CMS released the 2018 Outpatient Prospective Payment System (OPPS) proposed rule last week on Thursday, July 13. With CDI programs increasingly looking at outpatient records, the need to read and digest the OPPS proposed rule has never been greater. This particular proposed rule, however,...Read More »
Q:How would you determine if the treatment is for the initial myocardial infarction (MI) as a secondary diagnosis versus the treatment for the subsequent MI?
As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly difficult to determine when a condition reaches a reportable threshold, according to a new ACDIS White Paper “...Read More »
Carolinas Healthcare System (CHS) agreed to pay $6.5 million to settle allegations of a years-long practice of upcoding urine drug tests, the Office of...Read More »
Q: A patient with documented acute respiratory failure, could have both confusion and somnolence, but should both confusion and somnolence be coded? When should the symptoms be coded? For example, with a patient who has abdominal pain...Read More »
CMS introduced 3,562 new ICD-10-PCS codes, 1,821 revised titles, and deleted 646 codes. These changes amount to a total of 78,705 codes in the 2018 code set, while the 2017 code set contained only 75,789 codes.Read More »
Q: If the principal diagnosis is pneumonia, do I need to also code the symptom dyspnea? Or, is the dyspnea integral to the pneumonia? A: If the dyspnea (and as other...Read More »
