Q:A patient was initially suspected of having a diagnosis in the history and physical (H&P) that drove the DRG. After review, and without any evidence based supporting clinical indicators noted, the CDI specialist issued a compliant query to clarify...Read More »
There are plenty of benefits and discounts that ACDIS members enjoy: $100 off or the annual ACDIS conference and $100 on both exam and recertification costs for CCDS/CCDS-O certification, for example. In addition to this, ACDIS also provides a variety of CEU offerings each year that are...Read More »
Q: A CDI specialist asked me if they could put a photo in a query. I’m used to noting in the query where in the chart the provider can find the photo, but I have never actually put a photo in the query itself. Is this allowed?
Q: What is the coding mismatch percentage for your team? And, if you know, how frequently is CDI correct resulting in coding changes? We would like to evaluate if the volume of coding opportunities we experience is on par with other teams across the industry.
Q: When abnormal renal function is documented without a clear diagnosis, what clinical indicators should coders review to determine whether a provider query is warranted?
A: When documentation reflects abnormal renal function but does...Read More »
Q: Should malnutrition be specially linked in the physician documentation as being due to or related to the gastrointestinal (GI) surgery to use code K91.2? Is it enough that the malnutrition is diagnosed/documented and the patient had recent, previous GI surgery to code K91.2? The...Read More »
Q: What are the key differences between recreational drug use and poisonings?
A: Recreational drug use is voluntary consumption. The goal is mind-altering effects, whatever that might be, while poisoning is the harmful and involuntary...Read More »
