Industry expert Joe Osentoski reimbursement recovery and appeals director at Quality in Real Time (QIRT) in Troy, Michigan, answered a few questions on why solid documentation is so crucial in home health. He will be taking a deeper dive into documentation and avoiding claims denials during his...Read More »
Q: We recently had a patient come in with bilateral shoulder pain and numbness. The patient also had lung cancer, metastasized to spine. What should we sequence as the principal diagnosis? The patient is currently undergoing chemo therapy. Read More »
Q: I’ve heard that the provider should identify the level of substance consumption. For provider education, would the CDI department need to cite any clinical indicators that would help providers differentiate use, abuse, or dependence? Or should we...Read More »
Q: Recently, our inpatient psychiatric facility has been asking if it would be beneficial to have CDI review their accounts. I researched this a few years back and learned from other programs that there was little benefit as most psych DRGs are single...Read More »
Q: I have a question about coding HIV and HIV-related illnesses. If a physician documents a patient is HIV positive, should the chart be coded to Z21? What about if they document the patient is HIV positive with an HIV-related illness—would that be...Read More »
