Many organizations have HCC tools built into their CDI software or EHRs that can help them capture HCCs. When providers click on a diagnosis or a condition, the tool will mark whether the diagnosis is an HCC. Other technology can extract pharmacy data, lab data, other diagnoses, and the problem...Read More »
Even if the treating physician does not immediately document “acute respiratory failure” in the pediatric patient’s record, looking for specific wording and indicators can help support a CDI query to bring that diagnosis in—provided it is appropriate for that patient during that encounter.Read More »
Q: How do you sequence ESRD, HTN, CHF, and diabetes when the patient is admitted with kidney disease which has progressed to ESRD and requires initiation of dialysis this admission? The heart failure is chronic. The ICD-10 combination code takes you...Read More »
Recently, I was asked an interesting question about querying for the diagnosis of encephalopathy. The student asked whether it was required for a patient to return to their mental status baseline prior to the CDI specialist querying the...Read More »
By Howard Rodenberg, MD, MPH, CCDS
When my son was in middle school, I would call him every evening to review the school day. I would want to know all about the things he was learning and the friends he was making, and he would grudgingly oblique me with a one-word answer if he...Read More »
ICD-11 reflects critical advances in science and medicine and is the first code set revision to be well integrated with EHRs and information systems, the WHO says.Read More »
