Q: How does one appropriately capture severity for mortality of a newborn when it has been determined prior to birth that the newborn will not survive?
A: As CDI continues to evolve and branch out, we are challenged on how to accurately...Read More »
Q: What is your take on differential diagnoses? From The Official Guidelines for Coding and Reporting, it looks like they are equal to “uncertain conditions” if they are documented at the time of discharge. My concern regards the word “confirmed”: I don’t think that the...Read More »
Q: Do vasopressors have to be used to support the diagnosis of cardiogenic shock?
A: Unlike the clinical diagnosis criteria of septic shock, which requires the use of vasopressors, cardiogenic shock does not require the use of...Read More »
Q: I am hoping to get some feedback on a new type of payer denial. Respiratory failure was clinically supported in the home environment via the emergency services (EMS) run sheet clinical indicators. The ambulance crew initiated treatment, so the patient was not tripoding nor hypoxic...Read More »
As part of the 13th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Vanessa Elliott, MBA-HM, RN, CCDS, enterprise system CDI educator at WVU Medicine in West Virginia, answered these questions....Read More »