Q:A patient recently came in with SOB and was found to have a incarcerated ventral hernia. SOB was documented throughout the record. Can SOB be coded separately or is it integral to hernia?Read More »
By Cheryl Ericson, RN, MS, CCDS, CDIP, and Cathy Farraher, RN, MBA, CCM, CCDS
The rollout of the clinical validation process should include an educational timeline complete with a roadshow of sorts in which the physician advisor, CDI administrator, and CDI staff explain the...Read More »
The American Medical Association’s (AMA) current procedural terminology (CPT) editorial panel approved sweeping changes to documentation and code selection guidelines for evaluation and management...Read More »
Q:I saw that there are separate codes for acute respiratory distress syndrome (ARDS) and acute respiratory distress. What’s the difference between ARDS and acute respiratory distress?Read More »
The Coordination and Maintenance (C&M) Committee met last week on March 5 and 6 to discuss proposed code changes in ICD-10-CM/PCS. The agendas for the meetings are available on the CMS...Read More »
Q:One of my CDI staff members recently asked me for resources to help differentiate between an acute PE/DVT and a chronic PE/DVT. She’s looking for anything that could help her explain the difference to a physician, but I’m...Read More »
“These were the two most educated trauma coding speakers I have heard, and I’ve been doing this for 13 years,” said one attendee of last year’s trauma CDI webinar of speakers Nicole Fox, MD, MPH, FACS, CPE, and Kristie Perry, RN, MHSA, CCDS, CCS.Read More »
