Q: A female patient previously had an inpatient stay due to severe enteritis, secondary to the use of Keytruda for colon cancer that she was diagnosed with six months earlier. While she has had positive results from the medication, she presented to the emergency room last week due to...Read More »
As a reminder, the ACDIS is closed for the holidays this week (December 23 through December 27) and next week on January 1 for New Year’s Day. We will be operating at limited capacity on December 30 and December 31 and back fully open on Tuesday, January 2.Read More »
Q: I have a question about querying for excisional debridement. Our organization uses an operative template containing two sections that have caused some pushback from our surgeons. Those sections are “Procedure performed” and “Operation details.” Our CDI specialists have been...Read More »
Q: If a patient is admitted with respiratory failure and chronic obstructive pulmonary disease (COPD) or asthma exacerbation (and other acute respiratory conditions), which diagnosis should be assigned as the primary diagnosis? Is there a specific rule that requires a “code first”...Read More »
Q: Does anyone have experience with denials based on the Global Leadership Initiative on Malnutrition (GLIM) versus the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria?
Response #1: First, as to criteria, it should...Read More »
Q: An elderly male patient has a rectal fistula with an abscess requiring complex packing of the wound. The most recent wound documentation reports “complex persistent rectal fistula with underlying abscess present, cultures show positive for E. coli and Klebsiella.” The patient will...Read More »
Q: What are the key takeaways for diagnosing, documenting, and supporting malnutrition diagnoses (ICD-10-CM categories E40.- through E46.-)?Read More »
