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 »
by Jennifer Kurian, BSN, RN, CCDS, in collaboration with Whitney Garcia, MSN, RN, CCDS, CCS, CRC
Over the past year and a half, our CDI team at The Queen’s Health System has had quite the journey in developing a collaborative effort to review all inpatient mortalities. Being the...Read More »
