Q: Our team is having a hard time determining a principal diagnosis for a patient with a history of stage 5 CKD who is receiving chronic hemodialysis and is in ARF with volume overload. The patient was admitted to receive the hemodialysis. What ICD-10-CM code...Read More »
Maryanne Baer-Hines, RN, MSN, CCDS, is a CDI specialist at Yale New Haven Hospital (YNHH), which is part of the Yale New Haven Health Systems, and a member of the Connecticut ACDIS local chapter.Read More »
Q: Is there a difference between osteomyelitis and cellulitis? And if so, do I need to query the physician for the conflicting diagnoses? The hospitalist mentions cellulitis of the foot and the wound consult is osteomyelitis of foot. Read More »
As part of the eighth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Priscilla Stuart, MS, RHIA, CCS, is a CDI specialist at Baylor Scott & White McLane Children’s...Read More »
As part of the eighth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Caryn Nowak, RHIA, CDIP, a clinical documentation specialist at Rady Children’s Hospital in San Diego...Read More »
Q: I was originally taught to do subjective, objective, assessment, and plan notes for a prior job with principal diagnosis listed first. Do I need to intervene when providers change the first-listed diagnosis from...Read More »