Andrea Johnson, RN, BSN, CCDS, the CDI specialist at Carolinas Rehabilitation in Concord, North Carolina, worked in the acute inpatient setting for six years before making a significant change.Read More »
As Robert S. Gold, MD, co-founder of DCBA, Inc. and founding ACDIS Advisory Board member, was fond of saying, “Pediatric medicine is not adult medicine for little adults.”Read More »
by Sharme Brodie, RN, CCDS
Many CDI and coding professionals let out a sigh of relief when the First Quarter 2017 edition of AHA Coding Clinic for ICD-10-CM/PCS arrived—it’s only 52 pages long, a novella compared to the voluminous tomes of previous editions. I looked at...Read More »
by James S. Kennedy, MD, CCS, CDIP, CCDS
Bronchopulmonary infections, such as acute bronchitis and pneumonia, represent frequent reasons for physician and facility encounters, resulting in ICD-10-CM code assignments that factor greatly in severity and risk adjustment inherent to...Read More »
by Joel Moorhead, MD, PhD, CPC
This article is about bringing the patient to the center of clinical validation. A patient with an “atypical” presentation, by definition, may have the disease but might not meet “typical” criteria for diagnosis.Read More »
With the criteria and definition of sepsis in flux, CDI specialists’ involvement in clarifying matters continues to grow. While the Surviving Sepsis Campaign seems to endorse the Sepsis-3 definition, CMS still uses the Sepsis-1 definition. The ACDIS Advisory Board sought to explore the confusion...Read More »
Septic patients can quickly deteriorate into severe sepsis cases if left unattended. “Once they have organ failure, it’s really hard to get those patients back,” Connie Chappelle, RN, MC, CLNC, risk management coordinator for Kansas University Medical Center (KUMC) in Kansas...Read More »
by Amy Czahor, RHIT, CDIP, CCS
Recently I was reviewing a data sample investigating the root cause of DRG discrepancies between CDI and coding. More than half of the cases with a discrepancy were attributed to a difference in principal diagnosis selection.Read More »
