Q: I’ve heard that, due to the inflammatory response related to septic tissue, perfusion will decrease, and hyperlactatemia and mottling are likely if left untreated. Decreased perfusion means that organs/tissues would get less blood. Is that how mottling (discoloration in irregular...Read More »
Q: I recently heard in a class that the TNM (tumor, nodes, metastasis) system can be used for coding purposes, but I’ve never used it before. As a coding professional, should I know how this system works and how to apply it?Read More »
Q:I’ve been told that a patient with the documentation of “traumatic cerebral edema with loss of consciousness of 18 hours and GCS—eyes open to sound,” should be assigned to HCC 166. But I keep coming up with two possible HCCs...Read More »
Join founding ACDIS Advisory Board member William E. Haik, MD, FCCP, CDIP, of DRG Review, Inc., next Thursday, January 24, for an in-depth look at the 2019 CC/MCC list and get a seasoned physician’s perspective on how to query for some of the most commonly missed diagnoses.Read More »
By Howard Rodenberg, MD, MPH, CCDS
If anyone under 60 has heard of Allan Sherman, it’s probably in reference to his melodic letter from camp entitled “Hello Muddah, Hello Fadduh.” One of my favorite Allan Sherman ditties is called “One Hippopotami.” The song concerns itself with...Read More »
By Sarah Nehring, CCS, CCDS
From the coding and CDI perspective, sepsis can be one of the trickiest diagnoses. Here are 10 things coders wish physicians knew about sepsis documentation and coding.
10: Urosepsis
Urosepsis isn’t sepsis—not from a coding...Read More »
By Sharme Brodie, RN, CCDS
The First Quarter 2019 issue of Coding Clinic was released in late March and is rather short—just 37 pages. Because of the length, I want to spend more time than I otherwise would discussing a few covered procedures.
A recent study in the Journal of the American Medical Informatics Association found that using population health data could help identify patients with a high...Read More »