Q: During a final pre-bill coding review, the coding leader identifies a CDI initiated query that does not meet the ACDIS/AHIMA guidelines for a compliant query. But, the physician has already responded to the query with a diagnosis which was then...Read More »
Q: We recently had a situation where a patient was admitted for syncope workup and all the workups were negative except for incidental findings of AKI. The physician documented “AKI likely 2/2 hypovolemia. Treatment focus is to trend creatinine levels...Read More »
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 »
