Suzanne Megown, RN, BSN, CCDS, CDIP, CCS, is a CDI specialist at St. Luke’s Hospital in Chesterfield, Missouri, and a member of the St. Louis ACDIS chapter, AHIMA, the Missouri component of AHIMA, and eHIMA. A CDI specialist for the past nine years, she worked in pain management...Read More »
Q: According to Official Guidelines for Coding and Reporting, uncertain diagnoses should be documented at the time of discharge. If a consultant documents an uncertain diagnosis in the final or last progress note and no discharge...Read More »
Jose M. Gonzalez O’Neill, MSHIM, RHIA, is the vice president of the Florida ACDIS chapter, and HIM service line manager for medical transcription and inpatient coding at a large hospital system in the Orlando area.Read More »
Q: I understand the Official Guidelines for Coding and Reporting related to pressure injuries and present on admission (POA) status. For example, I know that if a decubitus ulcer is a stage 1 on admission and progresses to stage 4 during the stay, we are to code stage 1...Read More »
Steven L. Griffin, MSN, RN, CCM, CCDS, is the director of CDI at Baycare Health System in Clearwater, Florida, and he’s soon to be a doctor of nursing practice too.Read More »
Maria Gracia (GiGi) Donohue, BSN, RN, CCDS, is the CDI manager at Lakeland (Florida) Regional Health, and a member of the Florida ACDIS chapter and of ACDIS national.Read More »
