Who makes the ultimate decision?
What does your governing body look like when the CDI specialist and the coding group can't agree on the interpretation of a guideline? or the coding group can't even agree amongst themselves?
Some of the guidelines fall into the "gray" area (I bet this doesn't surprise anyone) and the coding group can be VERY black and white in their thinking and sometimes have trouble considering other perspectives. After exhaustive research with reputable sources there are timeswhen we are still at odds. Who makes the ultimate decision on organizational process as we strive toward greater consistency?