Q: I am having difficulty understanding “late effects.” The statement of a “condition or nature of the late effect is sequenced first,” but the code for the acute phase of an illness or injury that led to the late effect is never used with a code for the late effect, seems contradictory...Read More »
Q: If the patient is a Medicare beneficiary, why wouldn’t a MS-DRG associated with the newborns and other neonates major diagnostic category (MDC) not be used? Is it because the patient is more than likely 65 (since they are a Medicare beneficiary) and this MS-DRG is for a newborn/...Read More »
Q: Some CDI specialists tell physicians not to document acute renal insufficiency because it does not code to acute renal failure and I am wondering if that is considered appropriate.
For instance, I was reviewing a chart and the physician documented that the...Read More »
Editor’s note: Nicole F. Draper, RN, BN, MHA, DH-C, is the manager of length of stay, documentation, and revenue optimization at St. Vincent’s Private Hospital Sydney in Darlinghurst, New South Wales, Australia. She presents “Measuring clinician engagement: The journey to...Read More »
Editor’s note: Cheryl Ericson, MS, RN, CCDS, CDIP, is the manager of clinical documentation services at DHG Healthcare in Charleston, South Carolina. She is a CDI subject matter expert for a variety of industry publications and keeps...Read More »
Editor’s note: Cesar M. Limjoco, MD, and Kelli A. Estes, RN, CCDS, will be presenting “The ultimate test for queries,” on Day 1 of the ACDIS conference. Limjoco is the vice president of DCBA, Inc. in Indianapolis, Indiana....Read More »
