Clinical & Coding

by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Recovery Auditor (RA) denials raise my blood pressure more than anything else (except...Read More »

Q: I’m a bit confused by sepsis sequencing. Should it always be coded as the principal diagnosis, or are there instances where it wouldn’t...Read More »

by Kay Piper, RHIA, CDIP, CCS
Have you ever thought to yourself, “I wish there was a code for that?” Good news! You can make your...Read More »

A former Hospital Corporation of America (HCA) nurse accused the hospital chain of fraudulently billing the federal government for services at...Read More »

Q: How much does your CDI team focus on unspecified codes if it does not have an...Read More »

Q: A physician documented that a pregnant patient is obese, and the patient’s chart has a listed BMI...Read More »

Q: I’m looking at the HCC information on the CMS website and am having...Read More »

CMS recently reissued ...Read More »

On an annual basis, sepsis affects about 1.7 million American adults. The infection is...Read More »

Documentation of developmental issues is critical because the goal is accurately diagnosing each child and focusing appropriate resources toward...Read More »