One of my physicians recently documented this statement “urine MRSA positive, but patient asymptomatic and vital signs stable, likely colonization from chronic catheter.” Based on this documentation, could we code a catheter-associated urinary tract infection (CAUTI)?Read More »
Q: We are seeing an influx of possible COVID-19 patients at our facility. How can we prepare to query for COVID-19-related documentation and coding issues that are bound to come our way due to the newness of the diagnosis?Read More »
I’ve always thought that, as long as the clinical indicators support the condition you’re querying for, providing all the options for the specific type/specificity of that condition allows the provider to use their clinical judgement. Is this correct?Read More »
Despite its centrality, it’s easy to become complacent when it comes to query practices. Because it’s a “CDI basic,” brushing up on best practices and procedures may take a back seat to flashier pursuits—such as denials management and appeals, clinical validation reviews, quality measures,...Read More »
I have a question about the guidance in the ACDIS/AHIMA “Guidelines for Achieving a Compliant Query Practice” related to “reasonable” query response choices.Read More »
