---
title: The Wilshire Group Blog | Mark LeBlanc
description: Welcome to The Wilshire Group's Blog! This is where you'll find our thoughts, analysis, and advice on a number of health and EMR topics.
---

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# Posts by Mark LeBlanc

# The Wilshire Group Blog

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[Home](https://thewilshiregroup.net/) |  Posts by Mark LeBlanc

## [Combination Code Support by CDI](https://info.thewilshiregroup.net/blog/combination-code-support-by-cdi)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 June 18, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi) [ICD-10](https://info.thewilshiregroup.net/blog/tag/icd-10)

As we continue our journey towards ICD-10 implementation on October 1, 2015, the use of combination codes brought up a discussion between myself and another CDS (Clinical Documentation Specialists). I had just read this [article](http://blogs.hcpro.com/acdis/2015/06/icd-10-tip-of-the-week-brush-up-on-combination-codes/?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+hcpro%2Facdis+%28ACDIS+Blog%29), and we were doing some [...]

[Read More](https://info.thewilshiregroup.net/blog/combination-code-support-by-cdi)

## [Technical CDI systems are only successful if utilized appropriately](https://info.thewilshiregroup.net/blog/technical-cdi-systems-are-only-successful-if-utilized-appropriately)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 June 17, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

In today’s technical world, CDI is dependent upon being able to capture the work and outcomes that are achieved by the processes and policies being followed by the staff. There are many CDI software vendors and systems on the market today. The choice is [...]

[Read More](https://info.thewilshiregroup.net/blog/technical-cdi-systems-are-only-successful-if-utilized-appropriately)

## [Well-defined and understood processes and policies are key to an efficient and effective CDI program](https://info.thewilshiregroup.net/blog/well-defined-and-understood-processes-and-policies-are-key-to-an-efficient-and-effective-cdi-program)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 June 16, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

We all want to have efficient and effective [Clinical Documentation Integrity](https://thewilshiregroup.net/what-we-do/clinical-documentation-integrity/) programs. Well defined workflow processes are a key to achieving this goal. The time spent to do a review of current CDI program and/or map (Value Stream Mapping) out your [...]

[Read More](https://info.thewilshiregroup.net/blog/well-defined-and-understood-processes-and-policies-are-key-to-an-efficient-and-effective-cdi-program)

## [New CDI Chart Reviews](https://info.thewilshiregroup.net/blog/new-cdi-chart-reviews)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 22, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

A recent [Q&A](http://blogs.hcpro.com/acdis/2015/04/qa-chart-reviews-for-new-cdi-specialists/?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+hcpro%2Facdis+%28ACDIS+Blog%29) around how to review a chart by a CDI reminded me that so much has changed since 2005 when I began my adventure into the world of Clinical Documentation Improvement (CDI). The move from reimbursement first and foremost to accurate [...]

[Read More](https://info.thewilshiregroup.net/blog/new-cdi-chart-reviews)

## [DRG Mismatch](https://info.thewilshiregroup.net/blog/drg-mismatch)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 21, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

DRG Mismatch: the buzz word for how well the Clinical Documentation Improvement department and the Inpatient Coding department are coming to the same conclusion on the appropriate codes applied to the medical record.

[Read More](https://info.thewilshiregroup.net/blog/drg-mismatch)

## [Case Mix Index (CMI)](https://info.thewilshiregroup.net/blog/case-mix-index-cmi)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 20, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

I have been watching discussion on CDI-Talk about Case Mix Index (CMI) as well as an article in [CDI Strategies, April 16, 2015](http://www.hcpro.com/HIM-315333-5707/Membership-Update-Case-mix-index-quandary.html). It reminded me that organizations' finance departments need to look at more than just CMI when predicting the future revenue. [...]

[Read More](https://info.thewilshiregroup.net/blog/case-mix-index-cmi)

## [Query Appropriateness](https://info.thewilshiregroup.net/blog/query-appropriateness)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 19, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

A recent [Q&A](http://www.hcpro.com/HIM-315349-5707/QA-Mentioning-SOIROM-and-support-level-of-care-in-queries.html) featured in 'CDI Strategies' April 16, 2015, caught my eye as it was about the appropriateness of putting certain information in a query. They talked about the rationale behind including mentions of Severity of Illness (SOI) and Risk of [...]

[Read More](https://info.thewilshiregroup.net/blog/query-appropriateness)

## [Search for Knowledge at the ACDIS conference](https://info.thewilshiregroup.net/blog/search-for-knowledge)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 18, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

After flying, layover, college graduation, family time, more flying, running through the airport to make a connection and finally getting on the flight to San Antonio for the annual [ACDIS](http://www.hcpro.com/acdis/) conference, I began to wonder what it is about my drive and thirst [...]

[Read More](https://info.thewilshiregroup.net/blog/search-for-knowledge)

## [Outpatient CDI Readiness](https://info.thewilshiregroup.net/blog/outpatient-cdi-readiness)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 18, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

The talk of [Outpatient CDI](http://blogs.hcpro.com/acdis/2015/04/tbt-outpatient-endeavors-top-cdi-tactics-for-outpatient-surgery-readiness-under-icd-10/?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+hcpro%2Facdis+%28ACDIS+Blog%29) has been going on since the fall of 2014 as we began to understand more about the impact of ICD-10 on the outpatient environment. Although the CPT codes will not be changing, the need to capture the correct ICD-10 code for the [...]

[Read More](https://info.thewilshiregroup.net/blog/outpatient-cdi-readiness)

## [To Query or Not to Query?](https://info.thewilshiregroup.net/blog/to-query-or-not-to-query)

 by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) 

 May 15, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership) [CDI](https://info.thewilshiregroup.net/blog/tag/cdi)

As I read this blog about “[when to query](http://blogs.hcpro.com/acdis/2015/04/guest-post-dont-wait-to-drop-that-query/)”, it reminded me that there is no time like now when it comes to accurate, complete and compliant queries. With the evolving Electronic Health Record (EHR) it has become more important to query as soon as possible [...]

[Read More](https://info.thewilshiregroup.net/blog/to-query-or-not-to-query)

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