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 »
Rita Fields, BSN, RN, CCDS, recently retired from her role as regional CDI manager at Baptist Health in Louisville, Kentucky, and was named CDI Professional of the Year in 2017. Susanne Warford, MBA-HCM, RN, CCDS, is the system CDI analyst and appeals nurse for Baptist Health in Louisville,...Read More »
