Clinical & Coding

Q: When the physician documents that the patient is acute hypoxic and acute hypercapnic, should we code both of these diagnoses?...Read More »

The codes in ICD-10-CM Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue, cover diagnoses for conditions throughout the...Read More »

A False Claims Act lawsuit accuses UnitedHealthcare Group of a scheme which may have allowed its subsidiaries and other insurers to improperly...Read More »

The latest survey out from ACDIS probes at a number of additional questions related to CDI...Read More »

Q: A patient presented to the hospital for a coronary artery bypass graph (CABG) and stage 4 chronic kidney disease (CKD)....Read More »

Sepsis accounts for a higher rate of unplanned readmissions than acute myocardial infarction (AMI), heart failure, pneumonia, and chronic...Read More »

ACDIS’ sister publication HIM Briefings is conducting a benchmarking survey on EHR operationalization and use, and we would appreciate...Read More »

Q: If I document a wound at Stage 3 with no CC or MCC, do I also need to assign a present on admission (POA) status?
...Read More »

by James S. Kennedy, MD, CCS, CDIP

Even though we now have a new president of the United States who vowed to abolish the...Read More »

Nearly half of the death certificates reviewed by the Centers for Disease Control and Prevention from 2009 to 2012 listed the cause of death...Read More »