The reason for assignment of a certain principal diagnosis is occasionally incomprehensible. First, consider what a principal diagnosis is. It’s the condition or group of conditions that, after workup, the physician determines led to the patient requiring...Read More »
Some people go into an endeavor full bore, knowing that they’re always right. Some people go into an endeavor learning as they go, knowing that they don’t know everything, eager to learn and always open to learning.
DRG (diagnosis-related groups) validation issues have been the main target of RAC (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned DRGs, it puts facilities at risk for RAC denials. However, an effective clinical documentation...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
I work at a small community hospital with less than 100 beds. We implemented an emergency department (ED) case management (CM) model that focuses on weekday admissions during regular business hours. We’ve trained the ED nurse...Read More »
Things you should know about Brian Murphy… Hummm… Where should I start? Not to worry, I promised my compatriot I wouldn’t reveal any of the sordid details of his life. (I did threaten to use the photo of him dressed up like...Read More »