Our providers tend to use the term “RDS” in their documentation to describe all “respiratory distress,” “respiratory distress syndrome of newborn,” and “acute respiratory failure.” Often, we find ourselves querying to clarify/remove RDS when it is in fact respiratory distress and not respiratory...Read More »
The fiscal year 2022 ICD-10-CM codes have been released by the Centers for Disease Control and Prevention (CDC) and effective starting October 1, 2022. Still pending release are the 2022 Official Guidelines for Coding and Reporting...Read More »
According to our software vendor, you can only code liver lacerations as minor, moderate, or major. According to all the educational materials I can find, however, liver lacerations are on a grading scale (grades 1-5). How does your institution code the liver laceration if they only give...Read More »
I believe there was a Coding Clinic several years ago where the diagnosis of “mental incompetence” was changed to “intellectual disability,” but I can’t seem to locate it. What ICD-10 code should be used if a person is documented as “mentally incompetent”?Read More »
Each fall we join our revenue cycle, quality, and coding colleagues in a race to read and understand the impacts of the newest ICD-10-CM coding changes and the Inpatient Prospective Payment System (IPPS) final rule. As CDI professionals, we can...Read More »
Primary care clinicians overestimate the probability of disease before and after diagnostic testing, which likely leads to overutilization of treatment that could harm patients, according to a study published in the...Read More »
Hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and are meaningful EHR users could see a 2.8% payment increase, if the...Read More »
Suggested changes for the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) payment rule for acute and long-term care hospitals were released this week, Tuesday, April 27. The IPPS governs how hospitals get paid for services they provide to Medicare patients. Every year, CMS...Read More »
