Q:We recently had a patient who met criteria for sepsis, but they also presented with a narcotic overdose. Would we be able to code the sepsis based on the criteria present or should we query?Read More »
Historically, providers outside of the hospital setting assigned their own codes. With increasing administrative demands placed on physicians in the quest to demonstrate the quality of care provided, it is challenging for them to...Read More »
The country's first, state-mandated, public reporting initiative for sepsis, implemented in 2013, has increased compliance with sepsis care bundles for patients with severe sepsis and...Read More »
In thinking about Health Information Professional (HIP) Week, I found myself thinking of how I have interacted with HIM professionals over my years in healthcare. I started working in the hospital in the ‘80s as a candy striper (yes...Read More »
As part of the eighth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Irina Zusman, RHIA, CCS, CCDS, director of HIM coding and CDI initiatives at NYU Langone Health in New York, a member...Read More »
Q:We recently had a patient come in with acute kidney injury (AKI). The patient had clinical indicators for CKD, but their baseline creatinine was unknown. The patient has daily labs for 72 hours already, so would it be...Read More »