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 »
Q: Can we send a concurrent query to the physician using the statement within the query: "Use of terms such as concern for, suspected, possible, or probable (associated with a specific diagnosis) are accepted and can be coded in the inpatient setting”? I was told that this type of...Read More »
Q: I have a question about provider education and query escalations in a remote world. What is your provider education process? Are your frontline CDI staff facilitating regular provider education or do you have a designated CDI physician educator or team of CDI that facilitate on a...Read More »
Q: Our issue is that when constructing the query, the CDI specialist/coder is giving the appropriate responses to the physician, but when they choose to answer the query and click on choices, they are given a multitude of choices in the response section. The CDI team is thinking this...Read More »
Q: I have a question about provider education and query escalations in a remote world. What is your provider education process? Are your frontline CDI staff facilitating regular provider education or do you have a designated CDI physician educator or team of CDI that facilitate on a...Read More »
Q: I am working on streamlining our templates and would love to include the standard definitions of certain diagnoses, such as malnutrition, to help remind the providers of certain criteria within the body of the template. For instance, I would like to include the Global Leadership...Read More »
Q: Our team had a question regarding the criteria for chronic respiratory failure. The ACDIS Pocket Guide states the criteria “typically requires continuous oxygen support,” so do patients just need to be on continuous oxygen to meet it?