Q: One of our inpatient coding team members recently sent the following post-discharge query and our team is split on whether it’s compliant or not. Could you help us settle the debate? Here’s what the query said:
Q: I recently came upon this article, but it’s several years old at this point. What are your thoughts on coding lactic acidosis (E87.2-) and sepsis together? ...Read More »
Q: A patient with dementia has not taken prescribed Lasix for one week due to forgetting and presents with worsening acute heart failure. What is going to be sequenced first: the underdose or the acute heart failure?
Q: Our CDI leadership group is currently working on developing clear role expectations and corresponding accountability steps specifically for our concurrent CDI staff. As part of this work, we’re looking to outline minimum standards for the role and define the appropriate points at...Read More »
Q: What are some tips for properly documenting evaluation and management (E/M) as it relates to medical decision-making (MDM), including improving communication with providers?
Q: What are common query opportunities coding professionals may encounter when reviewing unclear drug documentation?
A: Accurate coding of poisonings, adverse effects, and underdosing events depends entirely on clear provider documentation. Because code assignment is...Read More »
Many conditions can be confusing both to diagnose and assign the proper coding. One such condition is tumor lysis syndrome (TLS), which occurs when...Read More »
