has anyone put together tips for the docs they would be willing to share?

I've attached what I have so far but I am constantly updating or editing it=
. I tailor it to the individual physician or group I am meeting with. It =
is not real detailed but gets the general message across. I am adding DM a=
nd anemia along with some basic definitions as room allows. We also have m=
ore detailed diagnosis- specific tip sheets that we post but the one attach=
ed is handed out at our meetings.

Comments and recommended changes would be most welcome.

Thanks,

Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org

Comments

  • catladyrncatladyrn
    edited April 2016
    I have a lot of diagnosis-specific tip sheets. Too many to list here. I adapted the tip sheet I am attaching here from someone else (Valley Medical Center) who had shared their tip sheet a long time ago. Paying it forward. :)

    Renee

    Linda Renee Brown, RN, MA, CCDS, CCS, CDIP
    Director, Clinical Documentation
    Tanner Health System
  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    This is great Renee! Thanks for sharing.

    And shout out to Valley Medical Center! I grew up in Covington, Wa and volunteered at that hospital in highschool. Small world!

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404
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