Hussein Albishi, BSc HIM, CHIM, is an HIM/CDI consultant, with Vision Realization Office (VRO) for the Ministry of Health, in Saudi Arabia. He is the president of Saudi Health Information Management Associates, and was elected in 2016 by the International Federation for Health Information...Read More »
By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, CDI Education Director at HCPro and ACDIS
Thirty-two years ago, I proudly received my BSN from the University of Vermont. I was young and didn’t know what I didn’t know. I did know that this degree in nursing would provide me with...Read More »
Q: How do you sequence ESRD, HTN, CHF, and diabetes when the patient is admitted with kidney disease which has progressed to ESRD and requires initiation of dialysis this admission? The heart failure is chronic. The ICD-10 combination code takes you...Read More »
Q:As far as coding guidelines go, the role of the attending physician’s documentation in the medical record and discharge summary are pivotal for correct code assignment. However, our system uses hospitalists which means the...Read More »
Q: Is it appropriate to query whether a pressure ulcer was present on admission (POA) if it was not documented until later in the admission?Read More »
