Editor’s Note:As part of the fifth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Zachary Fainman, MD, co-medical...Read More »
We hope everyone is excited for the first official day of the conference! As you get the lay of the land and enjoy the first few sessions, we wanted to start our Tuesday with one final speaker discussion, in case you haven’t decided who you’re going to see tomorrow. This week, we spoke with ...Read More »
While we normally roll out our speaker previews during the week, we were just too excited about the fact that the annual conference is just two days away! Some of you may be boarding flights to San Antonio, and others are anxiously finishing up your last few preparations. Wherever you...Read More »
Q: The physician documented “encephalopathy” in the record of a patient who was admitted with a cerebral vascular accident (CVA)and/or possible seizures. The patient was confused but has returned to baseline. Are these conditions considered interrelated or can we code for the...Read More »
Q:When I started as a CDI specialist, I learned that when a complication code, such as 999 or 998 series, happens to be the reason of admission, along with another condition also contributing to the admission, the complication code takes precedence over the other...Read More »
Q: If a is patient admitted with malnutrition and the physician documented the patient to be malnourished from mild to severe, would the CDI team use DRG 641, Severe Malnutrition as a working DRG, or should we query the physician to clarify the severity or type of malnutrition?Read More »
