Q:We have a problem getting our physicians to understand what we are querying for (chronic respiratory failure) when a patient is on home oxygen continuously with documented supplementary oxygen (SpO2) of <90% or arterial blood gas (ABG) with hypoxemia documented....Read More »
Q: I need help identifying the principal diagnosis for the following situation. The patient presented with shortness of breath and hypoxia, and had emergent dialysis which resolved his symptoms. However the patient’s international normalized ratio (INR) was sub therapeutic due...Read More »
New guidelines published in the May 2012 Journal of the Academy of Nutrition and Dietetics represents a consensus statement of the American Academy of Nutrition and Dietetics (the Academy) and the American Society for Parental and Enteral Nutrition...Read More »
AHA Coding Clinic for ICD-9-CM released its third round of ICD-10 coding guidance in its Second Quarter 2013 issue. HCPro CDI Education Director Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA approved ICD-10-CM/PCS trainer, says the guidance contains several questions about procedures which may be...Read More »
On the surface, defining acute respiratory failure seems to be a relatively straightforward task. However, many providers find it difficult to arrive at this diagnosis without repeated queries from the CDI specialist. The discussion and examples that follow...Read More »
A new bill introduced in the House and Senate includes a small, rather buried section that would delay implementation of ICD-10 for another year, to Oct. 1, 2015.
The main focus of the bill is a fix to the Sustainable Growth Rate (SGR),...Read More »
by Dan Catalano, MD, FACOG
Is hypertension an important diagnosis in childhood? According to Nelson Pediatrics, 19th Edition, there is a less than 1% prevalence of infant and young childhood hypertension. Given this relatively low incidence, should we be concerned about capturing...Read More »