Q: A patient presents with sepsis due to acute pyelonephritis (E. coli). She had a previous kidney transplant at age 10 due to polycystic kidneys (removed), has chronic kidney disease (CKD) stage 3b, and is immunosuppressed due to drugs. How would this scenario be reported in ICD-10-...Read More »
Q: What documentation criteria are required to report CPT critical care codes 99291-99292?
A: First, you have to document high-complexity medical decision-making (MDM) and that's using whatever methodology is currently put forth in the...Read More »
Q: I am interested in learning about the resources that other programs utilize for new hire orientation. Our current orientation program is comprehensive and well-structured, primarily involving one-on-one educational sessions. We use online modules from Nthrive Education to provide...Read More »
Q: Our coding and CDI team have been discussing coding diagnoses from physician orders recently. This topic comes up occasionally and I am curious as to what other systems are doing in this space. We are aware of the older Coding Clinic from Third Quarter...Read More »
Q: Should coders report HCPCS code G0136 (administration of a standardized, evidence-based social determinants of health [SDOH] risk assessment, 5-15 minutes, not more often than every 6 months) when the service is performed by a provider in the patient’s home? And does the provider...Read More »
Q: We are currently seeking out best practices for templates regarding CDI reviewer notes and adding findings. How do different organizations template CDI reviews and add findings? Would anyone be willing to share some templates that your team uses?
Q: What does a provider need to document for ICD-10-CM code G89.4 (chronic pain syndrome) showing there is a psychosocial reason for the painRead More »