Q:Does documentation such as “suggestive of” or “suspicious of” qualify as uncertain...Read More »

Can a patient have encephalopathy after a surgery? For example, a patient post surgery becomes confused and ends up being transferred from the medical/surgical floor to the ICU and began receiving high doses of pain medication via IV. However, the patient recovers well and the confusion...Read More »

Q: If the principle diagnosis ICD-9 code is on the MCC list but there is no other diagnosis for the patient, is the DRG assigned with MCC or without?

For example, patient presents with heart failure but has no other diagnoses. So the ICD-9 code is 428.21, acute...Read More »