Distinguishing Delirium in the Encephalopathy Enigma

On-ramps and routes to Health Information Management

Send us Fan Mail [https://www.buzzsprout.com/2497867/fan_mail/new] We talk with Accuity's Vice President of Revenue Cycle Operations, Jennifer Miecznikoski, about health information management careers and how an HIM foundation can lead to operations, IT, analytics, and revenue cycle leadership. We break down credentials like RHIA, RHIT, and CCS, then look ahead to AI, data governance, interoperability, and HIM paths allowing growth into management roles.  • Jennifer’s career path from foundations in HIM to leadership of EHR implementations  • Emerging and expanding HIM career roles • How DRG integrity work pairs coding expertise with physician review  • What RHIA and RHIT signal for leadership and technology paths  • Why CCS and other coding certifications build credibility  • A practical tip on taking credential exams sooner  • Where AI, computer-assisted coding, and data governance create new opportunities  • Advice for moving from coding into leadership through mentoring and research  If you have any questions or would like to offer a topic to discuss, please email info@accuityhealthcare.com

Gamification: Measuring the Metrics of Motivation in Education

Send us Fan Mail [https://www.buzzsprout.com/2497867/fan_mail/new] In this episode, we meet with Britanny Shelledy to break down gamification as a practical way to boost engagement and recall for lifelong learners in healthcare. We dig into where gamification comes from, why it surged after COVID, and how to use it without letting competition distract from the learning goals.  • defining gamification through game mechanics like points, levels, rewards, and progress tracking  • tracing the history from badges and loyalty programs to modern apps and digital learning  • seeing how COVID-era disruption pushed educators toward interactive, morale-building tools  • sharing real formats we use with residents and attending physicians like Jeopardy and Family Feud  • outlining core gamification categories such as leaderboards, quests, storytelling, feedback loops, and social collaboration  • weighing benefits like retention, active learning, teamwork, and data insights against risks like anxiety and misalignment  • walking through implementation steps: know the audience, set objectives, pick the right type, design, then measure and refine  • looking ahead to AI-driven personalization and higher-fidelity simulation technology  If you have any questions or would like to offer a topic to discuss, please email info@accuityhealthcare.com.

Navigating Nephrology

Send us Fan Mail [https://www.buzzsprout.com/2497867/fan_mail/new] We explore how nephrology documentation can be both clinically faithful and coder-ready, focusing on AKI vs ATN, linking diagnoses to causes, and reducing avoidable queries. We share practical tactics, from lab trend interpretation to medication reviews, and reflect on AI’s place alongside physician judgment. • AKI and ATN terminology • Linking diagnoses to clear etiologies • Education tactics that make codable language second nature • Respecting clinical judgment when criteria feel incomplete • Lab and urine trends that signal early kidney injury • Medication-induced nephrotoxicity as a reversible cause • ICU triggers, systemic diseases, and combo codes • Templates, AI assistance, and human oversight

Underpaid Care, Overdue Revenue

Send us Fan Mail [https://www.buzzsprout.com/2497867/fan_mail/new] We talk with Accuity's CFO about underpayment, rising AI-driven denials, and how to trace the cash from clinical care to collected dollars. The strategy blends technology with physician review to lower final denials to around one percent and deliver material, auditable ROI for hospitals of any size. • financial pressure on hospitals and underpayment • AI-based denials and due process concerns • pairing technology with physician-led clinical validation • focusing on complex cases, CMI, and surgical mix • material impact at single-site and academic centers • traceable ROI with 98–99% expected collections • aligning DNFB speed with net cash outcomes • breaking silos with shared scorecards and goals At Accuity, we're transforming healthcare reimbursement with a provider-driven, innovative approach. We share valuable clinical coding insights and current best practices to improve financial outcomes across health systems. If you have any questions or would like to offer a topic to discuss, please email info@accuityhealthcare.com.

Distinguishing Delirium in the Encephalopathy Enigma

Send us Fan Mail [https://www.buzzsprout.com/2497867/fan_mail/new] Joined by Accuity's Senior Director of CDI, Verona Lodholz, we walk through how to distinguish delirium from encephalopathy using DSM-5 criteria, CAM tools, and clear coding pathways, and we show where they overlap and why it matters. We share practical examples, denial risks, and how nurses’ notes fuel better queries and outcomes. • DSM-5 features and CAM thresholds for delirium • F-code specificity for intoxication and withdrawal states • G-code encephalopathy and system-specific hepatic coding • Overlap of causes and resolution with treatment • Differentiating waxing and waning vs acute course • CC/MCC, PSI 11 and denial risk • Using nurses’ notes to build strong queries • Key resources for fast, reliable criteria checks At Accuity, we're transforming healthcare reimbursement with a provider-driven, innovative approach. If you have any questions or would like to offer a topic to discuss, please email info@accuityhealthcare.com.