Coding Clinic Quarterly Brief: Q1 2026 – Part 3
Coding Clinic Q1 2026 – Part 3 | Final Clarifications to KnowUpdates from Coding Clinic Q1 2026 include several clarifications that reinforce a consistent theme in coding: descriptive documentation does not always equal specificity, and understanding that distinction is key to accurate code assignment. Here are a few notable updates worth reviewing: Laterality does not […]
Coding Clinic Quarterly Brief: Q1 2026 – Part 2
Part 2 Coding Clinic First Quarter 2026 PCS Highlights!One of my favorite ways to use Coding Clinic is as a go‑to resource for procedural coding questions. This edition delivers practical, real‑world PCS guidance, especially as procedures and technology continue to evolve. Here are a few notable highlights: Mesenteric tumor debulking via SONOPET® ultrasonic aspiration – […]
Coding Clinic Quarterly Brief: Q1 2026 – Part 1
Coding Clinic Q1 is out! (Part 1)The first-quarter Coding Clinic is available and offers several updates with meaningful implications for CDI and coding practice. After reviewing the guidance, a few key items stood out as especially important to highlight and share. New Technology updatesThree new substance values were added to Table XW0 (Introduction of Anatomical Regions) […]
Thinking About a Career in Clinical Documentation Integrity (CDI)?
Here’s what the path often looks like and why it’s such a rewarding (and demanding) profession. Most CDI careers begin with foundational education. Whether you come from nursing, coding, HIM, or another clinical background, a strong CDI fundamentals course helps you understand why documentation matters and how CDI fits into quality, compliance, and patient care. From there, finding an employer willing to provide on-the-job training is key. CDI […]
The Next Step Starts Outside Your Comfort Zone
A Call to Growth for CDI Professionals Ready for More Careers in Clinical Documentation Integrity rarely follow a straight line. Most of us arrive here from somewhere else. Many of us come from bedside nursing, coding, quality, or case management, drawn in by curiosity, challenge, and a desire to make a meaningful impact. But once we settle into the role, it’s easy to […]
The CDI Professional’s Ethical Compass: Accuracy, Integrity, and Accountability
Clinical Documentation Integrity (CDI) is sometimes framed around metrics such as DRGs, severity of illness, risk of mortality, quality scores, and reimbursement. At its core, however, CDI is an ethics-driven profession: we ensure the medical record truthfully reflects the patient’s clinical story through accuracy, integrity, and accountability. As documentation increasingly supports patient care, regulatory compliance, […]
It Takes a Village: Capturing the True Clinical Journey
Every patient encounter tells a story. But no single person, note, or department can tell it alone. The true clinical journey of a patient along with their severity of illness and risk of mortality is shaped over time, through countless decisions, assessments, and moments of care. Capturing that journey accurately requires collaboration across the entire […]
Meet our New Academy Education Specialist, Debbie Breton!
We’re excited to welcome Debbie Breton to Hivero as our new Academy Education Specialist! Debbie is an ACDIS Approved Educator and seasoned Clinical Documentation Integrity (CDI) leader with more than 13 years of clinical nursing experience spanning coronary critical care, home health, hospice, and hospital-based case management. That strong clinical foundation continues to guide her […]
Clinical Accuracy Starts Here: How to Review an Inpatient Chart Like a CDS
Clinical accuracy is the starting point for everything we do in CDI. Before queries. Before DRG optimization. Before quality metrics. If the clinical picture isn’t solid, nothing else holds up. For a Clinical Documentation Specialist (CDS), reviewing an inpatient chart isn’t about hunting for diagnoses or checking boxes. It’s about understanding the patient’s story, what […]
Hivero Announces Strategic Partnership with Nurse Fern
Hivero is proud to announce a new strategic partnership with Nurse Fern, a trusted and well‑recognized resource within the nursing community, to support nurses seeking to transition into Clinical Documentation Integrity (CDI) and Clinical Documentation Specialist (CDS) roles. This collaboration brings together Nurse Fern’s highly engaged national nursing audience with Hivero’s workforce‑aligned education and placement […]