Editor’s note: The following is an excerpt from ACDIS’ letter to CMS regarding the inpatient prospective payment system (IPPS) proposed rule for fiscal year (FY) 2013, sent on June 11, 2012. ACDIS is pleased to comment on the proposed changes to the Medicare Hospital...Read More »
Q: I was interested in further discussion about cystic fibrosis coding. I am conducting an audit on MS-DRGs 177, 178, and 179, Respiration infections and inflammation with MCC...Read More »
CMS recently published a draft ICD-10 MS-DRG definitions. According to the website, the definitions are displayed in 'grouper logic order,' meaning that the MS-DRGs are listed in the order in which the grouper recognizes them. “This enables users to see instances where grouper logic order...Read More »
An emergency department (ED) physician diagnosed a patient with pneumonia. He was concerned about a possible nosocomial etiology given the patient’s recent hospital discharge for problems related to atrial fibrillation. Because the patient’s Pneumonia...Read More »
MLN Matters article SE1121 emphasizes that coders must consider all documentation from licensed treating physicians and attending physicians when assigning a principal diagnosis. It states:
“The emergency room report, history and physical (H&P),...Read More »
The bane of many CDI specialists’ existence is trying to get physicians to buy into good documentation practices. But a recent notice issued by TrailBlazer Health Enterprises, LLC, put in about as plain words I’ve seen that contractors are now going to be comparing Part A (hospital) with Part B...Read More »
As the healthcare industry prepares for a system that rewards value through high quality and efficiency of care, the emphasis on patient safety as a principal priority has become more important than ever, reflected clearly in the responses across the board...Read More »
