Q: A patient with a urinary tract infection appeared septic, and she also fit the criteria for sepsis. The physician documented the patient had SIRS but not sepsis. From a coding standpoint, SIRS is sepsis. So I’m confused about the...Read More »
Attached is a supplement to the July 2010 issue of CDI Journal. It provides important updates every CDI specialist should know regarding new guidance issued in AHA Coding Clinic for ICD-9-CM, Second Quarter, 2010. The author of the article is James Kennedy, MD, CCS, of FTI...Read More »
Starting in January 2022, Associate Editorial Director Linnea Archibald began sending out “missed connections” emails with questions from Council members every Monday. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question...Read More »
Every institution reading this column has likely received its first recovery audit contractor (RAC) denials regarding the documentation and coding of excisional debridement procedures (86.22). Our hospital is no exception. While we knew that this...Read More »
In its January release, The Medicare Payment Advisory Commission (MedPAC) recommended Congress adjust Medicare’s hospital inpatient payments over three years to recover overpayments that have resulted from recent documentation...Read More »
If you have experience with the topic below, please email Archibald at larchibald@acdis.org and she'll connect you to the asking Council member. Read More »
So you’ve made it through the rigors of the initial CDI program implementation stage. Now it’s all smooth sailing, right? Not so fast. You’ve got to watch out for those storm clouds of regulatory changes and plot a way past any stagnant waters of staffing discontent. Simply stated: Maturing...Read More »