Q: Does your team include calculations to support clinical indicators in your queries? Do your CDI specialists calculate P/F ratio and include the calculation in their query addressing respiratory failure? Do your CDI specialists calculate the corrected sodium level for...Read More »
by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
I usually enjoy the second quarterly Coding Clinic release each year, as it is often the one that is most “meaty” in its offerings, meaning it brings a little food for thought and a variety of direction. This one did...Read More »
Q: Do you query for acute pulmonary insufficiency? If so, what criteria do you use?
Response #1: We have recently begun to educate our providers (especially cardiothoracic surgeons) on using this diagnosis. We tell them to utilize it for...Read More »
Q: What criteria guidelines are you utilizing for sepsis (i.e., Sepsis-2, sequential organ failure assessment [SOFA], etc.)? Do you adjust criteria based on payer? We’re currently using Sepsis-2 for all payers.
Q: A 64-year-old female inpatient has hepatocellular cancer with an orthotropic liver transplant with bile duct obstruction and is immunosuppressed due to drugs. Which ICD-10-CM codes would be reported?
A: The scenario would be reported with ICD-...Read More »
by Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS
In the intricate landscape of healthcare documentation, malnutrition stands out as a nuanced yet pervasive issue that warrants attention from CDI teams. Beyond its clinical implications, malnutrition documentation does hold “...Read More »
