Q: For inpatient hospital code reporting purposes, is the physician’s co-signature at the bottom of the registered dietitian’s (RD) note—where the dietitian includes clinical assessment, a diagnosis of severe malnutrition, and treatment plans associated with the diagnosis—sufficient...Read More »
Q: Our issue is that when constructing the query, the CDI specialist/coder is giving the appropriate responses to the physician, but when they choose to answer the query and click on choices, they are given a multitude of choices in the response section. The CDI team is thinking this...Read More »
Q: What are some tips for organizations that are just starting out capturing the type of information to report social determinant of health (SDOH) diagnoses in ICD-10-CM?
A: Codes with generally no reimbursement impact can be considered...Read More »
Q: I have a question about provider education and query escalations in a remote world. What is your provider education process? Are your frontline CDI staff facilitating regular provider education or do you have a designated CDI physician educator or team of CDI that facilitate on a...Read More »
Q: We are looking for ways to have our CDI and utilization management (UM)/utilization review (UR) teams work more closely and possibly cross-train the team members. Does anyone currently work closely with the utilization management department or have cross-trained employees? Does...Read More »
Q: If a physician performs a lithotripsy on a stone in the ureter or removes a stone from the ureter through a transurethral approach, then performs a percutaneous nephrostomy and treats a stone in the kidney, would both procedures be reported?