CDI Journal - Volume 11, Issue 2

Pneumonia coding critical for severity, risk capture

March 1, 2017
ACDIS Guidance, Clinical & Coding

by James S. Kennedy, MD, CCS, CDIP, CCDS
Bronchopulmonary infections, such as acute bronchitis and pneumonia, represent frequent reasons for physician and facility encounters, resulting in ICD-10-CM code assignments that factor greatly in severity and risk adjustment inherent to...Read More »
CDI Journal - Volume 11, Issue 2

Physician Advisor Corner: Atypical presentations of disease and clinical validation

March 1, 2017
ACDIS Guidance, Clinical & Coding, Policies & Procedures

by Joel Moorhead, MD, PhD, CPC
This article is about bringing the patient to the center of clinical validation. A patient with an “atypical” presentation, by definition, may have the disease but might not meet “typical” criteria for diagnosis.Read More »
CDI Journal - Volume 11, Issue 2

In the News: Advisory Board takes on sepsis confusion

March 1, 2017
ACDIS Guidance, Clinical & Coding

With the criteria and definition of sepsis in flux, CDI specialists’ involvement in clarifying matters continues to grow. While the Surviving Sepsis Campaign seems to endorse the Sepsis-3 definition, CMS still uses the Sepsis-1 definition. The ACDIS Advisory Board sought to explore the confusion...Read More »
CDI Journal - Volume 11, Issue 2

Ask ACDIS: Denials related to disorders of the brain and sepsis

March 1, 2017
ACDIS Guidance, Ask ACDIS, Quality & Regulatory

Q: According to a denial letter, acute metabolic encephalopathy secondary to any disease (which it obviously always is) codes to G94, other disorders of brain in diseases classified elsewhere. The auditor stated to “Please see code category G93.4 which has an excludes 1 note excluding “...Read More »
CDI Journal - Volume 11, Issue 2

Radio Recap: CDI helps with severe sepsis bundle rollout

March 1, 2017
CDI Expansion, Clinical & Coding, Policies & Procedures

Septic patients can quickly deteriorate into severe sepsis cases if left unattended. “Once they have organ failure, it’s really hard to get those patients back,” Connie Chappelle, RN, MC, CLNC, risk management coordinator for Kansas University Medical Center (KUMC) in Kansas...Read More »
CDI Journal - Volume 11, Issue 2

Coding Corner: The principles of principal diagnosis selection

March 1, 2017
ACDIS Guidance, Clinical & Coding, Policies & Procedures

by Amy Czahor, RHIT, CDIP, CCS
Recently I was reviewing a data sample investigating the root cause of DRG discrepancies between CDI and coding. More than half of the cases with a discrepancy were attributed to a difference in principal diagnosis selection.Read More »
CDI Journal - Volume 11, Issue 2

Meet a Member: Texas transplant finds her ‘ohana’ in Hawaii network

March 1, 2017
ACDIS Guidance, CDI Expansion

Penny Souder, RN, MS, CPC, works at Maui Memorial Medical Center in beautiful Hawaii. She joined the CDI team a year and a half ago, at the department’s inception. She belongs to the local ACDIS chapter, which is based on Oahu (a different island), so this presents her with a...Read More »
CDI Strategies - Volume 11, Issue 1

Conference Update: ACDIS achievement award nomination period extended!

January 5, 2017
ACDIS Guidance, News

It's time to submit nominations for the ACDIS Achievement Awards, to be presented at the 10th annual ACDIS Conference, May 9 - 12, at the MGM Grand in Las Vegas. Please fill out the nomination form by Friday, February 17, 2017. Click here:...Read More »

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