Late effects are considered to be the residual effects after the acute phase of an illness, disease, or injury. There is no time limit as to when a late effect can manifest itself. It can occur directly after the disease or even years...Read More »
Invest in computer-assisted coding (CAC) now because of its potential positive impact on productivity and quality, says Gloryanne Bryant, RHIA, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) at Kaiser Foundation Health Plan Inc. & Hospitals, in...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Sequencing is a challenge, particularly when two conditions meet the definition of principal diagnosis but only one justifies medical necessity for admission. Many CDI professionals don’t consider the major role sequencing...Read More »
Documentation improvement staff often struggle with principal diagnosis selection. A clear understanding of the definition of principal diagnosis and the factors that play into principal diagnosis selection is extremely important, although often confusing.
One of the most confusing diagnoses to code and sequence is the acute myocardial infarction (AMI). It is the elephant in the room of circulatory diagnoses—it takes up the most space and can never be ignored. I’m going to try to make some...Read More »
ICD-10-PCS codes include one digit for the root operation that the provider performs. The root operation is always the third character in the seven-character code. The definitions of these root operations are consistent across other sections of ICD-10-PCS, although they may be represented by...Read More »