Clinical & Coding

Many organizations have HCC tools built into their CDI software or EHRs that can help them capture HCCs. When providers click on a diagnosis or a...Read More »

Q: Can wound debridement performed by wound care nurses and/or physical therapist be reported on...Read More »

Even if the treating physician does not immediately document “acute respiratory failure” in the pediatric patient’s record, looking for specific...Read More »

“This continues to be a very complicated topic for CDI professionals,” says Cesar M. Limjoco, MD, who will present...Read More »

Q: In what instance would septic shock not be coded as the principal...Read More »

Although HCCs are not new, addressing risk-adjustment methodologies is becoming more frequent in both the acute and primary settings.Read More »

Q: How do you sequence ESRD, HTN, CHF, and diabetes when the patient is admitted with kidney disease...Read More »

By Sharme Brodie, RN, CCDS

Recently, I was asked an interesting question about querying for the diagnosis of encephalopathy. The...Read More »

By Howard Rodenberg, MD, MPH, CCDS
When my son was in middle school, I would call him every evening to review the school day. I...Read More »

Debra Conrad filed a lawsuit in the U.S. District Court for the Western District against Heartland Regional Medical Center, also known as Mosaic...Read More »