Q: Should I query for chronic respiratory failure if the documentation indicates the patient has sleep apnea and is being treated with continuous positive airway pressure (CPAP) at night?
A: I love where you are going with this question, it demonstrates your critical...Read More »
As we head in to the final few weeks before the conference begins, we’re continuing to preview some of our speakers, to help you get a feel for the sessions we’ll be offering and put the final touches on your itinerary. This week, we spoke with Karen Chase, RNC, BSN, CCDS,...Read More »
Q: The primary physician documented subacute cerebral infarction and I am wondering whether I should code this to a new cerebral vascular accident (CVA) or not since the term “subacute” doesn’t really fall anywhere.Read More »
Q: When atelectasis is noted on an ancillary test such as a CT-scan of the abdomen or chest x-ray, can nursing documentation of turning, coughing, and deep breathing be considered an intervention that qualifies as one of the criteria to meet a secondary diagnosis?Read More »
The annual conference is just 34 days away. But don’t panic. We’re here to help you plan your schedule. As the countdown continues, we’ve spoken with Kyra Brown, RHIA, CCS, for a preview of her presentation “Coding of Complications: Past, Present, and Future.”
Q:Do you have any advice or guidance on how to conduct chart reviews for beginners in CDI? I am looking for specific strategies and approaches that might help our program, such as viewing labs first, or looking at emergency room (ER) notes, or history and physical notes...Read More »
Q: We’re having a lot of discussions with physicians right now and need to get some clarity on acute cor pulmonale versus chronic. Do you have any insight on that differentiation between the two with right-sided heart failure, chronic obstructive pulmonary disease (COPD), shortness of...Read More »
Q: If a patient has hypertensive heart disease or cerebrovascular accident (CVA) with hemiparesis in his or her past medical history which has not been brought forward in the patient’s medical record for their current inpatient stay, can the coders assign a code for that...Read More »