Q: If Type 2 myocardial infarction (MI) and demand ischemia are both documented, should I code only Type 2 MI based on the Excludes 1 note found in the Tabular List under demand ischemia?
This new paper from Elsevier, defines the process of DRG validation and how it can benefit provider organizations by ensuring that the correct information is communicated the first time....Read More »
The qSOFA is often used as a predictive assessment to determine if a patient has sepsis, allowing the hospital to start the various sepsis care measures faster and potentially save more lives. A new study published in...Read More »
Q: I have a question about coding HIV and HIV-related illnesses. If a physician documents a patient is HIV positive, should the chart be coded to Z21? What about if they document the patient is HIV positive with an HIV-related illness—would that be...Read More »
It’s a fact often cited by CDI professionals: An accurate and complete medical record can serve several important purposes—from correct coding and billing, to accurate quality measures, to better patient care. Now, hospitals in New York, Illinois, Texas, and California are using patients’...Read More »
