Even if the treating physician does not immediately document “acute respiratory failure” in the pediatric patient’s record, looking for specific wording and indicators can help support a CDI query to bring that diagnosis in—provided it is appropriate for that patient during that encounter.Read More »
By Anny Yuen, RHIA, CCS, CCDS, CDIP, and Page Knauss, BSN, RN, LNC, ACM, CPC, CDEO
The terms “inpatient” and “outpatient” can refer to the clinical setting, but they also indicate the types of procedures performed. Inpatient procedures require that the patient be admitted to the...Read More »
By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, CDI Education Director at HCPro and ACDIS
Thirty-two years ago, I proudly received my BSN from the University of Vermont. I was young and didn’t know what I didn’t know. I did know that this degree in nursing would provide me with...Read More »
Q: How do you sequence ESRD, HTN, CHF, and diabetes when the patient is admitted with kidney disease which has progressed to ESRD and requires initiation of dialysis this admission? The heart failure is chronic. The ICD-10 combination code takes you...Read More »
Recently, I was asked an interesting question about querying for the diagnosis of encephalopathy. The student asked whether it was required for a patient to return to their mental status baseline prior to the CDI specialist querying the...Read More »