Clinical & Coding

Q: We recently reviewed a troubling case related to sepsis core extractions which...Read More »

Q: After a video-assisted thorascopic surgery (VAT) procedure, a patient is usually...Read More »

CMS proposed a handful of changes to the inpatient-only list in the 2018...Read More »

Q: How would you determine if the treatment is for the initial...Read More »

For the first time since 1997, CMS put out a call for feedback on changing the Evaluation and Management (E/M) guidelines,...Read More »

CMS released the 2018 Outpatient Prospective Payment System (OPPS) proposed rule last week on Thursday, July 13. With CDI programs increasingly...Read More »

Q: I work in dermatology and need to know what documentation is required for excisions. We are struggling with getting paid....Read More »

As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly...Read More »

Carolinas Healthcare System (CHS)...Read More »

Q: A patient with documented acute respiratory failure, could have both confusion and...Read More »