Editor’s Note: Mark Dominesey, RN, BSN, MBA, CCDS, CDIP, MCP, presents “Integrating CDI processes with the EHR: Getting it right from the beginning,” on Tuesday, May 22 at 3:15 p.m., in Track 7, Leadership and Department Management. The follow Q&A was conducted by ACDIS Member...Read More »
Q:Could you please explain unrelated surgical procedure DRGs? For example, a patient with a principal diagnosis of pneumonia whose surgical procedure transurethral resection of the prostate (TURP), MS-DRG 168. Also can you explain how we can differentiate between...Read More »
ACDIS members are invited to participate in a Quarterly Conference Call taking place today, Thursday, May 9, from 1-2 p.m. (EST). Dial-in instructions were sent via email to ACDIS members. If you did not receive your dial-in instructions please email...Read More »
A diabetic patient is admitted with gangrene. The physician does not specifically link the diabetes and the gangrene, but alsodoes not document any other potential cause of the gangrene. Should you code both conditions?
In ICD-9-CM, coders can assume a cause-and-effect...Read More »
Houston, Texas: Harris Health System hosts the next meeting, Thursday, May 9, at 3 p.m. in the administration building at Harris County Health on Preston in Houston. The agenda includes “Challenges and Documentation in Coding – Acute Coronary Syndrome” and “Debugging Sepsis –...Read More »
New data released today show significant variation across the country and within communities in what hospitals charge for common inpatient services,...Read More »
Q: I realize that if the body mass index (BMI) of a patient is documented by nurses and dieticians, it can be coded if the physician documents the clinical significance (i.e., morbid obesity). However, if the BMI is documented by a patient care tech or nursing ward secretary in...Read More »
