Q: For those patients who are flagging due to a procedure unrelated to the first, what do you do with those? If the issue is found during the surgery and taken care of, they don’t require a trip back to the operating room, but the patient then needs an NG tube to drain their stomach...Read More »
Q: The word "with” is interpreted to mean "associated with " or “due to" per the Official Guidelines for Coding and Reporting. Although "with" can link two diagnoses, it does not represent a cause-and-effect relationship. But we also need to use direct linking with wording such as "...Read More »
by Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM
CDI plays a pivotal role in the modern healthcare landscape. It ensures that health records accurately reflect patients' clinical status, interventions, and outcomes, according to Tammy Combs, RN, MSN, CDIP,...Read More »
Recently, the CDC listed the FY 2023 ICD-10-CM diagnosis code set and the Official Coding Guidelines, with 42 diagnosis code additions, seven deletions, and one code revision, which will be effective...Read More »
Q: It has been my understanding that coding of restraint status is essential for mortality reviews, but I’ve never heard it explained how this code impacts the chart. Could you explain the impact?
A: This is a great question. Restraint...Read More »
According to an RACmonitor ‘Monitor Mondays’ listener survey, most responders had not yet begun working on the quality requirements under the social drivers of the health (SDoH) measure despite its impending...Read More »