Coder vs CDI: Recent Episodes

Allen Frady and Amy Czahor

An exploration of CDI and ICD 10 challenges combined with a general discussion of popular health care topics.

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think - but nobody wants to say out loud.

Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think - but nobody wants to say out loud.

Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
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- Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think - but nobody wants to say out loud.

Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
- Linkedin
- Twitter
- Website
- Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think - but nobody wants to say out loud.

Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
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- Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think - but nobody wants to say out loud.

Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
- Linkedin
- Twitter
- Website
- Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think - but nobody wants to say out loud.

Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
- Linkedin
- Twitter
- Website
- Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics - You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

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Support the show Follow us!
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Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics - You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Show Notes:
1 d. All multiple choice query answer options should only include clinically
relevant options (meaning those options that are supported by the
clinical indicators within the health record) and exclude clinically
irrelevant options (e.g., sodium level is 122 and a query is sent to
determine if a diagnosis can be provided; hypernatremia would not be
an appropriate answer option) And....(pg 5) II. Diagnosis answer options that are not already documented in the health record must be supported by clinical indicators sourced from the medical record. These clinical indicators must be included within the query and (pg 6) V. Queries must be accompanied by clinical indicator(s)/evidence that:
a. Are specific to the patient and episode of care
b. Support a more complete or accurate diagnosis or procedure and (pg 7) III. Template elements should allow for inclusion of relevant clinical indicator(s) and evidence to support the query. Clinical indicators should include a citation of the location found within the health record. and (pg 7) IV. Template answer option(s) should include:
a. Only offer multiple choice answer options that are clinically credible
i. Remove answer options that are not clinically credible or relevant and (pg 14) All queries must meetthe same compliant standards regardless of how or when they are generated,
including those autogenerated by artificial intelligence (AI) and computer-assisted
coding (CAC), whether in real-time computer-assisted physician documentation
(CAPD) or after the episode of care is complete.

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
- Linkedin
- Twitter
- Website

Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

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Our final, and maybe more coherent, comments on the new query brief.

We published the comments we will be sending to ACDIS/AHIMA on our Linkedin page.

Find the ACDIS document here

Public comment period is open until 10/25. Comment here

Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics - You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Support the show Follow us!
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The new compliant query brief has arrived!

Find the document here

Public comment period is open until 10/25. Comment here

In a few days, we will publicly post our comments for you to review and use what you wish.

*Edit from the Intro and first few minutes. Clinical validation does apply to coders...but the coders usually require SPECIAL training to do it well. We were both right but we skip over all the context as we were rushing through the brief.

Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics - You can submit your questions here.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Follow us!
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- Twitter
- Website

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Weekly interviews, strategy, and advice for building your online business the smart way.
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Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small.

Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics - You can submit your questions here.

References from the show:

  • Brundage Tip
  • Most Current Stat Pearl on Lactic Acidosis
  • Allen’s article from 2019
  • Remer Article on acidosis from 2020

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Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small. 

Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.

Follow us!
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Support the show

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Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics - You can submit your questions here.

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Links to things discussed:
- JAMA Podcast
- Diagnosis and management of hyponatremia
- Urea for treatment of hyponatremia
- Central Pontine Myelinolysis

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  1. ACDIS report (pg.4 productivity)
  2. State of the industry webinar
  3. Hit a CDI Roadblock? Maybe Your Success Metrics Need a Tune-Up
  4. Moving Beyond the Standard Markers for Success (slides) (webinar)
  5. Implementing an Effective CDI Program
  6. Clinical Documentation Integrity Key Performance Indicators Practice Brief
  7. Clinical Documentation Integrity – Success in Written Policies and Procedures

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Edits:  "Use additional code" is a sequencing rule.     Code also just means you need might want both codes usually "if appropriate". 

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Open To It
We are your playthings. Give us an activity, and we’ll do it.
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Edit:  2x Queries a day times $3,000 a query equals $15,000  *(Even if you only win half of them).   Or...sports math.  

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Healthy Lifestyle Solutions with Maya Acosta
Are you ready to upgrade your health to a new level and do so by learning from experts...
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Step-by-step beginner guidance so you can use intermittent fasting to improve your health.
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No more of the runaround. It’s time to heal and be the leader of your family’s wellness.
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Season 3 Episode 1. The history of ACDIS, the committees, the briefs, the future and what's next?

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Further Learning:

https://youtu.be/7dL-ll8dSmY

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All your Encephalopathy is toxic now?  What?

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Amy and Allen discuss Cardiac Arrest and Excludes 2.

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Why is it always discussed in terms of "1 vs 3"?