Q:We have a problem getting our physicians to understand what we are querying for (chronic respiratory failure) when a patient is on home oxygen continuously with documented supplementary oxygen (SpO2) of <90% or arterial blood gas (ABG) with hypoxemia documented....Read More »
The Leapfrog Group. Healthgrades. The Joint Commission. U.S. News and World Report. Consumer Reports. The list goes on and on. Although CDI specialists often use report cards and publicly available data to explain to physicians how their documentation affects their (and their hospital’s)...Read More »
It was hardly explicit that organizations could rebill on an outpatient basis (or fully bill) for services denied as non-medically necessary in an inpatient setting. However, on March 13, CMS issued a...Read More »
In order to meet the ICD-10 October 1, 2014, implementation timeline, CMS began making necessary changes to the National Coverage Determination (NCD) hard-coded shared system edits in January 2013, and will continue to make changes quarterly through October 2013,...Read More »
Q: How are staffing needs expected to change in relationship to ICD-10?
A: I’m not aware of any benchmarks for CDI staffing in consideration for ICD-10. There is so much diversity among CDI departments and their responsibilities regarding ICD-10 that it is hard to establish any...Read More »
Q: I need help identifying the principal diagnosis for the following situation. The patient presented with shortness of breath and hypoxia, and had emergent dialysis which resolved his symptoms. However the patient’s international normalized ratio (INR) was sub therapeutic due...Read More »