Q:The coders at our facility recently asked CDI to teach the providers to write EtOH use “disorder” or cocaine use “disorder,” so that they can code it to EtOH abuse and cocaine abuse. Do you agree with this request from the...Read More »
Q:Our neurologist often documents encephalopathy for many of our patients. If an elderly patient came in with altered mental status (AMS), delirium, and has baseline dementia, can we code encephalopathy? What if the physician...Read More »
Because coroners and medical examiners did not specify the drugs contributing to death, potentially 70,000 opioid-related overdose deaths from 1999-2015 were excluded from national figures.Read More »
My favorite part of teaching our Boot Camps are the discussions which take place as we move through the materials. CDI reviews vary from organization to organization...Read More »
Q:We use the pre-bill reconciliation process at the time of coding and are trying to determine the true CDI/coding match rate. If the CDI specialist doesn’t enter the queried diagnosis in their working DRG but the physician...Read More »