Q: Do you query for acute pulmonary insufficiency? If so, what criteria do you use?
Response #1: We have recently begun to educate our providers (especially cardiothoracic surgeons) on using this diagnosis. We tell them to utilize it for...Read More »
Q: If nephrology or another consultant notes acute kidney injury (AKI)/acute renal failure (ARF), but the attending is not writing diagnosis, should you query? I was taught to have the attending confirm the diagnosis written by the consultant(s) to validate diagnosis, maintain...Read More »
Q: We’re attempting to make provider queries part of our medical record which coding can use to pick up codes. Does anyone have experience with this they could share? We are interested in: Components of a query (complaint query), who to send the query to, who is responsible for...Read More »
Denials continue to be a pain point and significant challenge for every hospital across the nation. Whether inpatient or outpatient, denials are rampant. Denials also continue to strain revenue cycles in every organization. What can...Read More »
Q: Regarding TAVR DRG 267 versus 266: Our providers wonder why so many TAVR procedures go to the 267 DRG without an MCC. I would like to know if other facilities that perform TAVRs get many cases to 266 DRG with an MCC, and if so, what are the top MCCs captured? Providers routinely...Read More »