by William E. Haik, MD, FCCP, CDIP
Complex pneumonias such as Gram-negative bacterial pneumonias and aspiration pneumonias segregate to a higher-weighted MS-DRG (MS-DRGs 177–179 [Respiratory Infections and Inflammations]) than simple pneumonias such as Streptococcus pneumoniae...Read More »
by Sharme Brodie, RN, CCDS
The last quarter of the year typically includes a large number of items for the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS publication. This recent release doesn’t disappoint, with a whopping 94 pages worth of material...Read More »
Valerie Parent, RN, BSN, CCDS, CCRN-K, is employed with Norther Light Health as the CDI manager at Eastern Maine Medical Center in Bangor, and is the leader of the Maine ACDIS chapter. Parent has held her CCDS credential since 2015.Read More »
by Cheryl Ericson, RN, MS, CCDS, CDIP and Cathy Farraher, RN, MBA, CCM, CCDS
Clinical validation is a process in which diagnoses already written in the chart are reviewed by a clinical documentation specialist to ensure the corresponding clinical indicators and treatment exist...Read More »
by Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
The rules of compliant query practice do not change based on the setting. We must consider query construction and wording of provider communication with the same eye for compliance as we have...Read More »
by Tracy Boldt, RN, BSN, CCDS, CDIP and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
Physician support in the CDI decision-making process from the CDI program’s inception helps physicians see beyond the immediate obligation of documentation to the greater good such documentation...Read More »
The third character of a procedure code is represented by the root operation. Definitions for the root operations are located in Appendix A and within the tables of the ICD-10-PCS manual.
When the same root operation is performed on different body parts represented by distinct characters...Read More »
