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 »
As you put the final touches on your itinerary, we have a couple more speaker previews that we’d like to share with you. This week, we spoke with Allison Clerval, RN, BSN, CCDS and Kathleen M. Shindle, RN, BSN, CCDS, who will present “A Matter of Life and Death: CDI Impact on Mortality Risk...Read More »
Q: I work in a large, provider-based orthopedic clinic with a rheumatology department that has many patients who are very ill with several comorbid conditions. Does the physician need to document every comorbid condition that impacts his or her medical decision making for each encounter?...Read More »
Q: Although I understand that a coder cannot code from a previous encounter’s documentation, can the CDI specialist bring information to the physician’s attention such as laboratory results in order to obtain a baseline for renal failure/chronic kidney disease (CKD)?Read More »
As you put the final touches on your itinerary, we’re continuing to preview some of speakers to give you a feel for this year’s sessions. This week, we spoke with Kelli A. Estes, RN, CCDS, who, along with Cesar M. Limjoco, MD, will present, “Go After the Truth,...Read More »
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 »
