Q: I am looking for additional clarification regarding the recent AHA Coding Clinic for ICD-10-CM/PCS concerning diabetes and the use of the word “with.” While the examples often used in Coding Clinic are specific, the actual...Read More »
Call me unorthodox, but let’s start at the back of the latest edition of the American Hospital Association (AHA)’s Coding Clinic for ICD-10-CM/PCS for this review. Here, on pp. 36–37, we have the clarifications, including some potentially confusing—and possibly conflicting—information...Read More »
I have previously addressed the issue of auditor denials. However, given the industry changes I have witnessed in the last 12–18 months, it is time to revisit this problem. And, per communications with colleagues in the CDI world, I suspect the same...Read More »
When Dee Banet, RN, MSN, CCDS, CDIP, and her CDI team sent out a claim for a surgical patient with body mass index (BMI) greater than 40 with morbid obesity as a secondary diagnosis, they did not expect the claim to be denied; after all they...Read More »
For the past few years, healthcare professionals have focused on ICD-10 preparation. That prep work paid off—the transition has been largely successful. But facilities are experiencing a few bumps as their focus shifts from preparation to improvement of clinical documentation and coding. We...Read More »
No one thought ICD-10 implementation was going to be easy, but after a few months of working with the new code set, 19% called their implementation process just that—easy. Another 73% said implementation was only moderately challenging, and just a handful called it “difficult,” according to an...Read More »
by Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS
Some interesting tidbits of information can be gleaned from the most recent release of AHA Coding Clinic for ICD- 10-CM/PCS to help coders as they work in the new code set. I never thought I’d be so eager...Read More »
Quadriplegia is a very familiar condition that would never go unnoticed and undocumented in the medical record. The causes are typically catastrophic damage to the upper spinal cord due to trauma, vascular injury, or neoplasm...Read More »
