The 2016 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice call on CDI or coding pro- fessionals to query physicians if the documentation:
Describes or is associated with clinical indicators without a definitive relationship to an underlying diagnosis
Editor’s note: ACDIS Advisory Board members Paul Evans, RHIA, CCDS, CCS, CCS-P, and Judy Schade, RN, MSN, CCM, CCDS, in conjunction with former ACDIS Advisory Board member and HCPro Director of HIM/Coding Shannon McCall, RHIA, CCS, CCS-P...Read More »
The last few weeks have been mind-spinning. First and foremost, the 2017 inpatient prospective payment system (IPPS) final rule, which includes Medicare payment system changes, coding changes, and MS-DRG shifts, was...Read More »
Q: Our facility is developing clinical definitions regarding types of atrial fibrillation (afib) given the specificity changes in ICD-10. Could you provide suggestions for these definitions? Do you think is it appropriate to query for persistent atrial fibrillation for the period of more...Read More »
The Third International Consensus Definitions for Sepsis and Sep- tic Shock published new clinical guidelines for diagnosing sepsis, dubbed Sepsis-3, earlier this year in the Journal of the American Medical Association (JAMA).
Although CMS chose not to adopt the new criteria in a...Read More »
The world didn’t end on October 1, 2015. After years of postponement, the proverbial “deal with the devil” made between CMS and the AMA to push ahead with ICD-10-CM/PCS implementation was a year’s grace period during which...Read More »
