In April 2012, the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition (ASPEN) jointly published a...Read More »
Richard Pinson, MD, FACP, CCS, will present “A Deep Dive into HCCs” on Day 1 of the ACDIS Symposium: Outpatient CDI, which takes place November 14-15 at the Hyatt Regency in Austin, Texas. Pinson is the principal and medical...Read More »
Q: We recently had a patient come in with bilateral shoulder pain and numbness. The patient also had lung cancer, metastasized to spine. What should we sequence as the principal diagnosis? The patient is currently undergoing chemo therapy. Read More »
Q: I’ve heard that the provider should identify the level of substance consumption. For provider education, would the CDI department need to cite any clinical indicators that would help providers differentiate use, abuse, or dependence? Or should we...Read More »
By Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS
A commonly recommended audit sample size is 30 cases for routine quality auditing with no known serious compliance issues. Conducting an audit of this magnitude for every coder every month can be a daunting challenge....Read More »
Q: Recently, our inpatient psychiatric facility has been asking if it would be beneficial to have CDI review their accounts. I researched this a few years back and learned from other programs that there was little benefit as most psych DRGs are single...Read More »
There is a book that every CDI specialist who’s been in the field for more than 10 years knows about, but I recently had a conversation with a group of CDI specialists with four years of experience who were not familiar with this book. The book...Read More »
Q: I have a question about coding HIV and HIV-related illnesses. If a physician documents a patient is HIV positive, should the chart be coded to Z21? What about if they document the patient is HIV positive with an HIV-related illness—would that be...Read More »
