Q: I was wondering how CDI programs are dealing with clinical validation of conditions as opposed to coding and the coding guidelines that instruct coders not to skip diagnoses just because of clinical criteria. What do you do when executive leadership says to just skip coding...Read More »
Brief outpatient cognitive and behavioral rehabilitation was found to be effective and safe for patients with post–COVID-19 condition (PCC), according to a study recently published in JAMA Network Open...Read More »
Q: A patient with severe emphysematous bronchitis is hospitalized due to acute RSV bronchitis. He is noted to have a history for cerebrovascular accident (CVA) with residual oropharyngeal dysphagia occurring in the past year and on day three of the hospitalization, he aspirated some...Read More »
Upcoding—when higher-level codes are assigned than are justified to increase reimbursements—will remain a major ethical dilemma in 2025 for coders, according to...Read More »