Q: I am hoping you can provide some insight on compliance and ethical provider education related to Hierarchical Condition Category (HCC) risk adjustment. In reviewing the ACDIS Code of Ethics for the development of provider education...Read More »
Q: I have a question about DRG 963. I’ve heard that we need three different trauma diagnoses from at least two different body site categories for this DRG. The DRG Expert has a list of all diagnoses under DRG 963, but it doesn’t...Read More »
Alba Kuqi, MD, CCS, CDIP, CCDS, CRCR, CICA, is the CDI supervisor at Prime Healthcare and is currently pursuing her master’s degree in HIM from the College of St. Scholastica. She is an ACDIS Leadership Council member, PHIMA member, and AHIMA Foundation Research Network...Read More »
Edna I. Betances-Harold, LPN, CDIP, CCS, CCDS, is the CDI supervisor at the University of Florida Health in Gainesville, and the president of the Florida chapter of ACDIS.Read More »
Q: We recently had a patient who was admitted with sepsis and the physician documented sepsis, a urinary tract infection (UTI) related to chronic Foley catheter, and pneumonia. Can we code sepsis first instead of the complication code? Or is the complication always first? ...Read More »
Q: I’ve heard that, due to the inflammatory response related to septic tissue, perfusion will decrease, and hyperlactatemia and mottling are likely if left untreated. Decreased perfusion means that organs/tissues would get less blood. Is that how mottling (discoloration in irregular...Read More »
Q: I recently heard in a class that the TNM (tumor, nodes, metastasis) system can be used for coding purposes, but I’ve never used it before. As a coding professional, should I know how this system works and how to apply it?Read More »
