My favorite part of teaching our Boot Camps are the discussions which take place as we move through the materials. CDI reviews vary from organization to organization...Read More »
Q:We use the pre-bill reconciliation process at the time of coding and are trying to determine the true CDI/coding match rate. If the CDI specialist doesn’t enter the queried diagnosis in their working DRG but the physician...Read More »
The CDI and coding teams should routinely meet to discuss documentation issues, physician/provider challenges, and DRG variations. Many organizations conduct DRG comparisons between the CDI and coding teams. DRG assignment is an excellent area for education for both teams.Read More »
Q:In what instance would septic shock not be coded as the principal diagnosis? I’ve been under the impression that it should always be principal.Read More »
Debra Conrad filed a lawsuit in the U.S. District Court for the Western District against Heartland Regional Medical Center, also known as Mosaic Life Care, alleging wrongful termination for raising concerns about fraudulent billing practices.Read More »
Q: A physician documented that a pregnant patient is obese, and the patient’s chart has a listed BMI score. Can we assign an ICD-10-CM BMI code in this instance or should this never be done for an obstetrics patient? Read More »