A recent MLN Matters article has changed the official coding guidelines to define what documentation can be used for assigning secondary diagnoses, leaving some CDI specialists worried that it provides RACs with the ability to invalidate any diagnoses not specifically documented by the...Read More »
Kaiser Permanente recently donated its electronic database of medical terminology to the National Library of Medicine and the International Healthcare Terminology Standards Development Organization, which oversees the current international standard medical terminology dictionary. Kaiser’s...Read More »
When it comes to tracking CDI program data, many facilities fall back on the information provided by their consultants,. But other CDI programs often rely on homegrown data systems. Mary Cooper, EVP, of ChartWise Medical Systems, Inc., in Wakefield, RI, suggests a few items to consider for those...Read More »
I often wondered how the ICD-9-CM code set would translate to ICD-10-CM/PCS in regards to MS-DRGs. I couldn’t fathom that along with the costly transition to a new code set, CMS would “double whammy” us by implementing a system...Read More »
Just because physicians may document the term excisional debridement it doesn’t mean that coders can automatically code the procedure, said Robert S. Gold, MD, CEO of DCBA, Inc. in Atlanta, during the August 5 audio conference “...Read More »
Realizing that the go-live date won’t change, some facilities already have organization-wide ICD-10 implementation strategies in place. If your CDI program hasn’t yet been involved in ICD-10 discussions or if your facility hasn’t starting the planning process yet, consider incorporating elements...Read More »
By Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
I recently received a fortune cookie from a colleague. After reading the fortune several times, I realized the hidden message certainly has direct relevance to CDI efforts toward affecting overall change in patterns of...Read More »
Q: Whenever we get a trauma patient, it’s either very easy to get to the multiple significant trauma (MST) major diagnostic category (MDC), or it becomes a real challenge, especially taking into account the rules pertaining to two body sites...Read More »
