Q: We had a physician document metabolic encephalopathy on a post-operative patient who was sedated on a vent. Prior to the surgery, the patient was alert and oriented to person, place, time, and event. Post-extubation one day later, they were alert and oriented to person, place,...Read More »
Among patients with obesity and obstructive sleep apnea (OSA), those who received metabolic surgery (also known as bariatric surgery) had a significantly lower cumulative risk of major adverse cardiovascular events (MACE) over a median follow-up of 5.3 years, according to...Read More »
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 »
