It’s a problem most CDI professionals reviewing pediatric records know well: physicians are often reticent to diagnose acute respiratory failure for their patients.Read More »
When a patient comes into the hospital and, despite the medical staff’s best efforts, dies, the documentation in the record should accurately reflect how truly sick the patient was. Unfortunately, the record frequently depicts a more-or-less healthy patient who came into the hospital and then...Read More »
CDI specialists’ salaries continue to grow, according to the 2017 CDI Salary Survey, but participants this year aren’t as optimistic as in years past. Similarly, job titles...Read More »
Q: Our coders often select the principal diagnosis based on how invasive the testing is. For example, a patient comes in with vertigo and hematemesis. For the vertigo, the physician orders a brain CT, IV medications, and an ear, nose, and throat consult. The patient is diagnosed...Read More »
by Cesar M. Limjoco, MD
Sepsis has been defined as a toxic response to infection. Sepsis-1 and Sepsis-2 defined it as a systemic inflammatory response to infection. Sepsis-3 now defines it as life-threatening organ dysfunction caused by a dysregulated host response to infection....Read More »
Most physicians don’t think value-based payment models will cut healthcare costs and improve quality of care, according to a new study by Leavitt...Read More »
Rules governing code assignment often don’t make sense to those coming to CDI from the clinical side of the house. In truth, they often confound professionals with years of HIM/coding experience, too. And most CDI and coding professionals have a list of frustrations when it comes to translating...Read More »