"[Recovery Auditors] are doing a really good job at identifying the patients who don't have sepsis, and they're taking the money back," says ACDIS Advisory Board member Robert S. Gold, MD, CEO of DCBA, Inc., in Atlanta.
Q:If the physician writes septic shock instead of sepsis do I need to query for sepsis or is this an integral part and sepsis would be the principal diagnosis and the septic shock would be secondary, making it a MCC?
There are many articles about the enhanced documentation required in ICD-10-CM. However, the real challenge will be ICD-10-PCS. It is a completely new code set and is not used in any other country than our own. ICD-10-PCS does not include...Read More »
Q:The primary physician documented subacute cerebral infarction and I am wondering whether I should code this to a new cerebral vascular accident (CVA) or not since the term “subacute” doesn’t really fall anywhere.
CMS issued new guidance last week aimed at clarifying the so-called “two-midnight rule” finalized in the 2014 IPPS. The rule essentially states that physicians should order an inpatient admission if he/she expects the care...Read More »
Inpatient coders are accustomed to assigning a present-on-admission (POA) indicator in ICD-9-CM and they will continue to do so in ICD-10-CM. Although the POA indicators remain the same, ICD-10-CM includes a list of codes that...Read More »
Striving for the correct DRG assignment on the first pass should be every coder’s goal. This is not simple, and a close look reveals that the complexity of coding rules and the quality of documentation in facilities sometimes make...Read More »