Q: If the attending documented, “likely mixed cardiogenic and septic shock,” can I assign codes R57.0 and R65.21?
A: Refer to the documentation within the code book. If you open the book to the R57 code grouping (Shock not elsewhere classified) listed...Read More »
by Amber Sterling, RN, BSN, CCDS, and Jana Armstrong, RHIA, CPC
Seven lessons learned in physician education
The following lessons were learned at KRMC and proved to be instrumental in improving communication between physicians, CDI staff, and coders:...Read More »
Q: If you have an acute exacerbation of a chronic right heart failure (CHF) with a preserved ejection fraction (EF)— above 55%—can you code it as heart failure with preserved EF? All the clinical symptoms are exemplifying right failure. For example, ascites, pronounced neck vein...Read More »
by Amber Sterling, RN, BSN, CCDS, and Jana Armstrong, RHIA, CPC
Most healthcare systems already have a proven process in place to monitor revenue integrity and ensure correct reimbursement. More than 60% of hospital executives believe revenue integrity is essential to their...Read More »
Last week, ACDIS celebrated our seventh annual CDI Week, recognizing professionals across the country for the incredible work that they do. Facilities and local chapters nationwide joined the fun, embracing the 2017 theme, “The Wild West: New Frontiers in CDI,” fully.