Clinical & Coding

Q: We have a problem getting our physicians to understand what we are querying for (chronic respiratory failure) when a...Read More »

by Sharme Brodie, RN, CCDS

The AHA published its first issue of Coding Clinic for ICD-10-CM and ICD-10-PCS along with its...Read More »

Facilities have always faced problems related to documentation for cardiorenal syndrome. One major problem with the diagnosis is that CDI...Read More »

by Larry Faust, MD

Nutritional issues are not uncommon in children and may have a significant impact on a child’s health. Poor...Read More »

by Robert S. Gold, MD

Too often an abnormality is an incidental finding, or a lab error and the clinical circumstances, do not...Read More »

The ICD-10 delay that occurred recently with the passing of HR4302 (Protecting Access to Medicare Act of 2014) was a surprise to many.Read More »

University of South Alabama (USA) Health System’s Children’s & Women’s Hospital in Mobile planned to begin dual CDI/coding of ICD-10-CM in...Read More »

Q: I need help identifying the principal diagnosis for the following situation. The patient presented with shortness of breath...Read More »