Q:Can you please weigh in on urinary stent insertion? Our coding department states that a query is needed to determine if the urinary stent is for drainage or dilation. From my own clinical perspective, a urinary stent would typically be placed for dilation...Read More »
As part of the upcoming 13th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Alyce Reavis, RN, MSN, CCDS, CCS, CDI auditing coordinator at Evangelical Community Hospital in...Read More »
Q: Regarding TAVR DRG 267 versus 266: Our providers wonder why so many TAVR procedures go to the 267 DRG without an MCC. I would like to know if other facilities that perform TAVRs get many cases to 266 DRG with an MCC, and if so, what are the top MCCs captured? Providers routinely...Read More »
Q: Can we send a concurrent query to the physician using the statement within the query: "Use of terms such as concern for, suspected, possible, or probable (associated with a specific diagnosis) are accepted and can be coded in the inpatient setting”? I was told that this type of...Read More »
As chapters gear up for a busier autumn season, ACDIS is here to help! Using the Local Chapter Leadership Request Form, chapter leaders can request multiple different services from ACDIS national to boost their chapters....Read More »
Q: I have a question about provider education and query escalations in a remote world. What is your provider education process? Are your frontline CDI staff facilitating regular provider education or do you have a designated CDI physician educator or team of CDI that facilitate on a...Read More »
Q: For inpatient hospital code reporting purposes, is the physician’s co-signature at the bottom of the registered dietitian’s (RD) note—where the dietitian includes clinical assessment, a diagnosis of severe malnutrition, and treatment plans associated with the diagnosis—sufficient...Read More »