ACDIS update: Join us to discuss the 4th universal MI definition on Tuesday, February 12

CDI Strategies - Volume 13, Issue 6

“Is my patient with elevated troponin having an MI?” With the new, 4th Universal Definition of Myocardial Infarction (MI) definition, providers need to ask this question. The new definitions poses no small difficulty for CDI and coding professionals either as it emphasizes the term “myocardial injury” in nontraumatic circumstances, but ICD-10-CM only classifies the term as traumatic.

CDI professionals need to work with their cardiology and coding departments to ensure that patients are not mistakenly reported as having an acute MI when a physician documents myocardial injury. The CDI team at Emory Healthcare in Atlanta did just that, creating a cross-departmental collaborative effort to identify clinical indicators, create a focused review process, and elevate MI-related queries to the physician advisor and quality assurance team.

Join expert speakers James S. Kennedy, MD, CCS, CDIP, Susan Sweeney, RN, BSN, CCDS, CCS, Abhinav Goyal, MD, MHS, FACC, FAHA, and Kelley Pechin, CCS, for a 90-minute webinar on Tuesday, February 12, and learn how to work across disciplines to comply with the latest clinical definitions, as well as how to help the CDI team formulate effective queries for MIs. During the webinar, they’ll explain three clinical documentation pearls to help resolve the delimit including:

  1. Don’t check a troponin level reflexively in hospitalized patients
  2. If someone checks a troponin level and it happens to be elevated, remember that an elevated troponin level alone does not equal an MI
  3. If troponin is positive, stop and think before documenting cause

Click here to learn more and to register.

Found in Categories: 
ACDIS Guidance, Clinical & Coding